An overview of the general practice nurse workforce in Australia, 2012–15
Troy Heywood A and Caroline Laurence A B
+ Author Affiliations
- Author Affiliations
A School of Public Health, The University of Adelaide, North Terrace, Adelaide, SA 5005, Australia.
B Corresponding author. Email: caroline.laurence@adelaide.edu.au
Australian Journal of Primary Health 24(3) 227-232 https://doi.org/10.1071/PY17048
Submitted: 12 April 2017 Accepted: 2 January 2018 Published: 8 May 2018
Abstract
Several surveys of the general practice nurse (GPN) workforce have been undertaken in Australia over the last decade, but they have limitations, which mean that the workforce is not well-understood. The aim of this study is to describe the profile of the GPN workforce using the dataset available through the Australia Health Practitioner Registration Agency and to explore how it differs from the non-GPN nursing workforce, and if this workforce is changing over time. Data from labour force surveys conducted from 2012 to 2015 were used. Variables examined were age group, gender, remoteness area, hours worked, nurse type (enrolled (EN) or registered (RN)), years in the workforce and also intended years of work before exiting the workforce. When compared with the broader nursing workforce, a greater proportion of GPNs in 2015 were older (60 v. 51%), worked part-time (65 v. 48%) and worked in regional areas (35 v. 26%). Additionally, the characteristics of GPNs has changed between 2012 and 2015, with an increased proportion of younger nurses, more registered nurses and fewer working in remote areas. To ensure a sustainable workforce, particularly in rural and remote areas, strategies to recruit and retain this workforce will be needed.
References
Aggar C, Bloomfield J, Thomas T, Gordon CJ (2017) Australia’s first transition to professional practice in primary care program for graduate registered nurses: a pilot study. BMC Nursing 16, 14| Australia’s first transition to professional practice in primary care program for graduate registered nurses: a pilot study.Crossref | GoogleScholarGoogle Scholar |
Ashley C, Halcomb EJ, Brown A, Peters K (2018) Experiences of registered nurses transitioning from employment in acute care to primary care: quantitative findings from a mixed-methods study. Journal of Clinical Nursing 27, 355–362.
| Experiences of registered nurses transitioning from employment in acute care to primary care: quantitative findings from a mixed-methods study.Crossref | GoogleScholarGoogle Scholar |
Australian Bureau of Statistics (2011) Australian Statistical Geography Standard (ASGS): volume 5 –Remoteness Structure. (ABS: Canberra, ACT, Australia) Available at http://www.ausstats.abs.gov.au/ausstats/subscriber.nsf/0/A277D01B6AF25F64CA257B03000D7EED/$File/1270055005_july%202011.pdf [Verified 17 September 2017]
Australian General Practice Network (2009) National practice nurse workforce survey report 2009. AGPN, Manuka, ACT, Australia.
Australian Medicare Local Alliance (2012) General practice nurse national survey report. AMLA, Canberra, ACT, Australia.
Australian Nursing Federation (2005) Competency standards for nurses in general practice. ANF, Melbourne, Vic., Australia.
Bloomfield JG, Gordon CJ, Aggar C (2015) Nursing students’ intentions to enter primary health care as a career option: findings from a national survey. Collegian (Royal College of Nursing, Australia) 22, 161–167.
| Nursing students’ intentions to enter primary health care as a career option: findings from a national survey.Crossref | GoogleScholarGoogle Scholar |
Carne A (2013) Summary. Annual Survey of Divisions of General Practice. Data Report 2011–2012. Primary Health Care Research & Information Service, Discipline of General Practice, Flinders University, and Australian Government Department of Health and Ageing, Adelaide, SA, Australia.
CRANAplus (2016) Factors effecting the engagement and disengagement for rural nurses: a literature review. CRANAplus, Adelaide, SA, Australia.
Department of Health (2016) Health workforce data. (Department of Health, Canberra, ACT, Australia) Available at http://www.health.gov.au/internet/main/publishing.nsf/Content/PHN-Health_Workforce_Data [Verified 5 April 2017]
Eley R, Eley D, Rogers-Clark C (2010) Reasons for entering and leaving nursing: an Australian regional study. The Australian Journal of Advanced Nursing 28, 6–13.
Gordon CJ, Aggar C, Williams AM, Walker L, Willcock SM, Bloomfield J (2014) A transition program to primary health care for new graduate nurses: a strategy towards building a sustainable primary health care nurse workforce? BMC Nursing 13, 34
| A transition program to primary health care for new graduate nurses: a strategy towards building a sustainable primary health care nurse workforce?Crossref | GoogleScholarGoogle Scholar |
Halcomb EJ, Ashley C (2017) Australian primary health care nurses most and least satisfying aspects of work. Journal of Clinical Nursing 26, 535–545.
| Australian primary health care nurses most and least satisfying aspects of work.Crossref | GoogleScholarGoogle Scholar |
Halcomb EJ, Patterson E, Davidson PM (2006) Evolution of practice nursing in Australia. Journal of Advanced Nursing 55, 376–388.
| Evolution of practice nursing in Australia.Crossref | GoogleScholarGoogle Scholar |
Halcomb EJ, Davidson PM, Brown N (2010) Uptake of Medicare chronic disease items in Australia by general practice nurses and Aboriginal health workers. Collegian (Royal College of Nursing, Australia) 17, 57–61.
