The impact of general practice nursing care on patient satisfaction and enablement in Australia: A mixed methods study (2024)

Desborough, J., Bagheri, N., Banfield, M., Mills, J., Phillips, C., & Korda, R. (2016). The impact of general practice nursing care on patient satisfaction and enablement in Australia: A mixed methods study. International Journal of Nursing Studies, 64, 108-119. https://doi.org/10.1016/j.ijnurstu.2016.10.004

Desborough, Jane ; Bagheri, Nasser ; Banfield, Michelle et al. / The impact of general practice nursing care on patient satisfaction and enablement in Australia : A mixed methods study. In: International Journal of Nursing Studies. 2016 ; Vol. 64. pp. 108-119.

@article{81f27e382b9442068ea7761832db103d,

title = "The impact of general practice nursing care on patient satisfaction and enablement in Australia: A mixed methods study",

abstract = "Background The numbers of nurses in general practice in Australia tripled between 2004 and 2012. However, evidence on whether nursing care in general practice improves patient outcomes is scarce. Although patient satisfaction and enablement have been examined extensively as outcomes of general practitioner care, there is little research into these outcomes from nursing care in general practice. The aim of this study was to examine the relationships between specific general practice characteristics and nurse consultation characteristics, and patient satisfaction and enablement Methods A mixed methods study examined a cross-section of patients from 21 general practices in the Australian Capital Territory. The Patient Enablement and Satisfaction Survey was distributed to 1665 patients who received nursing care between September 2013 and March 2014. Grounded theory methods were used to analyse interviews with staff and patients from these same practices. An integrated analysis of data from both components was conducted using multilevel mixed effect models. Results Data from 678 completed patient surveys (response rate=42%) and 48 interviews with 16 nurses, 23 patients and 9 practice managers were analysed. Patients who had longer nurse consultations were more satisfied (OR=2.50, 95% CI: 1.43–4.35) and more enabled (OR=2.55, 95% CI: 1.45–4.50) than those who had shorter consultations. Patients who had continuity of care with the same general practice nurse were more satisfied (OR=2.31, 95% CI: 1.33–4.00) than those who consulted with a nurse they had never met before. Patients who attended practices where nurses worked with broad scopes of practice and high levels of autonomy were more satisfied (OR=1.76, 95% CI: 1.09–2.82) and more enabled (OR=2.56, 95% CI: 1.40–4.68) than patients who attended practices where nurses worked with narrow scopes of practice and low levels of autonomy. Patients who received nursing care for the management of chronic conditions (OR=2.64, 95% CI: 1.32–5.30) were more enabled than those receiving preventive health care. Conclusions This study provides the first evidence of the importance of continuity of general practice nurse care, adequate time in general practice nurse consultations, and broad scopes of nursing practice and autonomy for patient satisfaction and enablement. The findings of this study provide evidence of the true value of enhanced nursing roles in general practice. They demonstrate that when the vision for improved coordination and multidisciplinary primary health care, including expanded roles of nurses, is implemented, high quality patient outcomes can be achieved.",

keywords = "General practice, General practice nursing, Mixed methods, Nursing scope of practice, Patient enablement, Patient satisfaction, Primary health care, Quality of care",

author = "Jane Desborough and Nasser Bagheri and Michelle Banfield and Jane Mills and Christine Phillips and Rosemary Korda",

note = "Publisher Copyright: {\textcopyright} 2016 Elsevier Ltd",

year = "2016",

month = dec,

day = "1",

doi = "10.1016/j.ijnurstu.2016.10.004",

language = "English",

volume = "64",

pages = "108--119",

journal = "International Journal of Nursing Studies",

issn = "0020-7489",

publisher = "Elsevier Ltd.",

}

Desborough, J, Bagheri, N, Banfield, M, Mills, J, Phillips, C & Korda, R 2016, 'The impact of general practice nursing care on patient satisfaction and enablement in Australia: A mixed methods study', International Journal of Nursing Studies, vol. 64, pp. 108-119. https://doi.org/10.1016/j.ijnurstu.2016.10.004

The impact of general practice nursing care on patient satisfaction and enablement in Australia: A mixed methods study. / Desborough, Jane; Bagheri, Nasser; Banfield, Michelle et al.
In: International Journal of Nursing Studies, Vol. 64, 01.12.2016, p. 108-119.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - The impact of general practice nursing care on patient satisfaction and enablement in Australia

