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Renegotiating roles as part of developing collaborative practice: Australian nurses in general practice and cervical screening

Authors Mills J, Fitzgerald M

Published 6 August 2008 Volume 2008:1 Pages 35—43

DOI https://doi.org/10.2147/JMDH.S3243

Review by Single-blind

Peer reviewer comments 3

Jane Mills1, Mary Fitzgerald2

1Nursing and Midwifery, Faculty of Medicine, Health and Nursing Sciences, Monash University, Gippsland, Melbourne, Australia; 2School of Nursing, Midwifery and Nutrition, Cairns Campus, James Cook University, Smithfield, Queensland, Australia

Abstract: This paper reports the findings from an action research study that used a reflective group method to work with nurses in general practice recently credentialed as cervical screeners. The research aimed to develop a new model of practice nurse service delivery within a multidisciplinary team. Findings demonstrated that poor interdisciplinary collaboration created barriers to changing the role of the practice nurse. Key themes identified were: renegotiating their roles, identifying and negotiating gendered patterns of cervical screening, and the effect of multidisciplinary teams and interdisciplinary collaboration on practice nurse retention. Recommendations from this study address the need for improved piloting of new initiatives and an increase in continuing professional development for practice managers who are potential change agents.

Keywords: action research, reflective groups, Australia, practice nurse, nurse in general practice, general practice

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