Bury Gerard, Twomey Liam, Egan Mairead
Academic General Practice, School of Medicine, University College Dublin, Dublin, Ireland.
Ir J Med Sci. 2021 Feb;190(1):193-196. doi: 10.1007/s11845-020-02265-9. Epub 2020 May 28.
Slaintecare, the Irish government's plan for the coming decade, relies heavily on integrated, team-based care in the community to achieve its goals. General practice nursing is a key component of that care, both now and in the future, but little is known about the experience and views of those providing this service. This preliminary study is part of a wider national project on teamworking in primary care.
To document the experiences and views of practice nurses (PNs) and general practices in a single county of Ireland, in relation to current and future roles.
Confidential questionnaires sent to all practices and all practice nurses in the county.
Overall, 28/35 (80%) practices and 36/59 (61%) PNs responded; most PNs work part-time. Almost all practices have PNs; in 93% of practices, patients can see the PN without referral by the GP and there is very good concordance between practices and PNs about the wide range of tasks undertaken. Ninety-four percent of practices and 81% of PNs rated an expanded role for PNs as high or highest priority; barriers identified by both groups were financial and indemnity issues.
Practice nursing contributes extensively to general practice, and an expansion of the role is advocated by PNs and practices.
“健康关爱计划”（Slaintecare）是爱尔兰政府未来十年的规划，该计划在很大程度上依赖社区综合团队式护理来实现其目标。全科护理在当下及未来都是该护理的关键组成部分，但对于提供这项服务的人员的经验和观点却知之甚少。这项初步研究是关于初级保健团队合作的一项更广泛的全国性项目的一部分。
记录爱尔兰一个单一郡县的执业护士（PNs）和全科诊所对于当前及未来角色的经验和观点。
向该郡县所有诊所及所有执业护士发送保密问卷。
总体而言，35家诊所中有28家（80%）、59名执业护士中有36名（61%）做出了回应；大多数执业护士从事兼职工作。几乎所有诊所都有执业护士；在93%的诊所中，患者无需全科医生转诊就能看执业护士，并且诊所和执业护士对于所承担的广泛任务达成了高度一致。94%的诊所和81%的执业护士将扩大执业护士的职责列为高优先级或最高优先级；两组都指出的障碍是财务和赔偿问题。
执业护士对全科医疗做出了广泛贡献，执业护士和诊所都主张扩大其职责。
