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Q&A
Q1. What do you think patients will expect from practice
nursing in the future?
- Skilled, knowledgeable consultations
- Prescriptions from consultation
- Quicker access
- Availability of information, contacts - accessibility
- Easier access
- First contact for patients
- Quality standards of care
- 1st contact for primary care
- Better access
- Minor illness
Q2. What do you think GP's will expect from Practice
Nursing in the future?
- Greater autonomy
- Bigger workload!
- More qualified PN's
- Diagnostic and prescribing
- Getting concerned - Threatened by stronger voice of practice
nurse
- Make assumptions without the knowledge
- Role shaped by GP employer's commitments & also what
we are prepared to negotiate
- Chronic disease management
- History taking skills
- Increased role gives us bigger voice
- The "generic" nurse
- Training in various fields
- Role shaped by policies
- Chronic care managers
- Role in minor illness and prescribing
- Large input in team as a whole
Q3. What is your vision of Practice Nursing in the future?
- Qualified autonomous practitioners, with a defined body
for all PN's, recognised and salaried accordingly
- Nurse partners
- Crisis not enough being trained and more expected
- Retirement - huge gap in future
- Vicarious liability clearly understood - spelled out
- Need to stipulate professional membership - MDU
- Partnership
- Crises - lack of suitably trained RGN's
- ?future of liability -
- Clarification of vicarious liability
- Stipulation of membership of professional body
- Partners in general practice
- More nurse-led clinics
Q4. What are your good areas of practice? "in this
area"
- Communication/practical skills
- Intelligence
- Keen to develop professionally and personally and pro-active
in both these areas
- Ability to keep up to date
- IT skills
- Target diabetes care - nominated GP nurse
- All PN encouraged in area to nurse prescribe but money
due to run out
- Multi-disciplinary anaphylaxis training
- Integrated nurse team - aim for consensus
- CN's have more slack and become involved in CDM - practice
funded
- Good understanding of each other roles and who to refer
to
- Work out same office
- Regular nursing meetings
- Patient group for District, Reps for all practices, very
knowledgeable - voice goes to MSP's
- LHCC - diabetes care
- Resuscitation training
- Diabetic care
Q5. What are the barriers to development?
- Time - protected
- Funding of learning opportunities
- Communication of available facilities/courses
- GPs!
- Space!
- Team work - employment status
- CN have a very different perspective on general practice
- Employment status GP - not Health Board
Q6. What needs to change?
- Recognition of PN's as a professional independent group
- Financial recognition according to skills
- A defined PN role
- Recognition of clinical abilities - responsibility of
individual clinics/consultations
- Willing to support each other and learn - multi-disciplinary
team
- Communication
- Community nurses need to be seen to be keen to be involved
- Sharing/willing responsibility
- One standard for teamwork - say that whoever back backfills
from nursing needs to be competent
- GPs perceptions
- Public perceptions of role
- Education of patients
- Training - pushed to do it - not recognised/recorded once
its done
- Need time to do training
- More multi-disciplinary training
- Work based learning accreditation - standards
- Tackle higher education in terms of targeted to needs
- Terms and conditions (speak to Dorothy at Caledonian University)
- Educating GPs
- Raise awareness ie - educational needs - particularly
registrars - potential GP
- Educate patients
- Stop encouraging culture of patient dependency
- Responsibility of informing patients
- Consistency among HCP's in advice given to GP
- Patient involvement
- Mentorship and payment
- GP's perception of Practice Nurse role
- Clinical supervision/Personal development plans to reflect
individual needs as well as practice needs
- Patients' perceptions
- Training and education - availability of places/suitable
training? in the workplace
- Financial rewards
- Time for training
- More multidisciplinary training
- Terms and conditions
Q.7 What skills do existing practitioners need to respond
patients needs, now and in the future?
- Qualifications
- Awareness of self-limitations
- Communication
- Local/Health Board knowledge
- Depends on people's experience
- Patients have to understand that what is delivered now
may change in the future
- Skills to be able to run projects
- Education of patients rechanges in NHS
- IT skills
- Listening skills
- Knowledge of the "bigger" picture
- Changes to HB's - re shaping of service provision - how
this affects local CHP's - and how patients will be affected
Q8. Are practice nurses at specialist practitioner level
adequately prepared with the right competencies to meet service
requirements?
- Not appropriate for new practice nurse staff
- Prepares academically
- Understand how to source information & critic literature
- Critic literature
- Understand
- Got to be more than a 3 year course
- Look at integrating more academic skills
- Perhaps more recent P/N's probably have a broader academic
background than long-standing P/N
- Push for evidence based practice
Q9. How can we increase exposure of student nurse to Practice
Nursing?
- Direct contact with colleges - awareness of particular
interests/skills of those
- Some spend time with practice nursing already
- Could be incorporated more in basic education
- Expertise in placements depending on resources available
- Need opportunity to get out and see placements are useful
- DN and HV take GP register balance is for PN to take students
- More full-time posts may attract potential people less
developed in career from career point of view
- Standardisation of grading issues
- Recognised career pathway
- Agenda change - PNs need to be included
- Support to get the GPs to recognise that PN's need to
network
- May need to have something structured like accelerated
learning time - GPs will release staff
- Having learning needs recognised
- Who's doing appraisal - is there a way of doing it
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