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Developing a positive patient experience with nurses in general practice: an integrated model of patient satisfaction and enablement

Desborough, Jane; Phillips, Christine; Mills, Jane; Korda, Rosemary; Bagheri, Nasser; Banfield, Michelle

Description

Aim: To develop a conceptual model that provides a comprehensive understanding of the structures and processes underpinning patient enablement and satisfaction in general practice nurse consultations. Background: Current evidence regarding patient satisfaction and enablement arising from general practice nursing care is either quantitative or qualitative. To date, no studies have integrated the results of mixed methods research to provide a deeper understanding of processes that facilitate...[Show more]

dc.contributor.authorDesborough, Jane
dc.contributor.authorPhillips, Christine
dc.contributor.authorMills, Jane
dc.contributor.authorKorda, Rosemary
dc.contributor.authorBagheri, Nasser
dc.contributor.authorBanfield, Michelle
dc.date.accessioned2020-07-16T04:35:15Z
dc.identifier.citationDesborough J, Phillips C, Mills J, Korda R, Bagheri N, Banfield M. Developing a positive patient experience with nurses in general practice: An integrated model of patient satisfaction and enablement. J Adv Nurs. 2018;74:564–578. https://doi.org/10.1111/jan.13461
dc.identifier.issn0309-2402
dc.identifier.urihttp://hdl.handle.net/1885/206274
dc.description.abstractAim: To develop a conceptual model that provides a comprehensive understanding of the structures and processes underpinning patient enablement and satisfaction in general practice nurse consultations. Background: Current evidence regarding patient satisfaction and enablement arising from general practice nursing care is either quantitative or qualitative. To date, no studies have integrated the results of mixed methods research to provide a deeper understanding of processes that facilitate their achievement. Design: A concurrent mixed methods study. Methods: Our 2013-2014 concurrent mixed methods study comprised a quantitative study that analysed variables identified in interviews with general practice nurses, patients and practice managers with data from a cross-sectional survey of 678 patients receiving nursing care in 21 general practices; and a qualitative study that used a grounded theory approach to in-depth interviews with nurses and patients from these same practices. Using joint displays, we compared and integrated the results of the multilevel analyses and the grounded theory model derived from these studies. Findings: We conceptualized a model--developing a positive patient experience with nurses in general practice--in which time, continuity of care, nursing scope of practice and autonomy, and patients' health conditions provide platforms for the processes of triggering healthcare partnerships and tailoring care in nurse consultations. Conclusion: This model builds on previous evidence describing processes and characteristics that optimize the quality of care in general practice nurse consultations. It provides a practical tool to inform education and training for general practice nurses and other clinicians.
dc.description.sponsorshipThis research was funded through an Australian Postgraduate Award, a PhD scholarship from the Australian Primary Health Care Research Institute and a grant from the Australian Capital Territory Medicare Local
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherBlackwell Publishing Ltd
dc.rights© 2017 John Wiley & Sons Ltd
dc.sourceJournal of Advanced Nursing
dc.subjectgeneral practice nurse
dc.subjectmixed methods
dc.subjectpatient enablement
dc.subjectpatient satisfaction
dc.titleDeveloping a positive patient experience with nurses in general practice: an integrated model of patient satisfaction and enablement
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume74
dcterms.dateAccepted2017-09-12
dc.date.issued2017-09-20
local.identifier.absfor111717 - Primary Health Care
local.identifier.absfor111002 - Clinical Nursing: Primary (Preventative)
local.identifier.ariespublicationu3841020xPUB69
local.publisher.urlhttps://onlinelibrary.wiley.com/
local.type.statusPublished Version
local.contributor.affiliationDesborough, Jane, College of Health and Medicine, ANU
local.contributor.affiliationPhillips, Christine, College of Health and Medicine, ANU
local.contributor.affiliationMills, Jane, James Cook University
local.contributor.affiliationKorda, Rosemary, College of Health and Medicine, ANU
local.contributor.affiliationBagheri, Nasser, College of Health and Medicine, ANU
local.contributor.affiliationBanfield, Michelle, College of Health and Medicine, ANU
local.description.embargo2037-12-31
local.bibliographicCitation.issue3
local.bibliographicCitation.startpage564
local.bibliographicCitation.lastpage578
local.identifier.doi10.1111/jan.13461
local.identifier.absseo920210 - Nursing
local.identifier.absseo920408 - Health Status (e.g. Indicators of Well-Being)
dc.date.updated2020-04-05T08:17:55Z
CollectionsANU Research Publications

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