The changing role of the practice nurse

Abstract

This study examines the changing role of practice nurses in the primary care of elderly people. The study took place in three district health authorities. Random samples of 1500 people aged 65 years and over were interviewed in 1990 and again in 1992 and questioned on their utilization and opinions of primary care services. More older people in 1992 than in 1990 were aware that their practice employed a nurse and annual consultation rates increased from 27% in 1990 to 43% in 1992 and those who consulted did so more often in 1992 than 1990. Their principal reasons for consulting a practice nurse included blood pressure checks, blood tests, ‘flu injections and ear syringing. There was an increase in the number of patients aged over 75 years who reported having a health assessment “health check” and an increase in the proportion of assessments carried out by the practice nurse. Respondents were very positive about their relationship with practice nurses; only one patient in each year was dissatisfied with practice nursing services and in 1992 there was an increase in the number of patients who reported being very satisfied. Conclusions: The role of practice nurses appears to be expanding and there is therefore an on-going need for evaluation and training to enable nurses better to fulfil their enhanced role in the primary care team.