Clients’ understanding of the role of nurse practitioners
Jane Allnutt A , Nissa Allnutt A , Rose McMaster A , Jane O’Connell A , Sandy Middleton A F , Sharon Hillege B , Phillip R. Della C , Glenn E. Gardner D and Anne Gardner E
A School of Nursing (NSW and ACT), Australian Catholic University, PO Box 958, North Sydney, NSW 2059, Australia.
B School of Nursing & Midwifery College of Health and Science, The University of Western Sydney, Locked Bag 1797, Penrith South DC, NSW 1797, Australia.
C School of Nursing and Midwifery, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
D School of Nursing, Queensland University of Technology and Royal Brisbane and Women’s Hospital, GPO Box 2434, Brisbane, QLD 4001, Australia.
E School of Nursing, Midwifery and Nutrition, James Cook University, PO Box 670, Townsville, QLD 4814, Australia.
F Corresponding author. Email: email@example.com
Australian Health Review 34(1) 59-65 http://dx.doi.org/10.1071/AH09688
Submitted: 5 September 2008 Accepted: 2 March 2009 Published: 25 March 2010
Nurse practitioners (NPs) have an emerging role in the Australian health care system. However, there remains a dearth of data about public understanding of the NP role. The aim of this study was to evaluate clients’ understanding of the role of the NP and their satisfaction with education received, quality of care and NP knowledge and skill. All authorised NPs working in a designated NP position in Western Australia and those working in three area health services in New South Wales were invited to recruit five consecutive clients to complete the self-administered survey.
Thirty-two NPs (NP response rate 93%) recruited 129 clients (client response rate 90%). Two-thirds of clients (63%) were aware they were consulting an NP. The majority rated the following NP-related outcomes as ‘excellent’ or ‘very good’: education provided (89%); quality of care (95%); and knowledge and skill (93%). Less than half reported an understanding that NPs could prescribe medications (40.5%) or interpret X-rays (33.6%). Clients of NPs practising in a rural or remote setting were more likely than those in an urban setting to have previously consulted an NP (P = 0.005), and where applicable would to prefer to see an NP rather than a doctor (P = 0.022). Successful implementation and expansion of the NP role requires NP visibility in the community. Despite high levels of satisfaction, more awareness of the scope of the NP role is required.
What is known about the topic? The role of nurse practitioners (NPs) in Australian health care is diverse and evolving. There is a dearth of research focusing on NPs, particularly looking at the client perception of their role.
What does this paper add? This study investigates the client’s perception of the role of nurse practitioners and levels of confidence and satisfaction through the use of a self-administered questionnaire.
What are the implications for practitioners? The results suggest that clients have a moderate awareness of the nurse practitioner role. Despite this, clients appear to have high levels of confidence and satisfaction after consultations with nurse practitioners. These results suggest that greater community awareness of the role may help maximise their positive contribution to health care in Australia.
. (Nurse Practitioners) Act 1998 No 102 (NSW). Available at http://www.legislation.nsw.gov.au/sessionalview/sessional/TITLE/Nurses%20Amendment%20(Nurse%20Practitioners)%20Act%201998%20No%20102.pdf [verified June 2008].
Australian Nursing and Midwifery Council. National competency standards for the nurse practitioner. 1st edn. Canberra: ANMC, 2006. Available at http://www.anmc.org.au/publications#principles [verified October 2006].
Issues in nurse practitioner developments in Australia.
The organizational and performance effects of nurse practitioner roles.
J Adv Nurs
Nurse-physician collaboration: a poststructuralist view.
J Adv Nurs
Nurse practitioners’ experiences of working collaboratively with general practitioners and allied health professionals in NSW Australia.
Aust J Adv Nurs
A historical review of the nurse practitioner role in Australia.
Clin Excell Nurse Pract
A trial of nurse practitioner scope of practice.
J Adv Nurs
Review: nurse practitioner primary care improves patient satisfaction and quality of care with no difference in health outcomes.
Evid Based Nurs
Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors.
Substitution of doctors by nurses in primary care.
Cochrane Database Syst Rev
Physician–nurse practitioner teams in chronic disease management: the impact on costs, clinical effectiveness, and patients’ perception of care.
J Interprof Care
The development of family health nurses and family nurse practitioners in remote and rural Australia.
Aust Fam Physician
Perceived barriers to nurse practitioner practice in rural settings.
J Rural Health
Identifying measures for evaluating new models of nursing care: a survey of NSW nurse practitioners.
Int J Nurs Pract
Department of Primary Industries and Energy and Department of Human Services and Health. Rural, remote and metropolitan areas classification 1991 census edition. Canberra: AGPS, 1994.
Advanced practice nurses: a study of client satisfaction.
J Am Acad Nurse Pract
A review of the merits of the nurse practitioner role.
General practice activity in Australia, 2007–08. General Practice Series no. 22. Canberra: Australian Institute for Health and Welfare, 2008. (AIHW cat. no. GEP 22)