The integrated nursing team in primary care: views and experience of participants exploring ownership, objectives and a team orientation

摘要: The development of integrated nursing teams consisting district nurses, health visitors and practice nurses based in general is a widespread recent change primary care. This has been justified by promising to meet the need for more cost-effective service, through reduction duplication work, improvements consistency advice patients provision accessible responsive patient paper reports on topic-led qualitative interview data which were collected as part multimethod evaluation various models evolving teams. overall aim was explore progress towards integration assessing nurse workload, team effectiveness staff perception change. assessment workload reported elsewhere. Staff measured analysis from 12 teams, 9 months after implementation two London authorities 1998. A total 33 interviews explored nurses' interpretation nursing, their expectations relating changing roles activities perceptions key outcomes working. Although achievements identified, including some changes clinical practice, participants partial variable understanding concept teamwork, there uncertainty over professional boundaries. lack ownership process dearth objectives reported. Developments teambuilding common than strategic planning reorganize collectively according local population-based agenda. To implement an approach care we suggest that increased support strategies skill development. If contribute improvements, it necessary agree patient-focused orient collective locally targeted delivery