메뉴 건너뛰기




Volumn 58, Issue 547, 2008, Pages 118-124

Healthcare assistants in general practice: Practical and conceptual issues of skill-mix change

Author keywords

Family practice; Health personnel; Healthcare assistants; Nursing assistants; Nursing staff; Primary healthcare; Skill mix

Indexed keywords

ARTICLE; COST EFFECTIVENESS ANALYSIS; GENERAL PRACTICE; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HOSPITAL CARE; HUMAN; JOB PERFORMANCE; MEDICAL RESEARCH; NURSING ASSISTANT; PATIENT ATTITUDE; PATIENT CARE; PATIENT SAFETY; PHYSICIAN ASSISTANT; PRIMARY MEDICAL CARE; PROFESSIONAL COMPETENCE; RESPONSIBILITY; SKILL MIX; STAFF TRAINING; TEAMWORK; WORK EXPERIENCE;

EID: 38949150370     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp08X277032     Document Type: Article
Times cited : (71)

References (66)
  • 1
    • 16344372226 scopus 로고    scopus 로고
    • Health Council of the Netherlands, The Hague: Health Council of the Netherlands
    • Health Council of the Netherlands. European primary care. The Hague: Health Council of the Netherlands, 2004.
    • (2004) European primary care
  • 2
    • 0842269147 scopus 로고    scopus 로고
    • Sibbald B, Shen J, McBride A. Changing the skill-mix of the health care workforce. J Health Serv Res Policy 2004; 9(Suppl 1): S1:28-S1:38.
    • Sibbald B, Shen J, McBride A. Changing the skill-mix of the health care workforce. J Health Serv Res Policy 2004; 9(Suppl 1): S1:28-S1:38.
  • 5
    • 0034136779 scopus 로고    scopus 로고
    • Perceptions of registered nurses working with assistive personnel in the UK and the United States
    • McLaughlin FE, Barter M, Thomas SA, et al. Perceptions of registered nurses working with assistive personnel in the UK and the United States. Int J Nurs Pract 2000; 6(1): 46-57.
    • (2000) Int J Nurs Pract , vol.6 , Issue.1 , pp. 46-57
    • McLaughlin, F.E.1    Barter, M.2    Thomas, S.A.3
  • 6
    • 33745043309 scopus 로고    scopus 로고
    • Health care systems in transition: Finland
    • Report 41, Copenhagen: European Observatory on Health Care Systems, World Health Organization
    • Järvelin J. Health care systems in transition: Finland. Report 4(1). Copenhagen: European Observatory on Health Care Systems, World Health Organization, 2002.
    • (2002)
    • Järvelin, J.1
  • 7
    • 0031992430 scopus 로고
    • Can health care assistants replace student nurses?
    • Chang A, Lam L. Can health care assistants replace student nurses? Adv Nurs 1988; 27(2): 399-405.
    • (1988) Adv Nurs , vol.27 , Issue.2 , pp. 399-405
    • Chang, A.1    Lam, L.2
  • 8
    • 3142545567 scopus 로고    scopus 로고
    • London: The Stationery Office, accessed 26 Nov 2007
    • Department of Health. The NHS improvement plan 2004: putting people at the heart of public services. London: The Stationery Office, 2004. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/DH_4084476 (accessed 26 Nov 2007).
    • (2004) The NHS improvement plan 2004: Putting people at the heart of public services
  • 11
    • 33845678267 scopus 로고    scopus 로고
    • NHS Information Centre, London: NHS Information Centre, accessed 26 Nov 2007
    • NHS Information Centre. Quality and outcomes framework information. London: NHS Information Centre. http://www.ic.nhs.uk/ services/qof (accessed 26 Nov 2007).
    • Quality and outcomes framework information
  • 12
    • 38949161459 scopus 로고    scopus 로고
    • Skills for Health. Key elements of the career framework. Bristol: Skills for Health. http://www.skillsforhealth.org.uk/careerframework/ (accessed 26 Nov 2007).
    • Skills for Health. Key elements of the career framework. Bristol: Skills for Health. http://www.skillsforhealth.org.uk/careerframework/ (accessed 26 Nov 2007).
  • 13
    • 0034189344 scopus 로고    scopus 로고
    • A question of competence? Re-evaluating the roles of the nursing auxiliary and health care assistants in the NHS
    • Thornley C. A question of competence? Re-evaluating the roles of the nursing auxiliary and health care assistants in the NHS. J Clin Nurs 2000; 9(3): 451-458.
