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Dr Bev Young has just finished packing up her office. This is her last day in her Preston practice of 19 years. Bev enjoys the autonomy of being a solo general practitioner, but lately she finds managing the practice increasingly stressful. Teaming up with a fellow GP seemed a good alternative.

Objective: To describe the educational needs of nurses working in general medical practice in Australia., Design: Survey research combining qualitative and quantitative data collected via telephone interview., Subjects: 222 enrolled (RN Division 2 in Victoria) and registered nurses (RN Division 1 in Victoria) working in general practice in rural and urban areas of Australia., Results: Nurses identified a number of educational areas of high importance including communication skills (94.1%); infection control (93.7%); confidentiality and national privacy legislation (93.7%); legal and ethical issues (91.9%); first aid and CPR (91.4%); wound (91.0%); care cold chain monitoring (90.0%); sterilisation (90.0%); and triage (90%). Barriers to education were identified including lack of time due to work (21.9%); costs of courses (17.3%); distance to education (13.9%); and lack of time due to family commitments (13.1%). More rural/remote nurses identified distance as a barrier (20.5%) than urban nurses (3.6%)., Discussion: cussion: The education areas that were rated as important by a high number of the nurses appeared to relate directly to the activities nurses currently undertake in Australian general practice. Barriers to education may reflect the workforce characteristics of general practice nurses and/or the capacity of general practices to finance training for employees., Conclusions: As a growing specialty of nursing in Australia, general practice nursing should be supported by a solid foundation of ongoing education and training that is tailored to the current needs of nursing in general practices and reflects appropriate delivery options to overcome barriers to training.

The quality of care delivered by nurses working in Australian general practices rests on a strong foundation of nursing educatlon and training. A national study of nurses working in general practice was conducted using qualitative and quantitative research techniques to explore their role and educational needs. Results from this research suggest that education for general practice nurses is seen by nurses and General Practitioners to be largely non-formal in nature and is seen by GPs and nurses to be tailored towards general practice nursing needs. Such education is often available locally through general practice support organisations; is strongly focused on National Health Priority Areas and clinical care; and is more appropriate for registered rather than enrolled nurses. The educational opportunities currently available to support nursing in general practice are largely ad hoc and vary in relation to quality, appropriateness and accessibility. Nurses working in general practices in Australia need a system of ongoing training and education to support their responsibilities and foster the development of the position as a viable career option for nurses.

Objective: To describe the workforce characteristics and current responsibilities of nurses working in Australian general practice settings., Design: Survey research combining qualitative and quantitative data collected through telephone interview., Subjects: 222 enrolled (RN Division 2 in Victoria) and registered nurses (RN Division 1 in Victoria) working in general practice in rural and urban areas of Australia., Results: General practice nurses in Australia are likely to be RNs (84.7%) who work on a part-time basis (75.3%) in a medium to large practice (93.7%). Often the nurse has worked less than five full time equivalent years (52.3%) in a general practice environment and is likely to work in a practice where at least one other nurse works (64.4%). The nurse is likely to have some post-basic formal education (65.9%), and to have participated in professional development in the past two years (94.9%). The nurse performs a diverse range of activities within the general practice. No substantial differences were found in the workforce characteristics or role of urban and rural general practice nurses., Conclusion: It appears that nurses working in general practice are no longer the 'handmaiden' to the doctor but are professionals who perform a vast range of clinical, administrative and organisational responsibilities within the general practice primary health care setting.