{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T03:48:17Z","timestamp":1778903297794,"version":"3.51.4"},"reference-count":54,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T00:00:00Z","timestamp":1698624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100013561","name":"General Nursing Council for England and Wales Trust","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100013561","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2024,4]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n Exploration of experiences of nurses working in general practice during the COVID\u201019 pandemic to evaluate the impact on nurses' professional well\u2010being.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n An exploratory qualitative study comprised of case studies of three general practice sites in England and a nationwide interview study of nurses working in general practice and nurse leaders. The study was funded by The General Nursing Council for England and Wales Trust. University of York ethics approval (HSRGC\/2021\/458\/I) and Health Research Authority approval was obtained (IRAS: 30353, Protocol number: R23982, Ref 21\/HRA\/5132, CPMS: 51834).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Forty participants took part. Case site data consisted of interviews\/focus groups and national data consisted of semi\u2010structured interviews. Data collection took place between April and August 2022. Analysis was underpinned by West et\u00a0al.'s\n The courage of compassion. Supporting nurses and midwives to deliver high\u2010quality care<\/jats:italic>\n , The King's fund, 2020 ABC framework of nurses' core work well\u2010being needs.\n <\/jats:p>\n <\/jats:sec>\n \n Findings<\/jats:title>\n The majority of participants experienced challenges to their professional well\u2010being contributed to by lack of recognition, feeling undervalued and lack of involvement in higher\u2010level decision\u2010making. Some participants displayed burnout and stress. Structural and cultural issues contributed to this and many experiences pre\u2010dated, but were exacerbated by, the COVID\u201019 pandemic.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n By mapping findings to the ABC framework, we highlight the impact of the COVID\u201019 pandemic on the well\u2010being of nurses working in general practice and contributing workplace factors. The issues identified have implications for retention and for the future of nursing in general practice. The study highlights how this professional group can be supported in the future.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n The study contributes to our understanding of the experiences of nurses working in general practice during the COVID\u201019 pandemic and beyond. Findings have implications for this skilled and experienced workforce, for retention of nurses in general practice, the sustainability of the profession more broadly and care quality and patient safety.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n \n Standards for Reporting Qualitative Research (O'Brien et\u00a0al. in\n Journal of the Association of American Medical Colleges, 89<\/jats:italic>\n (9), 1245\u20131251, 2014).\n <\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n As this was a workforce study there was no patient or public contribution.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jan.15919","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T07:16:25Z","timestamp":1698650185000},"page":"1574-1591","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The well\u2010being of nurses working in general practice during the\n COVID<\/scp>\n \u201019 pandemic: A qualitative study (The GenCo Study)"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6945-0590","authenticated-orcid":false,"given":"Helen","family":"Anderson","sequence":"first","affiliation":[{"name":"York Trials Unit, Department of Health Sciences University of York York UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3518-2740","authenticated-orcid":false,"given":"Arabella","family":"Scantlebury","sequence":"additional","affiliation":[{"name":"York Trials Unit, Department of Health Sciences University of York York UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3185-205X","authenticated-orcid":false,"given":"Paul","family":"Galdas","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of York York UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9860-0850","authenticated-orcid":false,"given":"Joy","family":"Adamson","sequence":"additional","affiliation":[{"name":"York Trials Unit, Department of Health Sciences University of York York UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,30]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15312"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.1521"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2021.0691"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13710"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14937"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S146342362200069X"},{"key":"e_1_2_13_8_1","volume-title":"How many qualitative interviews is enough?: Expert voices and early career reflections on sampling and cases in qualitative research","author":"Baker S. E.","year":"2012"},{"key":"e_1_2_13_9_1","unstructured":"Bhardwa S.(2016).Serious lack of practice nurses in leadership roles finds QNI research independent nurse.https:\/\/www.independentnurse.co.uk\/news\/serious\u2010lack\u2010of\u2010practice\u2010nurses\u2010in\u2010leadership\u2010roles\u2010finds\u2010qni\u2010research\/114524"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_2_13_11_1","unstructured":"Clifford J. Barnes K. Arora R. &Raouf S.(2021).Leading the way: The role and value of nurses in general practice in England(The Sonnet report)."