Halcomb Elizabeth J, Salamonson Yenna, Cooper Melissa, Clauson Jennifer L, Lombardo Lien
University of Western Sydney, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia.
Collegian. 2013;20(3):137-44. doi: 10.1016/j.colegn.2012.05.001.
Practice nurses are primarily employed by general practitioners, however little is known about the barriers to practice nurse employment from the perspective of general practitioners (GPs).
This paper seeks to explore solo, culturally and linguistically diverse (CALD) general practitioners' perceptions of the practice nurse role, and to identify the barriers and facilitators of these doctors employing nurses within their practice.
A descriptive study, using semi-structured interviews, was conducted from July to August 2010. Participants were CALD GPs working as solo practitioners who were members of a Division of General Practice in South Western Sydney. Quantitative data were analysed using descriptive statistics and qualitative data were analysed using thematic analysis.
The response rate was 51%, however no demographic differences were identified between responders and non-responders. The majority of participants (73%) agreed that practice nurses could perform vital sign measurements or spirometry. Fewer participants (52-63%) believed practice nurses could perform breast checks, pap smears, or assessment of medication regimes. Perceived barriers to employing a practice nurse included lack of space or equipment, legal implications, lack of a specific job description and language communication issues. Participants identified the need for greater financial rebates, assistance with training practice nurses and assistance with business modelling as facilitators to practice nurse employment.
The feasibility of practice nurse employment in practices with solo, culturally and linguistically diverse general practitioners remains a challenge that needs further exploration. Employment of practice nurses may be a viable option for younger practitioners who have a desire to work in collaborative multidisciplinary models.
执业护士主要受雇于全科医生，但从全科医生的角度来看，对于执业护士就业的障碍了解甚少。
本文旨在探讨独立的、具有文化和语言多样性（CALD）的全科医生对执业护士角色的看法，并确定这些医生在其诊所雇佣护士的障碍和促进因素。
2010年7月至8月进行了一项描述性研究，采用半结构化访谈。参与者是在悉尼西南部一个全科医疗部门工作的独立执业CALD全科医生。定量数据采用描述性统计分析，定性数据采用主题分析。
回复率为51%，但未发现回复者与未回复者之间存在人口统计学差异。大多数参与者（73%）同意执业护士可以进行生命体征测量或肺功能测定。较少参与者（52 - 63%）认为执业护士可以进行乳房检查、巴氏涂片检查或药物治疗评估。雇佣执业护士的感知障碍包括空间或设备不足、法律问题、缺乏具体的工作描述以及语言沟通问题。参与者认为需要更大的经济回扣、培训执业护士的协助以及商业模式方面的协助作为雇佣执业护士的促进因素。
在具有独立的、具有文化和语言多样性的全科医生的诊所中雇佣执业护士的可行性仍然是一个需要进一步探索的挑战。对于希望以协作多学科模式工作的年轻从业者来说，雇佣执业护士可能是一个可行的选择。
