Role of Nurses in Primary Care

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Role of Nurses inPrimary Care

• Professor Bonnie Sibbald
• National Primary Care RD Centre
• University of Manchester

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Challenges

• Rising demand for care
• Rising cost of care
• Variable quality
• GP workforce shortages

3
Expectations

• Nurses working in extended roles can -
• Reduce demand for doctors
• Reduce cost of care
• Maintain (or increase) the quality of care

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Extended Nurse Roles

• Health promotion
• Chronic disease management
• First contact care
• First contact ongoing care

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Two Models of Working

• Substitution

• Supplementation

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Supplementation Health Promotion (15 studies)
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Supplementation Chronic Disease Management (17
studies)
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SubstitutionChronic Disease Management (4
studies)
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SubstitutionFirst contact care (5 studies)
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SubstitutionFirst contact ongoing care (7
studies)
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Conclusions
Nurses working in extended roles can-
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Thank you
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Barriers/Facilitatorsto Enhanced Nurse Roles

• Nurse training
• Employment costs
• Accommodation (nurse treatment room)
• Legal liability
• Scope of practice restrictions
• Payment systems