TY - JOUR
T1 - Impact of nursing care in Australian general practice on the quality of care
T2 - A pilot of the Patient Enablement and Satisfaction Survey (PESS)
AU - Desborough, Jane
AU - Phillips, Christine
AU - Banfield, Michelle
AU - Bagheri, Nasser
AU - Mills, Jane
N1 - Funding Information:
The research reported in this paper is a project of the Australian Primary Health Care Research Institute, which is supported by a grant from the Australian Government Department of Health and Ageing . The information and opinions contained in it do not necessarily reflect the views or policy of the Australian Primary Health Care Research Institute or the Australian Government Department of Health and Ageing.
Funding Information:
This study reports the secondary analysis of data collected as part of a project for which the APHCRI was commissioned by the Australian Medicare Local Alliance (AMLA) in 2012, funded by the Department of Health and Ageing. We would like to acknowledge the contribution of the patients, general practice nurses, practice managers and general practitioners, all of whom assisted with this research.
Publisher Copyright:
© 2014 Australian College of Nursing Ltd..
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Background: Nursing roles in general practice have undergone significant expansion, but as yet there are few tools to measure the quality of nursing care in general practice. This study piloted the Patient Enablement and Satisfaction Survey (PESS) to evaluate two aspects of quality of care in this setting. Methods: Participants were patients attending nurse-led general and chronic-disease clinics in two general practices The survey was posted to 180 consecutive patients attending these clinics over one week (response rate, 28% for general clinic, 40% chronic diseases clinic; n=. 57). Scores were calculated for enablement and satisfaction and free text comments were analysed. Comparisons were made between patients who had attended the general clinic for influenza vaccination and for other conditions, and those who attended the chronic diseases clinic. Findings: Overall results indicate high levels of satisfaction (. M=. 68.3/75 SD. =. 8.1) and moderate enablement (. M=. 4.7/8 SD. =. 3.2). Significant differences were observed between satisfaction scores for patients attending the chronic disease clinic and the general clinic for influenza vaccinations alone, and between those attending the general clinic for influenza vaccinations versus treatment of other conditions. Patients attending the chronic disease clinic had higher enablement scores than patients receiving influenza vaccinations at the general clinic. Analysis of free-text comments in the survey supported these findings. Conclusion: All patients reported satisfaction with nursing care. Patients receiving chronic disease management reported high levels of enablement. This pilot indicated that the PESS can distinguish between two aspects of the quality of nursing care that may impact on patient outcomes.
AB - Background: Nursing roles in general practice have undergone significant expansion, but as yet there are few tools to measure the quality of nursing care in general practice. This study piloted the Patient Enablement and Satisfaction Survey (PESS) to evaluate two aspects of quality of care in this setting. Methods: Participants were patients attending nurse-led general and chronic-disease clinics in two general practices The survey was posted to 180 consecutive patients attending these clinics over one week (response rate, 28% for general clinic, 40% chronic diseases clinic; n=. 57). Scores were calculated for enablement and satisfaction and free text comments were analysed. Comparisons were made between patients who had attended the general clinic for influenza vaccination and for other conditions, and those who attended the chronic diseases clinic. Findings: Overall results indicate high levels of satisfaction (. M=. 68.3/75 SD. =. 8.1) and moderate enablement (. M=. 4.7/8 SD. =. 3.2). Significant differences were observed between satisfaction scores for patients attending the chronic disease clinic and the general clinic for influenza vaccinations alone, and between those attending the general clinic for influenza vaccinations versus treatment of other conditions. Patients attending the chronic disease clinic had higher enablement scores than patients receiving influenza vaccinations at the general clinic. Analysis of free-text comments in the survey supported these findings. Conclusion: All patients reported satisfaction with nursing care. Patients receiving chronic disease management reported high levels of enablement. This pilot indicated that the PESS can distinguish between two aspects of the quality of nursing care that may impact on patient outcomes.
KW - General practice
KW - Patient enablement
KW - Patient satisfaction
KW - Practice nurses
UR - http://www.scopus.com/inward/record.url?scp=84930441365&partnerID=8YFLogxK
U2 - 10.1016/j.colegn.2014.10.003
DO - 10.1016/j.colegn.2014.10.003
M3 - Other Journal Article
C2 - 26281409
AN - SCOPUS:84930441365
SN - 1322-7696
VL - 22
SP - 207
EP - 214
JO - Collegian
JF - Collegian
IS - 2
ER -
