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Table 4 Findings of the study

From: Relations between task delegation and job satisfaction in general practice: a systematic literature review

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