T2 - A mixed methods study

AU - Desborough, Jane

AU - Bagheri, Nasser

AU - Banfield, Michelle

AU - Mills, Jane

AU - Phillips, Christine

AU - Korda, Rosemary

N1 - Publisher Copyright:© 2016 Elsevier Ltd

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Background The numbers of nurses in general practice in Australia tripled between 2004 and 2012. However, evidence on whether nursing care in general practice improves patient outcomes is scarce. Although patient satisfaction and enablement have been examined extensively as outcomes of general practitioner care, there is little research into these outcomes from nursing care in general practice. The aim of this study was to examine the relationships between specific general practice characteristics and nurse consultation characteristics, and patient satisfaction and enablement Methods A mixed methods study examined a cross-section of patients from 21 general practices in the Australian Capital Territory. The Patient Enablement and Satisfaction Survey was distributed to 1665 patients who received nursing care between September 2013 and March 2014. Grounded theory methods were used to analyse interviews with staff and patients from these same practices. An integrated analysis of data from both components was conducted using multilevel mixed effect models. Results Data from 678 completed patient surveys (response rate=42%) and 48 interviews with 16 nurses, 23 patients and 9 practice managers were analysed. Patients who had longer nurse consultations were more satisfied (OR=2.50, 95% CI: 1.43–4.35) and more enabled (OR=2.55, 95% CI: 1.45–4.50) than those who had shorter consultations. Patients who had continuity of care with the same general practice nurse were more satisfied (OR=2.31, 95% CI: 1.33–4.00) than those who consulted with a nurse they had never met before. Patients who attended practices where nurses worked with broad scopes of practice and high levels of autonomy were more satisfied (OR=1.76, 95% CI: 1.09–2.82) and more enabled (OR=2.56, 95% CI: 1.40–4.68) than patients who attended practices where nurses worked with narrow scopes of practice and low levels of autonomy. Patients who received nursing care for the management of chronic conditions (OR=2.64, 95% CI: 1.32–5.30) were more enabled than those receiving preventive health care. Conclusions This study provides the first evidence of the importance of continuity of general practice nurse care, adequate time in general practice nurse consultations, and broad scopes of nursing practice and autonomy for patient satisfaction and enablement. The findings of this study provide evidence of the true value of enhanced nursing roles in general practice. They demonstrate that when the vision for improved coordination and multidisciplinary primary health care, including expanded roles of nurses, is implemented, high quality patient outcomes can be achieved.

AB - Background The numbers of nurses in general practice in Australia tripled between 2004 and 2012. However, evidence on whether nursing care in general practice improves patient outcomes is scarce. Although patient satisfaction and enablement have been examined extensively as outcomes of general practitioner care, there is little research into these outcomes from nursing care in general practice. The aim of this study was to examine the relationships between specific general practice characteristics and nurse consultation characteristics, and patient satisfaction and enablement Methods A mixed methods study examined a cross-section of patients from 21 general practices in the Australian Capital Territory. The Patient Enablement and Satisfaction Survey was distributed to 1665 patients who received nursing care between September 2013 and March 2014. Grounded theory methods were used to analyse interviews with staff and patients from these same practices. An integrated analysis of data from both components was conducted using multilevel mixed effect models. Results Data from 678 completed patient surveys (response rate=42%) and 48 interviews with 16 nurses, 23 patients and 9 practice managers were analysed. Patients who had longer nurse consultations were more satisfied (OR=2.50, 95% CI: 1.43–4.35) and more enabled (OR=2.55, 95% CI: 1.45–4.50) than those who had shorter consultations. Patients who had continuity of care with the same general practice nurse were more satisfied (OR=2.31, 95% CI: 1.33–4.00) than those who consulted with a nurse they had never met before. Patients who attended practices where nurses worked with broad scopes of practice and high levels of autonomy were more satisfied (OR=1.76, 95% CI: 1.09–2.82) and more enabled (OR=2.56, 95% CI: 1.40–4.68) than patients who attended practices where nurses worked with narrow scopes of practice and low levels of autonomy. Patients who received nursing care for the management of chronic conditions (OR=2.64, 95% CI: 1.32–5.30) were more enabled than those receiving preventive health care. Conclusions This study provides the first evidence of the importance of continuity of general practice nurse care, adequate time in general practice nurse consultations, and broad scopes of nursing practice and autonomy for patient satisfaction and enablement. The findings of this study provide evidence of the true value of enhanced nursing roles in general practice. They demonstrate that when the vision for improved coordination and multidisciplinary primary health care, including expanded roles of nurses, is implemented, high quality patient outcomes can be achieved.

KW - General practice

KW - General practice nursing

KW - Mixed methods

KW - Nursing scope of practice

KW - Patient enablement

KW - Patient satisfaction

KW - Primary health care

KW - Quality of care

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U2 - 10.1016/j.ijnurstu.2016.10.004

DO - 10.1016/j.ijnurstu.2016.10.004

M3 - Article

SN - 0020-7489

VL - 64

SP - 108

EP - 119

JO - International Journal of Nursing Studies

JF - International Journal of Nursing Studies

ER -

Desborough J, Bagheri N, Banfield M, Mills J, Phillips C, Korda R. The impact of general practice nursing care on patient satisfaction and enablement in Australia: A mixed methods study. International Journal of Nursing Studies. 2016 Dec 1;64:108-119. doi: 10.1016/j.ijnurstu.2016.10.004