Trust and decision-making

How nurses in Australian general practice negotiate role limitations

Eamon Thomas Merrick, Margaret Fry, Christine Duffield, Helen Stasa

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aim: To explore the importance of role recognition and relationships between the opportunities for decision-making, social support, and skill development, in a sample of nurses working in general practice in New South Wales, Australia. Background: Understanding how nurses make decisions about patients and their care in general practice will benefit organisations and public policy. This understanding is important as the role changes and opportunities for further role development emerge. Design: A sequential mixed methods design was used. Study 1 utilised the internationally validated Job Content Questionnaire to collect data about decision making, social support, skill development, and identity derived from the role. In 2008 a purposive sample of nurses working in general practice (. n=. 160) completed and submitted an online Job Content Questionnaire. Study 2 used a set of open-ended questions informed by Study 1 to guide semi-structured interviews. In 2010 fifteen interviews were undertaken with nurses in general practice. Demographic characteristics of both samples were compared, and the findings of both studies were integrated. Results: The integration of findings of Study 1 and 2 suggests that nurses defined their expertise as being able to identify patient need and communicate this to the general practitioner, the ability to do so led to the development of trusting relationships. Trusting relationships led to greater support from the general practitioner and this support allowed the nurse greater freedom to make decisions about patient care. Conclusions: Nurses gained influence in clinical decision-making by building trusting relationships with patients and medical colleagues. They actively collaborated in and made decisions about patient care. These results suggest that there is a need to consider how nursing can more effectively contribute to care in general practice settings.

Original languageEnglish
Pages (from-to)225-232
Number of pages8
JournalCollegian
Volume22
Issue number2
DOIs
Publication statusPublished - 1 Jun 2015
Externally publishedYes

Fingerprint

General Practice
Decision Making
Nurses
Patient Care
Social Support
General Practitioners
Interviews
South Australia
New South Wales
Aptitude
Public Policy
Nursing
Demography
Organizations

Cite this

Merrick, Eamon Thomas ; Fry, Margaret ; Duffield, Christine ; Stasa, Helen. / Trust and decision-making : How nurses in Australian general practice negotiate role limitations. In: Collegian. 2015 ; Vol. 22, No. 2. pp. 225-232.
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Trust and decision-making : How nurses in Australian general practice negotiate role limitations. / Merrick, Eamon Thomas; Fry, Margaret; Duffield, Christine; Stasa, Helen.

In: Collegian, Vol. 22, No. 2, 01.06.2015, p. 225-232.

Research output: Contribution to journalArticle

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