    • (2000) J Clin Nurs , vol.9 , Issue.3 , pp. 451-458
    • Thornley, C.1
  • 14
    • 33750582546 scopus 로고    scopus 로고
    • Sharing the care
    • Robertson G. Sharing the care. Nurs Stand 2006; 21(1): 2225.
    • (2006) Nurs Stand , vol.21 , Issue.1 , pp. 2225
    • Robertson, G.1
  • 15
    • 38949187490 scopus 로고    scopus 로고
    • Credit where credit's due
    • Moore A. Credit where credit's due. Nurs Stand 2006; 21(6): 2021.
    • (2006) Nurs Stand , vol.21 , Issue.6 , pp. 2021
    • Moore, A.1
  • 17
    • 38949106150 scopus 로고    scopus 로고
    • The wider healthcare team
    • NHS Careers, accessed 26 Nov 2007
    • NHS Careers. The wider healthcare team. Health care assistants/ auxiliary nurses. http://www.nhscareers.nhs.uk/nhs-knowledge_base/data/ 5187.html (accessed 26 Nov 2007).
    • Health care assistants/ auxiliary nurses
  • 18
    • 38949192159 scopus 로고    scopus 로고
    • Carlisle D. WiPP HCA initiative: taking a count. 2007. http://www.wipp.nhs.uk/uploads/WP0055_HCA_Taking_Count_5pp.pdf (accessed 14 Dec 2007).
    • Carlisle D. WiPP HCA initiative: taking a count. 2007. http://www.wipp.nhs.uk/uploads/WP0055_HCA_Taking_Count_5pp.pdf (accessed 14 Dec 2007).
  • 19
    • 17144362915 scopus 로고    scopus 로고
    • Views on the ground: Teaching and clinical assessors' views on vocational training for healthcare assistants in Ireland
    • McKenna HP, Keeney S, Hasson F. Views on the ground: teaching and clinical assessors' views on vocational training for healthcare assistants in Ireland. J Clin Nurs 2005; 14(4): 426-434.
    • (2005) J Clin Nurs , vol.14 , Issue.4 , pp. 426-434
    • McKenna, H.P.1    Keeney, S.2    Hasson, F.3
  • 20
    • 0037007864 scopus 로고    scopus 로고
    • The case for formal education of HCAs
    • Ramprogus V, O'Brien D. The case for formal education of HCAs. Nurs Times 2002; 98(27): 27-38.
    • (2002) Nurs Times , vol.98 , Issue.27 , pp. 27-38
    • Ramprogus, V.1    O'Brien, D.2
  • 21
    • 33750126718 scopus 로고    scopus 로고
    • Developing the role of the healthcare assistant
    • Hancock H, Campbell S. Developing the role of the healthcare assistant. Nurs Stand 2006; 20(49): 35-41.
    • (2006) Nurs Stand , vol.20 , Issue.49 , pp. 35-41
    • Hancock, H.1    Campbell, S.2
  • 22
    • 0642308314 scopus 로고    scopus 로고
    • Health care assistants' role, function and development: Results of a national survey
    • British Association of Critical Care Nurses
    • British Association of Critical Care Nurses. Health care assistants' role, function and development: results of a national survey. Nurs Crit Care 2003; 8(4): 141-148.
    • (2003) Nurs Crit Care , vol.8 , Issue.4 , pp. 141-148
  • 23
    • 0034178077 scopus 로고    scopus 로고
    • They'll still get bodily care'. Discourses of care and relationships between nurses and health care assistants in the NHS
    • Daykin N, Clarke B. 'They'll still get bodily care'. Discourses of care and relationships between nurses and health care assistants in the NHS. Sociol Health Illn 2000; 22(3): 349-363.
    • (2000) Sociol Health Illn , vol.22 , Issue.3 , pp. 349-363
    • Daykin, N.1    Clarke, B.2
  • 24
    • 2342423802 scopus 로고    scopus 로고
    • Professional issues. Ward managers' perceptions of the role of healthcare assistants
    • Jack B, Brown J, Chapman T. Professional issues. Ward managers' perceptions of the role of healthcare assistants. Br J Nurs 2004; 13(5): 270-275.
    • (2004) Br J Nurs , vol.13 , Issue.5 , pp. 270-275
    • Jack, B.1    Brown, J.2    Chapman, T.3
  • 25
    • 38949196692 scopus 로고    scopus 로고
    • Nursing a grievance? The role of health care assistants in a modernised NHS
    • Said Business School, University of Oxford, 13-15 September 2005, accessed 20 Dec 2007
    • Bach S, Kessler I, Heron P. Nursing a grievance? The role of health care assistants in a modernised NHS. British Academy of Management Conference, Said Business School, University of Oxford, 13-15 September 2005. http://www.sbs.ox.ac.uk/NR/rdonlyres/ 1A1E030E-A267-468F-A3BD-B07F83DD484B/2813/BAM2006.pdf (accessed 20 Dec 2007).
