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Hwang JH, Choi YJ, Kim MS, Yi SE, Park YS, Kim JH, Yoon JY, Shin DS. [Job Analysis of Nurse Care Coordinators for Chronic Illness Management in Primary Care Settings: Using Developing a Curriculum Process]. J Korean Acad Nurs 2022; 51:758-768. [PMID: 35023863 DOI: 10.4040/jkan.21065] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 08/26/2021] [Accepted: 09/15/2021] [Indexed: 11/09/2022]
Abstract
PURPOSE This study aimed to conduct a job analysis of nurse carecoordinators and to identify the frequency, importance and difficulty of each task of their job. METHODS A committee for developing a curriculum (DACUM) was formed and members of the committee defined nurse care coordinators' jobs and enumerated the duties, tasks and task elements by applying the DACUM technique. Then nurse care coordinators enrolled in the pilot project evaluated the frequency, importance and difficulty of each task. RESULTS From the job descriptions of nurse care coordinators, we identified 12 duties and 42 tasks. Each task comprised 1~5 task elements. Among tasks, 'assess the patient's general health status' was carried out most frequently. Nurse care coordinators perceived that 'check vital signs' and'strengthen patient competence to promote health behaviors' were more important than all other tasks. The most difficult task was 'develop professionalism as a nurse care coordinator'. CONCLUSION The nurse care coordinators' roles developed in this study will serve as the key guidelines for human resource management of care coordinators. Further, job specifications for nurse care coordinators need to be developed, which is necessary for designing education and training programs. We also need to integrate primary health care as an essential component in nursing education.
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Affiliation(s)
- Ju-Hee Hwang
- College of Nursing, Kyungdong University, Wonju, Korea
| | - Yong-Jun Choi
- Department of Social and Preventive Medicine, College of Medicine, Hallym University, Chuncheon, Korea
| | - Mi-Sook Kim
- Department of Nursing, Kaya University, Gimhae, Korea
| | - Seng-Eun Yi
- Department of Non-Communicable Diseases Prevention, Korea Health Promotion Institute, Seoul, Korea
| | - Yong-Soon Park
- Department of Family Medicine, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Korea
| | - Ji-Hyang Kim
- School of Nursing, Hallym University, Chuncheon, Korea
| | - Ju-Young Yoon
- Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
| | - Dong-Soo Shin
- School of Nursing, Hallym University, Chuncheon, Korea.,Research Institute of Nursing Science, Hallym University, Chuncheon, Korea.
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Nesengani T, Downing C, Poggenpoel M, Stein C. Strategies to facilitate effective caring for patients in primary health care clinics. Curationis 2021; 44:e1-e8. [PMID: 34879688 PMCID: PMC8661285 DOI: 10.4102/curationis.v44i1.2201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 09/27/2021] [Accepted: 10/03/2021] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Caring is described as the innermost core of nursing which occurs in a relationship between the patient and the care provider. Although caring in nursing is associated with maintaining and strengthening of the patient's sense of dignity and being a person, there seems to be a gap between caring theories in nursing, healthcare policies and caring for patients by professional nurses in primary health care clinics. Developing strategies that will facilitate effective caring for patients by professional nurses in primary health care clinics within an ethical and mindful manner became an area of focus in this study. OBJECTIVES To develop strategies to facilitate effective caring for patients by professional nurses in primary health care clinics in South Africa. METHOD Strategies were developed based on the conceptual framework developed in Phase 2, which was derived from synthesis of the results of Phase 1 of the previously conducted study and supported by literature. The conceptual framework reflects the survey list of Dickoff, James and Wiedenbach's practice theory. RESULTS Three strategies were developed: 1) facilitating maintaining of the empowering experiences; 2) facilitating addressing the disempowering experiences by professional nurses, and 3) facilitating addressing of the disempowering primary health care clinic systems. CONCLUSION The developed strategies, being the proposed actions, procedures and behaviours, could facilitate effective caring for patients by professional nurses in primary health care clinics.
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Affiliation(s)
- Tinswalo Nesengani
- Department of Nursing, Faculty of Health Sciences, Nelson Mandela University, Gqeberha, South Africa; and, Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg.