},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104155"},{"key":"e_1_2_13_13_1","volume-title":"Gender and the professional predicament in nursing","author":"Davies C.","year":"1995"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987120976172"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m3709"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15046"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13534402"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12589"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13108"},{"key":"e_1_2_13_20_1","volume-title":"Reading ethnographic research: A critical guide","author":"Hammersley M.","year":"1998"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781405165518.wbeose070"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp21x714929"},{"key":"e_1_2_13_23_1","volume-title":"The general practice nursing workforce plan","author":"Health Education England","year":"2017"},{"key":"e_1_2_13_24_1","volume-title":"A\u2013Z of qualitative research in healthcare","author":"Holloway I.","year":"2008"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2022.31.8.430"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2021.0680"},{"key":"e_1_2_13_27_1","doi-asserted-by":"crossref","unstructured":"Jefferson L. Heathcote C. &Bloor K.(2022).General practitioner wellbeing during the COVID\u201019 pandemic: A qualitative interview study.medRxiv[version posted January 28 2022].https:\/\/doi.org\/10.1101\/2022.01.26.22269874","DOI":"10.1101\/2022.01.26.22269874"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgpopen20X101103"},{"key":"e_1_2_13_29_1","unstructured":"Launder M.(2022).Practice nurse survey: Overwhelmed and undervalued.Nursing in Practice.https:\/\/www.nursinginpractice.com\/analysis\/practice\u2010nurse\u2010analysis\u2010overwhelmed\u2010and\u2010undervalued\/"},{"key":"e_1_2_13_30_1","unstructured":"Leary A.(2016).Hope is not a plan: Can healthcare in the UK learn from other safety critical industries?: A reflection on visiting safety critical high reliability organisations. Medical & Health 2016. Winston Churchill Memorial Trust and Burdett Trust for Nursing."},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104242"},{"key":"e_1_2_13_32_1","unstructured":"Mitchell G.(2022).General practice facing \u2018crippling\u2019 shortage of nurses in next decade.Nursing Times.https:\/\/www.nursingtimes.net\/news\/primary\u2010care\/general\u2010practice\u2010facing\u2010crippling\u2010shortage\u2010of\u2010nurses\u2010in\u2010next\u2010decade\u201030\u201006\u20102022\/"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgf2.566"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104235"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2020.0967"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2020.0948"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.7748\/phc.32.6.6.s2"},{"key":"e_1_2_13_39_1","volume-title":"Qualitative research & evaluation methods: Integrating theory and practice","author":"Patton M. Q.","year":"2015"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470750841"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7227.114"},{"key":"e_1_2_13_42_1","volume-title":"Vaccine update: issue 306","author":"Public Health England","year":"2020"},{"key":"e_1_2_13_43_1","volume-title":"General practice nurse survey analysis 2020","author":"Queen's Nursing Institute","year":"2020"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15236"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2020.1820479"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15161"},{"key":"e_1_2_13_47_1","volume-title":"RCGP survey provides snapshot of how GP care is accessed in latest stages of pandemic","author":"Royal College of General Practitioners","year":"2020"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010055955"},{"key":"e_1_2_13_49_1","unstructured":"The Health Foundation. (2022).Projections: General practice workforce in England.https:\/\/www.health.org.uk\/publications\/reports\/projections\u2010general\u2010practice\u2010workforce\u2010in\u2010england"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13285"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2213\u20108587(22)00131\u20100"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010039674"},{"key":"e_1_2_13_53_1","unstructured":"West M. Bailey S. &Williams E.(2020).The courage of compassion. Supporting nurses and midwives to deliver high\u2010quality care. The King's Fund.https:\/\/www.kingsfund.org.uk\/publications\/courage\u2010compassion\u2010supporting\u2010nurses\u2010midwives"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1136\/leader\u20102020\u2010000262"},{"issue":"1538","key":"e_1_2_13_55_1","first-page":"89","article-title":"Empty waiting rooms: The New Zealand general practice experience with telehealth during the COVID\u201019 pandemic","volume":"134","author":"Wilson G.","year":"2021","journal-title":"The New Zealand Medical Journal"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.15919","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T02:11:22Z","timestamp":1710382282000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.15919"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,30]]},"references-count":54,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/jan.15919"],"URL":"https:\/\/doi.org\/10.1111\/jan.15919","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JAN.15919\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15919\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15919\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15919\/v1\/review1","asserted-by":"object"}]},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,30]]},"assertion":[{"value":"2023-03-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}