    • British Academy of Management Conference
    • Bach, S.1    Kessler, I.2    Heron, P.3
  • 26
    • 0030094964 scopus 로고    scopus 로고
    • An investigation into how the health care assistants perceive their role as 'support workers' to qualified staff
    • Workman B. An investigation into how the health care assistants perceive their role as 'support workers' to qualified staff. J Adv Nurs 1996; 23(3): 612-619.
    • (1996) J Adv Nurs , vol.23 , Issue.3 , pp. 612-619
    • Workman, B.1
  • 27
    • 9444220846 scopus 로고    scopus 로고
    • Use, misuse and non-use of health care assistants: Understanding the work of health care assistants in a hospital setting
    • Spilsbury K, Meyer J. Use, misuse and non-use of health care assistants: understanding the work of health care assistants in a hospital setting. J Nurs Manag 2004; 12(6): 411-418.
    • (2004) J Nurs Manag , vol.12 , Issue.6 , pp. 411-418
    • Spilsbury, K.1    Meyer, J.2
  • 28
    • 34548830401 scopus 로고    scopus 로고
    • Making claims on nursing work: Exploring the work of healthcare assistants and implications for Registered Nurses' roles
    • Spilsbury K, Meyer J. Making claims on nursing work: exploring the work of healthcare assistants and implications for Registered Nurses' roles. J Res Nurs 2005; 10(1): 65-83.
    • (2005) J Res Nurs , vol.10 , Issue.1 , pp. 65-83
    • Spilsbury, K.1    Meyer, J.2
  • 30
    • 0035998915 scopus 로고    scopus 로고
    • Experiences and perceptions of newly prepared health care assistants (level 3 NVQ)
    • Warr J. Experiences and perceptions of newly prepared health care assistants (level 3 NVQ). Nurse Educ Today 2002; 22(3): 241-250.
    • (2002) Nurse Educ Today , vol.22 , Issue.3 , pp. 241-250
    • Warr, J.1
  • 31
    • 9444282719 scopus 로고    scopus 로고
    • Patient safety and quality of care: The role of the health care assistant
    • McKenna HP, Hasson F, Keeney S. Patient safety and quality of care: the role of the health care assistant. J Nurs Manag 2004; 2(6): 452-459.
    • (2004) J Nurs Manag , vol.2 , Issue.6 , pp. 452-459
    • McKenna, H.P.1    Hasson, F.2    Keeney, S.3
  • 32
    • 25444454883 scopus 로고    scopus 로고
    • Role development in health care assistants: The impact of education on practice
    • Hancock H, Campbell S, Ramprogus V, Kilgour J. Role development in health care assistants: the impact of education on practice. J Eval Clin Pract 2005; 11(5): 489-498.
    • (2005) J Eval Clin Pract , vol.11 , Issue.5 , pp. 489-498
    • Hancock, H.1    Campbell, S.2    Ramprogus, V.3    Kilgour, J.4
  • 33
    • 34548815259 scopus 로고    scopus 로고
    • Health care assistants - an oxymoron?
    • McKenna H, Thompson D, Watson R. Health care assistants - an oxymoron? Int J Nurs Stud 2007; 44(8): 1283-1284.
    • (2007) Int J Nurs Stud , vol.44 , Issue.8 , pp. 1283-1284
    • McKenna, H.1    Thompson, D.2    Watson, R.3
  • 34
    • 0038313018 scopus 로고    scopus 로고
    • Delivering a different kind of primary care? Nurses working in personal medical service pilots
    • Walsh N, Roe B, Huntington J. Delivering a different kind of primary care? Nurses working in personal medical service pilots. J Clin Nurs 2003; 12(3): 333-340.
    • (2003) J Clin Nurs , vol.12 , Issue.3 , pp. 333-340
    • Walsh, N.1    Roe, B.2    Huntington, J.3
  • 35
    • 84908576142 scopus 로고
    • Boundary work and the demarcation of science from non-science: Strains and interests in professional ideologies of scientists
    • Gieryn T. Boundary work and the demarcation of science from non-science: strains and interests in professional ideologies of scientists. Am Sociol Rev 1983; 48: 781-795.
    • (1983) Am Sociol Rev , vol.48 , pp. 781-795
    • Gieryn, T.1
  • 36
    • 38949160751 scopus 로고    scopus 로고
    • Birmingham, 19 May 2006, accessed 14 Dec 2007
    • WiPP. HCAs - a pivotal role in general practice. Conference report, Birmingham, 19 May 2006. http://www.wipp.nhs.uk/uploads/ 4pp_Newsletter_conf_report_F.pdf (accessed 14 Dec 2007).
