Healthcare assistants in general practice : practical and conceptual issues of skill-mix change
Bosley, Sara and Dale, Jeremy, 1958-. (2008) Healthcare assistants in general practice : practical and conceptual issues of skill-mix change. British Journal of General Practice, Vol.58 (No.547). pp. 118-124. ISSN 0960-1643Full text not available from this repository.
Official URL: http://dx.doi.org/10.3399/bjgp08X277032
The emergence of healthcare assistants (HCAs) in general practice raises questions about roles and responsibilities, patients' acceptance, cost-effectiveness, patient safety and delegation, training and competence, workforce development, and professional identity. There has been minimal research into the role of HCAs and their experiences, as well as those of other staff working with HCAs in general practice. Lessons may be learned from their role and evidence of their effectiveness in hospital settings. Such research highlights blurred and contested role boundaries and threats to professional identity, which have implications for teamwork, quality of patient care, and patient safety. In this paper it is argued that transferability of evidence from hospital settings to the context of general practice cannot be assumed. Drawing on the limited research in general practice, the challenges and benefits of developing the HCA role in general practice are discussed. It is suggested that in the context of changing skill-mix models, viewing roles as fluid and dynamic is more helpful and reflective of individuals' experiences than endeavouring to impose fixed role boundaries. It is concluded that HCAs can make an increasingly useful contribution to the skill mix in general practice, but that more research and evaluation are needed to inform their training and development within the general practice team.
|Item Type:||Journal Article|
R Medicine > RT Nursing
|Divisions:||Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Family medicine, Allied health personnel, Medical personnel, Health care teams, Nurses' aides|
|Journal or Publication Title:||British Journal of General Practice|
|Publisher:||Royal College of General Practitioners|
|Number of Pages:||7|
|Page Range:||pp. 118-124|
|Access rights to Published version:||Restricted or Subscription Access|
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