Conectar
To provide a worked example of the process used in developing data collection tools to measure the profile and practice of Australian general practice nurses (GPNs).
Methodological discussion.
An iterative design process encompassing the steps of sandpit development, alpha, beta and pilot (field) testing, alongside stakeholder consultations, was used to develop the Occasions of Care Explained and Analysed (OCEAN)-GPN tools. At each stage, the ‘think-aloud’ method was used to collect qualitative data and a user survey measured satisfaction with tool development.
The application of user-centred design principles shows how the data collection tools were developed for this major national study. Examples of iterative testing strategies illustrate how participants' experiences can inform data-collection processes.
The OCEAN-GPN tools have been rigorously developed to capture Australian GPNs' profile and clinical activity. The iterative processes and extensive consultation ensured that the tools were fit for purpose and met user needs. Collection of study data using these tools will enable evaluation to inform policy, research, education and clinical practice.
Traumatic brain injury commonly causes dizziness and balance problems. Benign paroxysmal positional vertigo (BPPV) is the most frequent cause of inner-ear related post-traumatic vestibular dysfunction. However, optimal assessment and treatment practices are poorly evidenced. Using a mixed methods approach, we aimed to explore the feasibility of managing post-traumatic BPPV.
A mixed-methods randomised feasibility study. In this paper, quantitative and qualitative data relating to key feasibility targets around recruitment, randomisation and assessment and treatment were selected and integrated to provide an in-depth understanding of BPPV management.
Three UK major trauma centres
Hospitalised adults with post-traumatic BPPV.
Patients were randomised to one of three interventions (repositioning manoeuvres, Brandt-Daroff exercises and advice).
Screening and recruitment varied between sites due to individual and site-specific factors. Randomisation to advice was experienced differently by healthcare professionals and patients, suggesting that changes to the study design of a future effectiveness trial may be required. Assessment and treatment were acceptable to participants, supporting advancement to an effectiveness trial.
Integration of qualitative and quantitative data revealed new findings relating to the primary outcomes of the feasibility study, while strengths and weaknesses of the trial design were also elucidated. Taken together, such data will influence and enhance the design of a future trial.
To synthesise the literature around the roles of general practice nurses (GPNs) and the barriers and facilitators of their role.
Integrative literature review using Whittemore and Knafls framework.
Papers were exported into Covidence for screening. Quality was appraised using the Mixed Method Appraisal Tool. Data were extracted into a summary table and analysed using thematic analysis.
CINAHL, Medline, and Google Scholar were used to identify papers published between January 2000 and February 2025 in English that reported primary research about GPN roles.
Twelve papers were included in the review. The four overarching themes were role characteristics, the clinical role, the non-clinical role, and barriers and enablers. Findings suggest ambiguity surrounding the GPN role, with inconsistent perspectives and overlapping responsibilities contributing to underutilisation. GPNs played an important role in continuity of care and reported a desire to spend more time on health promotion, health education and assessment. GPNs were leaders in collaboration as they functioned as agents of connectivity for patients and staff. The GPN role faces both barriers and enablers, with the organisational structure, interprofessional relationships, and professional development.
The GPN role offers an opportunity to enhance access to general practice care. However, there is limited and mixed literature describing the roles of GPNs. Future research should more closely explore the current practice of GPNs to inform policy and optimal utilisation of the workforce to the full extent of their practice scope.
Understanding the complex roles of GPNs requires more robust data on clinical activity. These data would have the potential to inform ways to optimise the GPN role within the multidisciplinary team.
This study adhered to the PRISMA reporting guideline.
This review did not include patient or public involvement.
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