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Coyne E, Carlini J, Doherty T, Harlow W, Mitchell ML, Grealish L. Partnership between Nurse Navigators and adult persons living with complex chronic disease-An exploratory study. J Clin Nurs 2020; 29:2918-2926. [PMID: 32498116 DOI: 10.1111/jocn.15364] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 04/29/2020] [Accepted: 05/24/2020] [Indexed: 12/11/2022]
Abstract
AIMS AND OBJECTIVES The aim of this study was to explore nurse navigators and consumers' experience of partnership. BACKGROUND The nurse navigator has recently emerged as an advanced practice role in the care of persons with complex and chronic disease states. Self-care is an important principle in chronic disease models of care, requiring healthcare practitioners to partner with clients in their care. How nurse navigators and consumers [clients and family] experience partnership has not been explored. DESIGN An interpretive exploratory qualitative approach was used. Semi-structured interviews were conducted with seven nurse navigators working with adults with complex disease states and eleven of their clients. Interviews were analysed using descriptive content analysis. (COREQ checklist Data S1). RESULTS Five themes about partnership emerged. Three themes from nurse navigators were as follows: establishing and sustaining relationships, nurse-led planning and aligning care with clients' needs. The two consumer themes were as follows: regular contact means access to the health system and nurse presence is valued. The secondary analysis revealed two themes about partnership between the nurse and consumer: establishing relationships require nursing effort to be established and partnerships are person-focused and nurse-led. CONCLUSIONS Partnership begins with a relationship, largely driven by the nurse navigator through regular communication and personal contact that was valued by consumers. The nurse-led partnership reduced opportunities for consumers to learn to manage their treatments, particularly how and when to access services, meaning that self-care may not be fully achieved. Client navigation occurs over long periods, which could lead to the navigators being overwhelmed, raising an issue of sustainability. RELEVANCE TO CLINICAL PRACTICE Nurse navigators establish a client relationship as a foundation for partnership. This partnership needs a focus on promoting client self-care, self-management of treatment, including when and how to access available services, to ensure the sustainability of the nurse navigator model of care.
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Affiliation(s)
- Elisabeth Coyne
- School of Nursing, Midwifery, Menzies Health Institute, Griffith University, Brisbane, Australia
| | - Joan Carlini
- Gold Coast Hospital, Southport, Australia.,Department of Marketing, Griffith Business School, Griffith University, Brisbane, Australia
| | | | | | - Marion L Mitchell
- School of Nursing, Midwifery, Menzies Health Institute, Griffith University, Brisbane, Australia.,Princess Alexandra Hospital, Brisbane, Australia
| | - Laurie Grealish
- School of Nursing, Midwifery, Menzies Health Institute, Griffith University, Brisbane, Australia.,Gold Coast Hospital, Southport, Australia
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Murray-Parahi P, DiGiacomo M, Jackson D, Phillips J, Davidson PM. Primary health care content in Australian undergraduate nursing curricula. Collegian 2020. [DOI: 10.1016/j.colegn.2019.08.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Aggar C, Gordon CJ, Thomas TH, Wadsworth L, Bloomfield J. Evaluation of a community transition to professional practice program for graduate registered nurses in Australia. Nurse Educ Pract 2018; 32:101-107. [DOI: 10.1016/j.nepr.2018.03.005] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Revised: 02/13/2018] [Accepted: 03/20/2018] [Indexed: 11/25/2022]
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McKittrick R, McKenzie R. A narrative review and synthesis to inform health workforce preparation for the Health Care Homes model in primary healthcare in Australia. Aust J Prim Health 2018; 24:PY18045. [PMID: 30103852 DOI: 10.1071/py18045] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 07/03/2018] [Indexed: 02/28/2024]
Abstract
The Australian Government Health Care Homes (HCH) model recently implemented in general practice targets people with chronic complex conditions. Identifying how general practitioners (GPs) and practice nurses (PNs) can work within this model is important given existing health workforce challenges. A narrative review and synthesis has been undertaken to develop a preliminary understanding of this, incorporating literature describing health workforce challenges, GP and PN functions, and team-based care; supplemented by interviews with key informants from within the primary healthcare system. Narrative synthesis principles guided literature analysis. Interview data were thematically analysed. A clear rationale for health workforce reform was ascertained and functions for the GP and PN under the HCH model were determined. The model was found to be an opportunity for an enhanced PN role in a team-based approach to care with the GP. Challenges to advancing the PN role and team-based care were identified, including the medical dominance of the health system and the significant culture change required by general practices to fully implement the model. Enablers included strong nursing leadership and improved ongoing education for PNs to unlock their capacity. The HCH model is an opportunity to strengthen primary healthcare, provided concerted action is taken regarding these challenges and enablers.
