Stephen Barclay
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Challenges to timely access to out-of-hours end-of-life medications: a qualitative study in UK primary care
Abstract Background Timely, 24/7 access to medications in the community is essential for effective symptom management for people approaching the end of life. Little is known about current systems ensuring skilled and timely patient assessment, prescribing, and administration, and service gaps. Aim To investigate out-of-hours access to end-of-life care medications in community settings, identifying gaps, challenges, and potential solutions.
How changes in GPs’ ways of working have affected community nurses: a qualitative study
community health nursing community paramedics general practice palliative care remote working task-shifting Footnotes Ethical approval Ethical approval was granted by the University of Cambridge Psychology Research Ethics Committee (reference: PRE.2022.098). Provenance Freely submitted; externally peer reviewed. Competing interests The authors have declared no competing interests. Discuss this article: bjgp.org/letters Received August 23, 2024. Revision received September 24, 2024.
How changes in GPs’ ways of working have affected community nurses: a qualitative study
Discussion Our findings are summarised in Supplementary Figure S1. They provide a description of community nurses’ perceptions of two changes within primary care: remote working and workforce diversification. A common thread links concerns that participants raised about these two separate changes: both were seen as damaging the relationships between community nurses and GPs, and as making it harder for nurses to get the senior clinical support they want.
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