A curriculum for nurses in Germany undertaking medically-delegated tasks in primary care.
OBJECTIVE
This paper is a report of a study conducted to develop a qualification for nurses in primary care based on the delegation of medical tasks in order to relieve general practitioners and to supply the population in rural regions today and in the future.


BACKGROUND
Age-demographic changes will cause medical care supply problems, especially for older people, motivating a re-evaluation of the nursing role in ambulatory medical care.


METHODS
An intervention study was conducted in Germany between 1 January 2006 and 31 December 2007, comprising a theoretical and practical phase evaluated by participants, general practitioners and patients through questionnaires, reflection rounds and structured interviews during and after the practice phase.


RESULTS
Participants and general practitioners rated the curriculum as relevant and useful. Nurses were motivated by the ability to be self-employed and the expansion of their scope of professional work general practitioners regarded medical duty delegation as workload relief. Patients positively evaluated nurse visits, comparing medical competence and conduct to that of a general practitioner's.


CONCLUSIONS
The qualification is a promising approach to compensate for the imminent under-supply of primary care and allows maintenance a high standard of healthcare quality for rural areas of Germany and countries with similar structures. It supports doctors through task delegation, and offers an option for an advanced training for nurses.
Dreier
Adina
A
Department of Epidemiology of Health Care and Community Health, Ernst-Moritz-Arndt-University of Greifswald, Germany. adina.dreier@uni-greifswald.de
Rogalski
Hagen
H
Oppermann
Roman Frank
RF
Terschüren
Claudia
C
van den Berg
Neeltje
N
Hoffmann
Wolfgang
W
D000328:Adult; D001291:Attitude of Health Personnel; D003479:Curriculum / Q000592:standards*; D032022:Delegation, Professional; D004506:Education, Nursing / Q000379:methods* / Q000458:organization & administration*; D005260:Female; D005858:Germany; D006801:Humans; D008875:Middle Aged; D015402:Nursing Education Research; D011320:Primary Health Care; D011795:Surveys and Questionnaires; D016526:Workload; D055815:Young Adult