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Thomas TH, Bloomfield JG, Gordon CJ, Aggar C. Australia’s first Transition to Professional Practice in Primary Care Program: Qualitative findings from a mixed-method evaluation. Collegian 2018. [DOI: 10.1016/j.colegn.2017.03.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Ashley C, Peters K, Brown A, Halcomb E. Work satisfaction and future career intentions of experienced nurses transitioning to primary health care employment. J Nurs Manag 2018; 26:663-670. [DOI: 10.1111/jonm.12597] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/13/2017] [Indexed: 12/01/2022]
Affiliation(s)
- Christine Ashley
- School of Nursing; Faculty of Science, Medicine and Health; University of Wollongong; NSW Australia
| | - Kath Peters
- School of Nursing & Midwifery; Western Sydney University; Penrith NSW Australia
| | - Angela Brown
- School of Nursing; Faculty of Science, Medicine and Health; University of Wollongong; NSW Australia
| | - Elizabeth Halcomb
- School of Nursing; Faculty of Science, Medicine and Health; University of Wollongong; NSW Australia
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Bloomfield JG, Aggar C, Thomas THT, Gordon CJ. Factors associated with final year nursing students' desire to work in the primary health care setting: Findings from a national cross-sectional survey. NURSE EDUCATION TODAY 2018; 61:9-14. [PMID: 29141187 DOI: 10.1016/j.nedt.2017.10.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 06/24/2017] [Accepted: 10/13/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Registered nurses are under-represented in the primary health care setting both internationally and in Australia, and this shortage is predicted to worsen. To address the increasingly complex healthcare needs of an ageing population, it is vital to develop and sustain a primary health care nursing workforce, yet attracting nurses is challenging. In Australia, registered nurses graduating from university typically commence their careers in hospital-based transition to professional practice programs. Similar programs in primary health care settings may be a valuable strategy for developing the primary health care nursing workforce, yet little is known about nursing students desire to work in this setting, factors that influence this, or their expectations of primary health care-focused transition to professional practice programs. OBJECTIVES This study sought to identify factors associated with final year nursing students' desire to work in primary health care setting including demographic factors, expectations of future employment conditions, and job content. It also explored expectations of graduate transition programs based in primary health care. DESIGN A cross-sectional survey design comprising a quantitative online survey. SETTING 14 Australian universities from all states/territories, both rural and urban. PARTICIPANTS 530 final-year nursing students. METHODS Binary logistic regression identifying factors contributing to desire to work in primary health care. RESULTS The desire of nursing students to work in primary health care is associated with older age, greater perceived value of employment conditions including flexibility, and less perceived importance of workplace support. CONCLUSIONS Collaborative efforts from primary health care nurses, health professionals, academics and policy makers are needed to attract new graduate nurses to primary health care.
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Affiliation(s)
| | - Christina Aggar
- School of Health and Human Sciences, Southern Cross University, Southern Cross Drive, Bilinga, 4225, QLD, Australia.
| | - Tamsin H T Thomas
- School of Health and Human Sciences, Southern Cross University, Southern Cross Drive, Bilinga, 4225, QLD, Australia.
