Peter A
Greater Glasgow Health Board.
Br J Gen Pract. 1993 Mar;43(368):97-100.
Six months after the implementation of the new general practitioner contract in April 1990, practice nurses employed in greater Glasgow were surveyed using a self completed postal questionnaire. Of the 165 practice nurses employed in greater Glasgow 153 (93%) were identified and surveyed. Of these, 131 responded to the questionnaire (86%). The practice nurses were well qualified and experienced. Sixty per cent were under 40 years of age, 68% had been recruited within the previous year and 70% were employed for five sessions or more per week. Many carried out extended nursing duties, including health promotion activities. Many described inadequacies of their employment contract, practice facilities and the functioning of the primary health care team. If service quality is to be assured in practice nursing and practice nurses are to function as key primary health care team workers, then it is important that their role, professional skills, and working facilities are defined, supported and monitored. This should be addressed by general practitioners, practice nurses, and their professional bodies, in collaboration with the health board.
1990年4月新的全科医生合同实施6个月后，采用自行填写的邮政问卷对大格拉斯哥地区受雇的执业护士进行了调查。在大格拉斯哥地区受雇的165名执业护士中，有153名（93%）被识别并接受了调查。其中，131名回复了问卷（86%）。这些执业护士资质良好且经验丰富。60%的人年龄在40岁以下，68%的人是在前一年招聘的，70%的人每周工作五个时段或更多。许多人承担了扩展护理职责，包括健康促进活动。许多人描述了他们的雇佣合同、执业设施以及初级卫生保健团队运作方面的不足。如果要确保执业护理的服务质量，并且执业护士要作为初级卫生保健团队的关键工作人员发挥作用，那么明确、支持和监督他们的角色、专业技能及工作设施就很重要。这应由全科医生、执业护士及其专业团体与健康委员会合作来解决。