    • a pivotal role in general practice. Conference report
  • 38
    • 38949154810 scopus 로고    scopus 로고
    • Barnet Primary Care Trust. The development of health care assistants in general practice 2001-2003. Barnet: Barnet Primary Care Trust, undated.
    • Barnet Primary Care Trust. The development of health care assistants in general practice 2001-2003. Barnet: Barnet Primary Care Trust, undated.
  • 39
    • 0038450165 scopus 로고    scopus 로고
    • Transforming general practice: The redistribution of medical work in primary care
    • Charles-Jones H, Latimer J, May C. Transforming general practice: the redistribution of medical work in primary care. Sociol Health Illn 2003; 25(1): 71-92.
    • (2003) Sociol Health Illn , vol.25 , Issue.1 , pp. 71-92
    • Charles-Jones, H.1    Latimer, J.2    May, C.3
  • 41
    • 0033144351 scopus 로고    scopus 로고
    • Skill mix in primary care - creating a bibliography
    • Sergision M. Skill mix in primary care - creating a bibliography. Health Libr Rev 1999; 16(2): 106-111.
    • (1999) Health Libr Rev , vol.16 , Issue.2 , pp. 106-111
    • Sergision, M.1
  • 42
    • 0346811300 scopus 로고    scopus 로고
    • Inter-disciplinary working in British primary care teams: A threat to the cost-effectiveness of care?
    • Sibbald B. Inter-disciplinary working in British primary care teams: a threat to the cost-effectiveness of care? Crit Public Health 2000; 10(4): 439-451.
    • (2000) Crit Public Health , vol.10 , Issue.4 , pp. 439-451
    • Sibbald, B.1
  • 43
    • 1542377613 scopus 로고    scopus 로고
    • Can health care teams improve primary care practice?
    • Grumbach K, Bodenheimer T. Can health care teams improve primary care practice? JAMA 2006; 291(10): 1246-1251.
    • (2006) JAMA , vol.291 , Issue.10 , pp. 1246-1251
    • Grumbach, K.1    Bodenheimer, T.2
  • 45
    • 0032424231 scopus 로고    scopus 로고
    • Skill mix changes; substitution or service development?
    • Richardson G, Maynard A, Cullum N, Kindig D. Skill mix changes; substitution or service development? Health Policy 1998; 45(2): 119-132.
    • (1998) Health Policy , vol.45 , Issue.2 , pp. 119-132
    • Richardson, G.1    Maynard, A.2    Cullum, N.3    Kindig, D.4
  • 46
    • 0014943139 scopus 로고
    • The practice nurse - a new look
    • Smith JW, O'Donovan JB. The practice nurse - a new look. BMJ 1970; 4(5736): 673-677.
    • (1970) BMJ , vol.4 , Issue.5736 , pp. 673-677
    • Smith, J.W.1    O'Donovan, J.B.2
  • 47
    • 0019327025 scopus 로고
    • A new member of the team? Extending the role of the nurse in British Primary Care
    • Miller DS, Backett EM. A new member of the team? Extending the role of the nurse in British Primary Care. Lancet 1980; 2(8190): 356-361.
    • (1980) Lancet , vol.2 , Issue.8190 , pp. 356-361
    • Miller, D.S.1    Backett, E.M.2
  • 48
    • 0024109464 scopus 로고
    • A nurse practitioner in general practice: Patient perceptions and expectations
    • Drury M, Greenfield S, Stilwell B, Hull FM. A nurse practitioner in general practice: patient perceptions and expectations. J R Coll Gen Pract. 1988; 38(316): 503-505.
    • (1988) J R Coll Gen Pract , vol.38 , Issue.316 , pp. 503-505
    • Drury, M.1    Greenfield, S.2    Stilwell, B.3    Hull, F.M.4
  • 50
    • 38949190899 scopus 로고    scopus 로고
    • A focused rapid review of the role and impact of the general practice nurse and health care assistant within general practice
    • accessed 14 Dec 2007
    • Longbottom A, Chambers D, Rebora C, Brown A. A focused rapid review of the role and impact of the general practice nurse and health care assistant within general practice. Staffordshire University and the NHS Wprking in Partnership Programme, 2006. http://www.wipp.nhs.uk/uploads/ rapid_review_final_03_07.pdf (accessed 14 Dec 2007)
    • (2006) Staffordshire University and the NHS Wprking in Partnership Programme
    • Longbottom, A.1    Chambers, D.2    Rebora, C.3    Brown, A.4
  • 51
    • 33847615577 scopus 로고    scopus 로고
    • Implementing the role of the primary care mental health worker: A qualitative study
    • England E, Lester H. Implementing the role of the primary care mental health worker: a qualitative study. Br J Gen Pract 2007; 57(536): 204-211.
