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Table 4 Findings of the study

From: Relations between task delegation and job satisfaction in general practice: a systematic literature review

First Author/Year Country Aim Method Sample Professional tasks Findings Themes
Hegney, D. G. 2013 [29] Australia The impact of a chronic care management model – nurses’ perceptions and experiences Semi structured interviews investigating a 12-month intervention of nurse-led care 3 practice managers and 5 nurses Chronic care
Data recording
Nurse-led care influenced job satisfaction positively  
Opportunity for professional development and autonomy of the practice nurses Professional development Autonomy
Cousins R. 2012 [13] UK To investigate the impact of independent prescribing for experienced nurse practitioners working in general practice. In-depth interviews 6 nurses Prescribing of medicine Prescribing increased levels of job satisfaction among nurses  
Ability to provide holistic care Professional development
Enhanced job control Autonomy
Increased status Professional status
Increased self-esteem due to patients’ recognition of skills and respect from colleagues Recognition for work
Evidence of stressors: lack of reward, increased demands workload
Maisey, S. 2008 [30] UK To understand the effect of payment for performance Semi structured interviews 1 nurse and 1 GP from 24 practices Chronic care Staff:  
Increased autonomy and responsibility contributed to job satisfaction Autonomy
Nurses felt valued as team members Professional status
Experienced increased workload Workload (staff)
Only one doctor unequivocally expressed increased job satisfaction
Better pay and shorter hours
GPs reported a more intensive working pattern as team leaders supervising the nurses’ work. Workload (GPs)
Threat to professional identity and values. GPs expressed concerns about loss of continuity and holistic care Professional identity
McGregor, W. 2008 [31] UK To explore views and experiences of role changes under new contract Semi structured interviews 12–18 months after the Implementa-tion of the new GMS contract
Two separate studies, conducted for slightly different aims
18 nurses from different practices (number of practices not informed) Chronic care
Data recording
Practice nurses were positive about their professional role since the introduction of the new GMS contract, which had given them increased responsibility Autonomy
Skills enhanced Professional development
Their workload and responsibility had increased, but they did not feel rewarded for this, neither financially, nor in terms of involvement in decision making within the practice Workload
Recognition for work