Nursing in General Practice (NiGP) Program Guidelines and Protocols for Practice Nurses. A Report by Maggie Stewart on behalf of General Practice Victoria November 2008. Background. Australian general practices are privately owned and run
Nursing in General Practice (NiGP) Program Guidelines and Protocols for Practice Nurses
A Report by Maggie Stewart
on behalf of General Practice Victoria
Australian general practices are privately owned and run
Range from solo GP to practices with 12 GPs, allied health professionals and numerous reception staff
Income is produced mainly through billing Medicare item numbers linked to a GP / PN consultation for a patient attendance
As an initial step towards addressing this need, General Practice Victoria (GPV), through the NiGP program, commissioned a literature search to investigate the existence of nursing protocols / policies and guidelines used in primary care settings.
The aim of this project was to conduct a literature search in order to investigate the existence of nursing policies / protocols or guidelines used in primary care settings.
This project aimed to:
The terms policy / procedure / protocol / guideline are often used interchangeably. This project uses the following definitions:
The following word strings were used:
The following rationale was used;
Search results were assessed for their relevance and applicability in the Australian general practice setting. Criteria for inclusion:
Proquest 5000: 61 results, 61 rejected
Medline: 7 results, 7 rejected
Informit: 38 results, 38 rejected
CINAHL: 36 results, 36 rejected
Google Scholar: 91 results, 86 rejected
Introduction and purpose
Monitoring and review (of the policy)
Selection of patients
Education and training requirements
References and bibliography.
Has developed a Code of Professional Conduct for Nurses in Australia which sets the minimum standards for practice a professional person is expected to uphold both within and outside professional domains. It recommends that:
Nurses treat personal information obtained in a professional capacity as private and confidential
Nurses provide impartial, honest and accurate information in relation to nursing care and health care products
Nurses support the health, well being and informed decision making of people requiring or receiving treatment
Nurses promote and preserve the trust and privilege inherent in the relationship between nurses and people receiving care
Nurses maintain and build on the community’s trust and confidence in the nursing profession
Nurses practice nursing reflectively and ethically
Discussion with Australian Nursing and Midwifery Council proposed that the nurse needs to work with their employer to decide on best practice within their workplace.
Has developed a document titled “Guidelines: Scope of Nursing & Midwifery Practice”. This is a framework to enable nurses and midwives to make decisions about:
It consists of:
how nurses and midwives assess their own and peer competence,
role of the health care organisation / employer in using the guidelines,
the NBV role in investigating complaints relating to scope of practice,
other documents to use with the guidelines and
Additional NBV resources.
Discussion with the NBV proposed that the nurse needs to look at their scope of nursing practice guidelines and make decisions on their competency based on that.
It was stated that it is up to the individual and their workplace to ensure that they have policies and procedures in place.
Discussion with the ANF stated that:
Discussion with Manager Nursing Workforce Policy and Projects advised that the nurse needs to:
Whilst RDNS have developed policies and procedures for nurses working within the community these resources are not publicly available.
In order for the nurse and general practice to carry out evidence-based best practice, policies / procedures and guidelines need to be developed.
Hull, P. Husaini, B. Tropez-Sims, S. et al. (2008) EPSDT preventive services in a low-income pediatric population: impact of a nursing protocol. Center for Health Research, Tennessee State University, Nashville, TN 37209, USA. Clinical Pediatrics. 47(2):137-42, 2008 Mar
T Paquay, L. De Lepeleire, J. Milisen, K. et al (2007), Tasks performance by registered nurses and care assistants in nursing homes: a quantitative comparison of survey data. International Journal of Nursing Studies. 44(8):1459-67, 2007 Nov.
Pomfret, I. (2007), Urinary catheterization: selection and clinical management. British Journal of Community Nursing. 12(8):348-54, 2007 Aug.
Heather, N. (1997) Where treatment and prevention merge : the need for a broader approach. Addiction ; 0965-2140; 92 Suppl. (1) March 1997; S133-S136
Antman E. Hand M. Armstrong P. Et al. (2007) Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration With the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction, Writing on Behalf of the 2004 Writing Committee. Jan 15; 117(2): 296-329
Brokel J. (2003) A description of practice guidelines utilization and patient outcomes for persons with diabetes in five primary care practice models. University of Iowa, 2003; Ph.D. (243 p)
Sherman S. Joseph A. Yano E. Et al. (2006) Assessing the institutional approach to implementing smoking cessation practice guidelines in Veterans Health Administration facilities. Military Medicine (MILIT MED), 2006 Jan; 171(1): 80-7 (21 ref)
Leicestershire County and Rutland NHS Primary Care Trust Policies and Procedures (2008) available at http://www.lcrpct.nhs.uk/xform.asp?folder=Internet/PoliciesAndProcedures/Clinical/NursingPolicies. Accessed 11 November 2008.
Heart of England NHS Foundation Trust, (2007) Resuscitation Policy & Procedures Resuscitation Training, NHS, England. Available at http://www.heartofengland.nhs.uk/upload/PDFs/equality/resus/Resus%20Training%20Policy%202007%20Final%20Draft.pdf . Accessed 22 October 2008.
Glenroyd Medical Centre/Devonshhire Rd Surgery (no date) Protocol for the administration of Inactivated Influeza Vaccine to adults by Health care Assistants, Nurse Practitioner, UK. Available at http://www.nursepractitioner.org.uk/Documents/HCA%20Protocols/influenza_protocol.doc. Accessed 12 October 2008.
Powys Local Heath Board (2006) Policy for Blood Glucose Monitoring by a Designated Person, Wales, NHS. Available at http://www.wales.nhs.uk/sites3/Documents/501/PLHB%20GNP%2000011%20Blood%20Glucose%20Monitoring%20by%20a%20Designated%20Person.doc. Accessed September 23 2008.
Georgia Department of Human Resources Division of Public health, Public Health Nurse Protocol Manual 2008, Georgia Government, USA. Available at http://health.state.ga.us/programs/nursing/nursepublications.asp. Accessed 23 September 2008.