    • (2007) Br J Gen Pract , vol.57 , Issue.536 , pp. 204-211
    • England, E.1    Lester, H.2
  • 52
    • 33847653677 scopus 로고    scopus 로고
    • Cluster randomised controlled trial of the effectiveness of primary care mental health workers
    • Lester H, Freemantle N, Wilson S, et al. Cluster randomised controlled trial of the effectiveness of primary care mental health workers. Br J Gen Pract 2007; 57(536): 196-203.
    • (2007) Br J Gen Pract , vol.57 , Issue.536 , pp. 196-203
    • Lester, H.1    Freemantle, N.2    Wilson, S.3
  • 53
    • 0035944759 scopus 로고    scopus 로고
    • The physician assistant: Would the US model meet the needs of the NHS?
    • Hutchinson L, Marks T, Pittilo M. The physician assistant: would the US model meet the needs of the NHS? BMJ 2001: 323(7323): 1244-1247.
    • (2001) BMJ , vol.323 , Issue.7323 , pp. 1244-1247
    • Hutchinson, L.1    Marks, T.2    Pittilo, M.3
  • 54
    • 0017694341 scopus 로고
    • The new health practitioner - the past as prologue
    • Kane R, Wilson W. The new health practitioner - the past as prologue. West J Med 1977; 127(3): 254-261.
    • (1977) West J Med , vol.127 , Issue.3 , pp. 254-261
    • Kane, R.1    Wilson, W.2
  • 55
    • 0037206278 scopus 로고    scopus 로고
    • Physician assistants in the United States
    • Mittman D, Cawley J, Fenn W. Physician assistants in the United States. BMJ 2002; 325(7362): 485-487.
    • (2002) BMJ , vol.325 , Issue.7362 , pp. 485-487
    • Mittman, D.1    Cawley, J.2    Fenn, W.3
  • 57
    • 38949215026 scopus 로고    scopus 로고
    • Growing your own: Training healthcare assistants in general practice - a partnership between higher education and primary care trusts
    • Workman BA. Growing your own: training healthcare assistants in general practice - a partnership between higher education and primary care trusts. Work Based Learning in Primary Care 2004; 2(3): 220-229.
    • (2004) Work Based Learning in Primary Care , vol.2 , Issue.3 , pp. 220-229
    • Workman, B.A.1
  • 58
    • 38949198996 scopus 로고    scopus 로고
    • WiPP, accessed 26 Nov 2007
    • WiPP. Nurse-led chronic disease management http://www.wipp.nhs.uk/ uploads/gpdb/doncare.pdf (accessed 26 Nov 2007).
    • Nurse-led chronic disease management
  • 59
    • 33947259812 scopus 로고    scopus 로고
    • accessed 20 Dec 2007
    • Hopkins S, Young L. Employing health care assistants in general practice. 2006. http://www.rcn.org.uk/development/communities/ specialisms/primary_care_and_public_health/resources/ a-z_of_resoures/employing_health_care_assistants_in_general_practice (accessed 20 Dec 2007).
    • (2006) Employing health care assistants in general practice
    • Hopkins, S.1    Young, L.2
  • 62
    • 38949089268 scopus 로고    scopus 로고
    • Hewitt C, Lankshear A, Kazanjian AM, et al. Health service workforce and health outcomes: a scoping study. Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO). York: University of York, 2005.
    • Hewitt C, Lankshear A, Kazanjian AM, et al. Health service workforce and health outcomes: a scoping study. Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO). York: University of York, 2005.
  • 65
    • 0002162050 scopus 로고
    • A life-span, life-space approach to career development In: Brown D, Brooks L, Associates (eds)
    • 2nd edn. San Francisco: Jossey-Bass
    • Super DE. A life-span, life-space approach to career development In: Brown D, Brooks L, Associates (eds). Career choice and development. Applying contemporary theories to practice. 2nd edn. San Francisco: Jossey-Bass, 1990.
    • (1990) Career choice and development. Applying contemporary theories to practice
    • Super, D.E.1
  • 66
    • 36048973767 scopus 로고
    • Recent developments in role theory
    • Biddle BJ. Recent developments in role theory. Annu Rev Sociol 1986; 12: 67-92.
    • (1986) Annu Rev Sociol , vol.12 , pp. 67-92
    • Biddle, B.J.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.