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Biomedical subjects

F Paxton

Publications and source records attributed to F Paxton.

6 recordsLinked to original sources
PubMed1996

A study of interruption rates for practice nurses and GPs.

This study compares the rate and perceptions of interruptions experienced by practice nurses and GPs. During two recording periods, nurses noted the number of interruptions they experienced before and during their consultations (Paxton et al 1996). The nurses reported 48.5 interruptions per 100 consultations in the first period and 30.2 in the second. Fifty per cent of nurses in the first period and 33 per cent in the second were interrupted during consultation more than ten times per 100 consultations. Nurses reported that interruptions were distracting, affected patient flow and that the confidential nature of some consultations was irrevocably damaged by constant disturbances. It was the perception of the nurses that GPs caused most interruptions. Few patients, however, reported being disturbed as a result of an interruption to the nurse. The rate of interruptions for GPs was much lower and 94 per cent reported being interrupted during fewer than one in 20 consultations, although even then doctors reported interruptions as disruptive. Despite the decrease in interruptions to nurses in the second period of recording, the level remained much higher than that of interruptions to doctors.

Family Practice↗
PubMed1996

Evaluating the workload of practice nurses: a study.

In 1990 and 1991, 67 practice nurses with a total of 12,725 consultations took part in a before and after study of health board attached and practice-employed nurse workload. The intervention of the New General Practitioner Contract (DoH 1989) and other primary care changes in April 1990 provided an opportunity to examine the process of care, and identify and changes in workload or differences in working patterns of attached and practice-employed nurses, as a result of these modifications. Practice-employed nurses initiated more of their own appointments following implementation of the New Contract and saw fewer GP referrals. Routing treatment room work had decreased for both groups of nurses in the second year. Both groups of nurses had also increased their level of therapeutic listening in the second year, but practice-employed nurses reported higher levels of therapeutic listening than their attached colleagues during both recording periods.

Adult↗
PubMed1993

Nurses or doctors: patient choice in family planning.

For many years at one inner city practice, practice nurses trained in family planning and using an in-house protocol have been providing family planning advice and supplies to patients initially seen by the general practitioner. Two hundred consecutive patients attending the practice nurse or doctor for family planning supplies or advice were invited to complete a questionnaire to assess their preferred career and their overall satisfaction with the services. The patients' perceptions of whom they thought most appropriate to deal with their family planning requirements were explored. The patients who had seen the nurse rather than the doctor claimed to be more up to date with their cervical smear, to have had their blood pressure (BP) checked, and to be generally more satisfied with the consultation. Apart from the initial consultation for oral contraception most patients stated they would prefer to attend the nurse.

Adolescent↗
PubMedDate not supplied

Evaluation of a nurse-led minor injuries unit.

This article, the first of two, reports the evaluation of a minor injuries clinic. The authors describe the background to the service and the methodology and results of the study. Some 20,000 patients attended the clinic during its first two years, at an average cost of 33 pounds per patient. Waiting times were low and 67 per cent of patients were discharged. Independent clinical audit rated 98 per cent of cases as satisfactorily treated. The clinic has generally been accepted by the local medical community and was funded permanently in late 1996.

Emergency Nursing↗