First Author/Year | Country | Aim | Method | Sample | Professional tasks | Findings | Themes |
---|---|---|---|---|---|---|---|
Hegney, D. G. 2013 [29] | Australia | The impact of a chronic care management model – nurses’ perceptions and experiences | Semi structured interviews investigating a 12-month intervention of nurse-led care | 3 practice managers and 5 nurses | Chronic care Data recording | Nurse-led care influenced job satisfaction positively | |
Opportunity for professional development and autonomy of the practice nurses | Professional development Autonomy | ||||||
Cousins R. 2012 [13] | UK | To investigate the impact of independent prescribing for experienced nurse practitioners working in general practice. | In-depth interviews | 6 nurses | Prescribing of medicine | Prescribing increased levels of job satisfaction among nurses | |
Ability to provide holistic care | Professional development | ||||||
Enhanced job control | Autonomy | ||||||
Increased status | Professional status | ||||||
Increased self-esteem due to patients’ recognition of skills and respect from colleagues | Recognition for work | ||||||
Evidence of stressors: lack of reward, increased demands | workload | ||||||
Maisey, S. 2008 [30] | UK | To understand the effect of payment for performance | Semi structured interviews | 1 nurse and 1 GP from 24 practices | Chronic care | Staff: | |
Increased autonomy and responsibility contributed to job satisfaction | Autonomy | ||||||
Nurses felt valued as team members | Professional status | ||||||
Experienced increased workload | Workload (staff) | ||||||
GPs: Only one doctor unequivocally expressed increased job satisfaction Better pay and shorter hours | |||||||
GPs reported a more intensive working pattern as team leaders supervising the nurses’ work. | Workload (GPs) | ||||||
Threat to professional identity and values. GPs expressed concerns about loss of continuity and holistic care | Professional identity | ||||||
McGregor, W. 2008 [31] | UK | To explore views and experiences of role changes under new contract | Semi structured interviews 12–18 months after the Implementa-tion of the new GMS contract Two separate studies, conducted for slightly different aims | 18 nurses from different practices (number of practices not informed) | Chronic care Data recording | Practice nurses were positive about their professional role since the introduction of the new GMS contract, which had given them increased responsibility | Autonomy |
Skills enhanced | Professional development | ||||||
Their workload and responsibility had increased, but they did not feel rewarded for this, neither financially, nor in terms of involvement in decision making within the practice | Workload Recognition for work |