| Uptake of Medicare chronic disease items in Australia by general practice nurses and Aboriginal health workers.Crossref | GoogleScholarGoogle Scholar |
Halcomb EJ, Salamonson Y, Davidson PM, Kaur R, Young SA (2014) The evolution of nursing in Australian general practice: a comparative analysis of workforce surveys ten years on. BMC Family Practice 15, 52
| The evolution of nursing in Australian general practice: a comparative analysis of workforce surveys ten years on.Crossref | GoogleScholarGoogle Scholar |
Halcomb EJ, Stephens M, Byrce J, Foley E, Ashley C (2017) The development of professional standards for Australian general practice nurses. Journal of Advanced Nursing 73, 1958–1969.
| The development of professional standards for Australian general practice nurses.Crossref | GoogleScholarGoogle Scholar |
Halcomb EJ, Ashley C, James S, Smyth E (2018) Employment conditions of Australian primary care health nurses. Collegian (Royal College of Nursing, Australia) 25, 65–71.
| Employment conditions of Australian primary care health nurses.Crossref | GoogleScholarGoogle Scholar |
Health Workforce Australia (2014a) Australia’s future health workforce – nurses detailed report. HWA, Canberra, ACT, Australia.
Health Workforce Australia (2014b) Nursing workforce sustainability: improving nurse retention and productivity. HWA, Canberra, ACT, Australia.
Ipsos MORI Research (2016) The recruitment, retention and return of nurses to general practice nursing in England. (London, UK) Available at https://www.england.nhs.uk/wp-content/uploads/2017/07/recruitment-retention-return-of-nurses-to-general-practice.pdf [Verified 18 September 2017]
Jolly R (2007) Practice nursing in Australia. Parliament of Australia, Canberra, ACT, Australia.
Joyce C, Piterman L (2009) Farewell to the handmaiden? Profile of nurses in Australian general practice in 2007. The Australian Journal of Advanced Nursing 27, 48–58.
Joyce CM, Piterman L (2011) The work of nurses in Australian general practice: a national survey. International Journal of Nursing Studies 48, 70–80.
| The work of nurses in Australian general practice: a national survey.Crossref | GoogleScholarGoogle Scholar |
Keleher H, Joyce CM, Parker R, Piterman L (2007) Practice nurses in Australia: current issues and future directions. The Medical Journal of Australia 187, 108–110.
Keleher H, Parker R, Francis K (2010) Preparing nurses for primary health care futures: how well do Australian nursing courses perform? Australian Journal of Primary Health 16, 211–216.
| Preparing nurses for primary health care futures: how well do Australian nursing courses perform?Crossref | GoogleScholarGoogle Scholar |
Marchand C, Peckham S (2017) Addressing the crisis of GP recruitment and retention: a systematic review. The British Journal of General Practice 67, e227–e237.
| Addressing the crisis of GP recruitment and retention: a systematic review.Crossref | GoogleScholarGoogle Scholar |
McInnes S, Peters K, Hardy J, Halcomb EJ (2015a) Clinical placements in Australian general practice: the experiences of pre-registration nursing students (Part 1). Nurse Education in Practice 15, 437–442.
| Clinical placements in Australian general practice: the experiences of pre-registration nursing students (Part 1).Crossref | GoogleScholarGoogle Scholar |
McInnes S, Peters K, Hardy J, Halcomb EJ (2015b) Primary care clinical placements: the views of Australian registered nurse mentors and pre-registration nursing students (Part 2). Nurse Education in Practice 15, 443–449.
| Primary care clinical placements: the views of Australian registered nurse mentors and pre-registration nursing students (Part 2).Crossref | GoogleScholarGoogle Scholar |
Parker R, Keleher H, Forrest L (2011) The work, education and career pathways of nurses in Australian general practice. Australian Journal of Primary Health 17, 227–232.
| The work, education and career pathways of nurses in Australian general practice.Crossref | GoogleScholarGoogle Scholar |
Pascoe T, Foley E, Hutchinson R, Watts I (2005) The changing face of nursing in Australian general practice. The Australian Journal of Advanced Nursing 23, 44–50.
Peters K, Halcomb EJ, McInnes S (2013) Clinical placements in general practice: relationships between practice nurses and tertiary institutions. Nurse Education in Practice 13, 186–191.
| Clinical placements in general practice: relationships between practice nurses and tertiary institutions.Crossref | GoogleScholarGoogle Scholar |
Price K (2007) Nurses in general practice settings: roles and responsibilities. Contemporary Nurse 26, 7–14.
| Nurses in general practice settings: roles and responsibilities.Crossref | GoogleScholarGoogle Scholar |
Scott A, Sivey P, Joyce C, Duffield C, Turner C (2012) Patterns and determinants of medical and nursing workforce exits: final report. Health Workforce Australia, Adelaide, SA, Australia.
Storey C, Cheater F, Ford J, Leese B (2009) Retaining older nurses in the community. Journal of Advanced Nursing 65, 1400–1411.
| Retaining older nurses in the community.Crossref | GoogleScholarGoogle Scholar |
Tolhurst H, Madjar I, Schultz L, Schmidt A (2004) Nurses in urban and rural general practice. Who are they and what do they do? Australian Family Physician 33, 185–187, 190.
Watts I, Foley E, Hutchinson R, Whitecross L, Snowdon T (2004) General practice nursing in Australia. Royal Australian College of General Practitioners and Royal College of Nursing Australia, Melbourne, Vic., Australia.
