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4 results on '"Liam Twomey"'

1. Role dimensions of practice nurses and interest in introducing advanced nurse practitioners in general practice in Ireland

Author

Mary Casey, Laserina O'Connor, Daniela Rohde, Liam Twomey, Walter Cullen, and Áine Carroll

Subjects
general practice, nurse, public health, primary care, Medicine
Abstract

Abstract Background Internationally many countries have implemented strategies to enhance primary care, to strengthen their health systems to cope with an aging population, the rise of chronic conditions, and increased costs. Primary care has the potential to address these challenges, however, general practitioners are increasingly struggling to meet patient demand resulting from a growing and aging population. Expanding the role of general practice nurses to advanced nurse practitioner (ANP) level has worked internationally and could equally be a solution to the Irish context. However, their current role must first be established as well as their level of interest in becoming an ANP. Aim To explore the role of general practice nurses and their interest in becoming an ANP. Design A survey design. Method A purposeful sample of general practice nurses (n = 40) was undertaken between April and June 2019. Data were analyzed using the Statistical Package for Social Science (SPSS V 25.0; IBM). Results General practice nurses appear to have an agenda in relation to activities associated with wound care, immunizations, respiratory and cardiovascular issues. Just over half of the respondents were not interested in becoming an ANP. Their perceived challenges associated with the implementation of the role include a lack of support from general practitioners, a lack of resources, insurance issues, and a lack of understanding of the role. Challenges were associated with undertaking further training and their experience of having more work transferred to general practice without concomitant reallocation of resources. Conclusion General practice nurses have extensive clinical experience to deliver major improvements in primary care. Educational opportunities need to be provided for upskilling existing general practice nurses to advanced practice level. Greater understanding of the role and the potential contribution of the role in general practice is required among medical colleagues and the public.

Published
2022
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2. National Chronic Disease Management Programmes in Irish General Practice-Preparedness and Challenges

Author

Meera Tandan, Bebhinn Twomey, Liam Twomey, Mairead Egan, and Gerard Bury

Subjects
Medicine (miscellaneous), chronic disease management, resource profiling, general practice, rural differences, challenges, primary care
Abstract

Information on the readiness of Irish general practice to participate in structured chronic disease management (CDM) care is limited. This study explores the logistic, staffing, and organizational preparedness of Irish general practice to do so, stratified by their size, location, and training status; implementation challenges were also explored. An anonymous, paper-based random survey was performed. A chi-square test was applied to compare practices by location (urban/rural), post-graduate training status (with/without), and numbers of GMS patient (≥1500/>1500 patients) and prevalence ratio and Poisson regression analysis to examine the relationship of staffing with key variables. Overall, 125/243 practices participated, 22% were rural, 56.6% were post-graduate training practices, and 53.9% had ≥1500 GMS patients. The rural, non-training practices and those with

Published
2022
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3. General practice nursing: the views and experience of practice nurses and GPs in one county

Author

Gerard Bury, Liam Twomey, and Mairead Egan

Subjects
Male, Referral, media_common.quotation_subject, Concordance, General Practice, Nurses, 030204 cardiovascular system & hematology, Indemnity, 03 medical and health sciences, 0302 clinical medicine, Nursing, General Practitioners, Surveys and Questionnaires, Medicine, Humans, Confidentiality, 030212 general & internal medicine, media_common, business.industry, General Medicine, Care in the Community, Work (electrical), Service (economics), General practice, Female, business, Ireland
Abstract

Slaintecare, the Irish government’s plan for the coming decade, relies heavily on integrated, team-based care in the community to achieve its goals. General practice nursing is a key component of that care, both now and in the future, but little is known about the experience and views of those providing this service. This preliminary study is part of a wider national project on teamworking in primary care. To document the experiences and views of practice nurses (PNs) and general practices in a single county of Ireland, in relation to current and future roles. Confidential questionnaires sent to all practices and all practice nurses in the county. Overall, 28/35 (80%) practices and 36/59 (61%) PNs responded; most PNs work part-time. Almost all practices have PNs; in 93% of practices, patients can see the PN without referral by the GP and there is very good concordance between practices and PNs about the wide range of tasks undertaken. Ninety-four percent of practices and 81% of PNs rated an expanded role for PNs as high or highest priority; barriers identified by both groups were financial and indemnity issues. Practice nursing contributes extensively to general practice, and an expansion of the role is advocated by PNs and practices.

Published
2020

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