How can the practice nurse be more involved in the care of the chronically ill? The perspectives of GPs, patients and practice nurses

BMC Family Practice
Thomas RosemannJoachim Szecsenyi

Abstract

A well established "midlevel" of patient care, such as nurse practitioners and/or physician assistants, exits in many countries like the US, Canada, and Australia. In Germany, however there is only one kind of profession assisting the physician in practices, the practice nurse. Little is known about the present involvement of practice nurses in patients' care in Germany and about the attitudes of GPs, assistants and patients concerning an increased involvement. The aim of our study was to get qualitative information on the extent to which practice nurses are currently involved in the treatment of patients and about possibilities of increased involvement as well as on barriers of increased involvement. We performed qualitative, semi-structured interviews with 20 GPs, 20 practice nurses and 20 patients in the Heidelberg area. The interviews were digitally recorded, transcribed and content-analysed with ATLAS.ti. Practice nurses are only marginally involved in the treatment of patients. GPs as well as patients were very sceptical about increased involvement in care. Patients were sceptical about nurses' professional background and feared a worsening of the patient doctor relationship. GPs also complained about the nurses' deficien...Continue Reading

References

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Citations

Jun 17, 2010·Cardiovascular Diabetology·Anja FreiThomas Rosemann
Jul 14, 2010·Patient Preference and Adherence·Ramona S DejesusStephen S Cha
Jun 3, 2014·BMC Health Services Research·Nahara Anani Martínez-GonzálezThomas Rosemann
May 29, 2016·BMC Family Practice·Tessa van LoenenGert P Westert
Nov 6, 2012·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Stéphanie LauvergeonIsabelle Peytremann-Bridevaux
Apr 27, 2012·Primary Care Diabetes·Ramona S DejesusRobert J Stroebel
Apr 1, 2018·Journal of Periodontology·Pablo Varela-CentellesJuan M Seoane-Romero
Apr 16, 2019·The Cochrane Database of Systematic Reviews·Akram Karimi-ShahanjariniChristopher J Colvin
Aug 8, 2021·International Journal of Environmental Research and Public Health·Elyne De BaetselierTinne Dilles

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Software Mentioned

ti
- Software
ATLAS

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