The development of professional practice standards for Australian general practice nurses.
OBJECTIVE
The aim of this study was to explore the current role of general practice nurses and the scope of nursing practice to inform the development of national professional practice standards for Australian general practice nurses.


BACKGROUND
Increasing numbers of nurses have been employed in Australian general practice to meet the growing demand for primary care services. This has brought significant changes to the nursing role. Competency standards for nurses working in general practice were first developed in Australia in 2005, but limited attention has been placed on articulating the contemporary scope of practice for nurses in this setting.


METHODS
Concurrent mixed methods design.


METHODS
Data collection was conducted during 2013-2014 and involved two online surveys of Registered and Enrolled Nurses currently working in general practice, a series of 14 focus groups across Australia and a series of consultations with key experts.


RESULTS
Data collection enabled the development of 22 Practice Standards separated into four domains: (i) Professional Practice; (ii) Nursing Care; (iii) General Practice Environment and (iv) Collaborative Practice. To differentiate the variations in enacting these Standards, performance indicators for the Enrolled Nurse, Registered Nurse and Registered Nurse Advanced Practice are provided under each Standard.


CONCLUSIONS
The development of national professional practice standards for nurses working in Australian general practice will support ongoing workforce development. These Standards are also an important means of articulating the role and scope of the nurses' practice for both consumers and other health professionals, as well as being a guide for curriculum development and measurement of performance.
School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, New South Wales, Australia.
Elizabeth
http://orcid.org/0000-0001-8099-986X
E
Halcomb
School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, New South Wales, Australia.
Moira
M
Stephens
Australian Nursing & Midwifery Federation, Melbourne, Victoria, Australia.
Julianne
J
Bryce
Australian Nursing & Midwifery Federation, Melbourne, Victoria, Australia.
Elizabeth
E
Foley
School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, New South Wales, Australia.|Australian Nursing & Midwifery Federation, Melbourne, Victoria, Australia.
Christine
C
Ashley
D000328:Adult; D000368:Aged; D001315:Australia; D005260:Female; D058006:General Practice / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D009726:Nurses / Q000458:organization & administration / Q000592:standards*; D057184:Practice Patterns, Nurses' / Q000458:organization & administration / Q000592:standards*; D011364:Professional Practice / Q000592:standards*; D012015:Reference Standards
clinical competency; nursing; primary health care; review; role