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Mackey S, Kwok C, Anderson J, Hatcher D, Laver S, Dickson C, Stewart L. Australian student nurse's knowledge of and attitudes toward primary health care: A cross-sectional study. NURSE EDUCATION TODAY 2018; 60:127-132. [PMID: 29100077 DOI: 10.1016/j.nedt.2017.10.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Revised: 07/18/2017] [Accepted: 10/18/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Nurses have a pivotal role in changing the focus of the health system toward a primary health care approach, yet little is known about the effectiveness of nursing students' educational preparation for this role. OBJECTIVES The aim of the study was to investigate undergraduate Australian nursing students' knowledge of and attitudes toward the primary health care approach. DESIGN A cross-sectional, descriptive research design was applied. SETTING Two Australian universities, one with a rural base and one in the metropolitan area of Sydney, were involved. Both universities offer undergraduate and postgraduate nursing courses on multiple campuses. PARTICIPANTS A convenience sample of 286 undergraduate nursing students, each of whom had completed a unit of study on PHC. All provided consent to participate in the study. METHODS Data was collected using the Primary Health Care Questionnaire via online survey platform SurveyMonkey for a period of three weeks in June 2015. RESULTS Total knowledge scores ranged from 19.68 to 95.78 with the mean knowledge score being 69.19. Total attitude scores ranged from 33.12 to 93.88 with a mean score of 70.45. Comparison of knowledge scores showed mean scores of students born in Australia were significantly higher than those of students who were born overseas (p=0.01), and mean scores of students enrolled in the metropolitan university were also significantly higher than mean scores of students' enrolled in the rural university (p=0.002). In terms of attitudes scores, mean scores of Australian-born students were significantly higher than those of students born overseas (p=0.001), and older students' mean attitude scores were shown to be significantly higher than younger students' (p<0.005). CONCLUSIONS Student's age, country of origin and university location were shown to be significant influences on student's knowledge of and attitudes toward primary health care.
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Affiliation(s)
- Sandra Mackey
- School of Nursing and Midwifery, Western Sydney University, NSW, Australia.
| | - Cannas Kwok
- School of Nursing and Midwifery, Western Sydney University, NSW, Australia.
| | - Judith Anderson
- School of Nursing, Midwifery and Indigenous Health, Charles Sturt University, Bathurst Campus, Bathurst, NSW, Australia.
| | - Deborah Hatcher
- School of Nursing and Midwifery, Western Sydney University, NSW, Australia.
| | - Sharon Laver
- School of Nursing, Midwifery and Indigenous Health, Charles Sturt University, Albury Wodonga Campus, Albury, NSW, Australia.
| | - Cathy Dickson
- School of Nursing and Midwifery, Western Sydney University, NSW, Australia.
| | - Lyn Stewart
- School of Nursing and Midwifery, Western Sydney University, NSW, Australia.
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Exploratory factor analysis and reliability of the Primary Health Care Engagement (PHCE) Scale in rural and remote nurses: findings from a national survey. Prim Health Care Res Dev 2017; 18:608-622. [PMID: 28747238 DOI: 10.1017/s146342361700038x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Aim The study purpose was to provide evidence of validity for the Primary Health Care Engagement (PHCE) Scale, based on exploratory factor analysis and reliability findings from a large national survey of regulated nurses residing and working in rural and remote Canadian communities. BACKGROUND There are currently no published provider-level instruments to adequately assess delivery of community-based primary health care, relevant to ongoing primary health care (PHC) reform strategies across Canada and elsewhere. The PHCE Scale reflects a contemporary approach that emphasizes community-oriented and community-based elements of PHC delivery. METHODS Data from the pan-Canadian Nursing Practice in Rural and Remote Canada II (RRNII) survey were used to conduct an exploratory factor analysis and evaluate the internal consistency reliability of the final PHCE Scale. Findings The RRNII survey sample included 1587 registered nurses, nurse practitioners, licensed practical nurses, and registered psychiatric nurses residing and working in rural and remote Canada. Exploratory factor analysis identified an eight-factor structure across 28 items overall, and good internal consistency reliability was indicated by an α estimate of 0.89 for the final scale. The final 28-item PHCE Scale includes three of four elements in a contemporary approach to PHC (accessibility/availability, community participation, and intersectoral team) and most community-oriented/based elements of PHC (interdisciplinary collaboration, person-centred, continuity, population orientation, and quality improvement). We recommend additional psychometric testing in a range of health care providers and settings, as the PHCE Scale shows promise as a tool for health care planners and researchers to test interventions and track progress in primary health care reform.
