Monday, April 03, 2006

Observing Nurse Activity - Tell us what you think

In Phase One the AGPNS team used a Rapid Appraisal Tool (RAT) to gather information during practice visits. One element of the RAT was structured observation of an hour of nurse activity, at two different points in the day. We now have records of fifty hours of nursing time in general practice. Our data show that:
 Practice nurses cycle through many tasks in an hour, often returning to the same task several times.
Is this the most effective way for Practice Nurses to work?
 Nurses are extremely responsive to the request of others in the practice. Having a space dedicated to practice nurse clinical activities may reduce the number of interruptions a nurse experiences in an hour.
What are the pros and cons of having a dedicated clinical nurse space?
 Practice nurses range over the entire general practice throughout their day.
What does this say about the nature of a nurse’s role in a general practice?

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