Abstract:
This study, which is methodologically grounded in qualitative research and philosophically
informed by critical social science, explores important aspects of the socio-political context
in which practice nurses and general practitioners (core primary health care team) work
within a team environment. It is indicated in the literature that there are benefits for
improved health care through the development of collaborative teamwork. However, there
have been many barriers identified which prevent collaborative teamwork. Amongst the
many barriers, is the lack of role clarity and attitudinal differences. Role clarity and
attitudinal differences are the topic of this thesis. This thesis explored and highlighted
whether the lack of role clarity and attitudinal differences do indeed impede the team's
success, and are barriers to teamwork. The views and opinions of practice nurses and
general practitioners understanding of their own and each other's current roles within the
general practice setting were explored. The participants had the opportunity to discuss
together, in focus group meetings, their thoughts on the topic. This raised their awareness
of their taken for granted ideas on role and teamwork. Focus groups offered the
participants the added opportunity to question each other which allowed for a deeper and
more fulfilling understanding of role. New understandings that emerged could lead to
alternative models of health care and influence the future delivery and planning of general
practice. The thesis concludes by offering a potentially suitable model/framework which
has been developed to further the understanding of teamwork in the future.