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Aggar C, Bloomfield J, Thomas TH, Gordon CJ. Australia's first transition to professional practice in primary care program for graduate registered nurses: a pilot study. BMC Nurs 2017; 16:14. [PMID: 28344514 PMCID: PMC5363053 DOI: 10.1186/s12912-017-0207-5] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Accepted: 02/28/2017] [Indexed: 11/17/2022] Open
Abstract
Background Increases in ageing, chronic illness and complex co-morbidities in the Australian population are adding pressure to the primary care nursing workforce. Initiatives to attract and retain nurses are needed to establish a sustainable and skilled future primary care nursing workforce. We implemented a transition to professional practice program in general practice settings for graduate nurses and evaluated graduate nurse competency, the graduate nurse experience and program satisfaction. This study aimed to determine whether a transition to professional practice program implemented in the general practice setting led to competent practice nurses in their first year post-graduation. Methods A longitudinal, exploratory mixed-methods design was used to assess the pilot study. Data were collected at three times points (3, 6, 12 months) with complete data sets from graduate nurses (n = 4) and preceptors (n = 7). We assessed perceptions of the graduates’ nursing competency and confidence, satisfaction with the preceptor/graduate relationship, and experiences and satisfaction with the program. Graduate nurse competency was assessed using the National Competency Standards for Nurses in General Practice. Semi-structured interviews with participants at Time 3 sought information about barriers, enablers, and the perceived impact of the program. Results Graduate nurses were found to be competent within their first year of clinical practice. Program perceptions from graduate nurses and preceptors were positive and the relationship between the graduate nurse and preceptor was key to this development. Conclusions With appropriate support registered nurses can transition directly into primary care and are competent in their first year post-graduation. While wider implementation and research is needed, findings from this study demonstrate the potential value of transition to professional practice programs within primary care as a nursing workforce development strategy.
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Affiliation(s)
- Christina Aggar
- Health & Human Sciences, Southern Cross University, Queensland, Australia
| | | | - Tamsin H Thomas
- Health & Human Sciences, Southern Cross University, Queensland, Australia
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Murray-Parahi P, DiGiacomo M, Jackson D, Davidson PM. New graduate registered nurse transition into primary health care roles: an integrative literature review. J Clin Nurs 2016; 25:3084-3101. [DOI: 10.1111/jocn.13297] [Citation(s) in RCA: 59] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Pauline Murray-Parahi
- Centre for Cardiac and Chronic Care; Faculty of Health; University of Technology Sydney; Sydney NSW Australia
- Liverpool Hospital; South Western Sydney Local Health District; Liverpool NSW Australia
| | - Michelle DiGiacomo
- Centre for Cardiac and Chronic Care; Faculty of Health; University of Technology Sydney; Sydney NSW Australia
| | - Debra Jackson
- Oxford Brookes University; Oxford UK
- Oxford University Hospitals NHS Foundation Trust; Oxford UK
- University of New England
| | - Patricia M Davidson
- Centre for Cardiac and Chronic Care; Faculty of Health; University of Technology Sydney; Sydney NSW Australia
- Johns Hopkins School of Nursing; Baltimore MD USA
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Poitras ME, Chouinard MC, Fortin M, Gallagher F. How to report professional practice in nursing? A scoping review. BMC Nurs 2016; 15:31. [PMID: 27231437 PMCID: PMC4880971 DOI: 10.1186/s12912-016-0154-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2015] [Accepted: 05/17/2016] [Indexed: 11/22/2022] Open
Abstract
Background Nursing professional practice in different contexts of care has been widely described in evidence-based literature. Currently, there is no consensus on a common structure for these descriptions. Understanding and comparing similar practices is made difficult by the varying nature of descriptions provided in scientific literature. Purpose of the study: 1) to report research methods found in the scientific literature that were used to describe the practice of different health professionals; 2) to report on the main concepts used to describe the practice of these health professionals; 3) to propose a structure for the description of the practice in nursing. Methods A scoping review following a five-stage approach: 1) identifying the research question; 2) identifying relevant studies; 3) selecting studies; 4) charting data; 5) reporting results. The Medline, CINAHL, psychARTICLES, psyCRITIQUES, psycEXTRA, Psychology and Behavioral Science Collection and psycINFO databases were searched. Each study was analyzed and extracted data were classified by categories and structures used to describe the health professional practices. Results Forty-nine studies were included. In these studies, quantitative, qualitative or mixed methods were used to describe professional practice in different health disciplines. Three major concepts were reported most frequently in describing professional practice: roles, domains and activities. The concepts varied greatly among authors. We found that to define roles or to characterize a professional practice, activities must be described and organized on the basis of different domains. Conclusions A promising structure for describing nursing professional practice is proposed by the authors of this review. The structure facilitates the accurate description of all domains and activities performed by nurses in different contexts of practice, and will contribute to the development of knowledge about nursing practice in different contexts based on shared concepts. Electronic supplementary material The online version of this article (doi:10.1186/s12912-016-0154-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Marie-Eve Poitras
- Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Québec, Canada
| | | | - Martin Fortin
- Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Québec, Canada ; Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean, Hôpital de Chicoutimi, 305, Saint-Vallier, Chicoutimi, G7H 5H6 Québec Canada
| | - Frances Gallagher
- Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Québec, Canada
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Hallinan CM, Hegarty KL. Advanced training for primary care and general practice nurses: enablers and outcomes of postgraduate education. Aust J Prim Health 2016; 22:113-122. [DOI: 10.1071/py14072] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2014] [Accepted: 10/13/2014] [Indexed: 11/23/2022]
Abstract
The aims of the present study were to understand enablers to participation in postgraduate education for primary care nurses (PCNs), and to explore how postgraduate education has advanced their nursing practice. Cross-sectional questionnaires were mailed out in April 2012 to current and past students undertaking postgraduate studies in primary care nursing at The University of Melbourne, Victoria, Australia. Questionnaires were returned by 100 out of 243 nurses (response rate 41%). Ninety-one per cent (91/100) of the respondents were first registered as nurses in Australia. Fifty-seven per cent were hospital trained and 43% were university educated to attain their initial nurse qualification. The respondents reported opportunities to expand scope of practice (99%; 97/98), improve clinical practice (98%; 97/99), increase work satisfaction (93%; 91/98) and increase practice autonomy (92%; 89/97) as factors that most influenced participation in postgraduate education in primary care nursing. Major enablers for postgraduate studies were scholarship access (75%; 71/95) and access to distance education (74%; 72/98). Many respondents reported an increased scope of practice (98%; 95/97) and increased job satisfaction (71%; 70/98) as an education outcome. Only 29% (28/97) cited an increase in pay-rate as an outcome. Of the 73 PCNs currently working in general practice, many anticipated an increase in time spent on the preparation of chronic disease management plans (63%; 45/72), multidisciplinary care plans (56%; 40/72) and adult health checks (56%; 40/72) in the preceding 12 months. Recommendations emerging from findings include: (1) increased access to scholarships for nurses undertaking postgraduate education in primary care nursing is imperative; (2) alternative modes of course delivery need to be embedded in primary care nursing education; (3) the development of Australian primary care policy, including policy on funding models, needs to more accurately reflect the educational level of PCNs, PCN role expansion and the extent of interprofessional collaboration that is evident from research undertaken to date. Nurses with postgraduate education have the potential to increase their scope of practice, take on a greater teaching role and provide more preventive and chronic disease services in primary care. Policies aimed at increasing access to education for nurses working in primary care would strengthen the primary care nursing profession, and enhance the delivery of primary health care services in Australia.
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Robinson C, Verrall C, Houghton L, Zeitz K. Understanding the patient journey to the Emergency Department – A South Australian study. ACTA ACUST UNITED AC 2015; 18:75-82. [DOI: 10.1016/j.aenj.2015.01.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2014] [Revised: 01/01/2015] [Accepted: 01/07/2015] [Indexed: 11/30/2022]
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Cooper S, Cant R, Browning M, Robinson E. Preparing nursing students for the future: Development and implementation of an Australian Bachelor of Nursing programme with a community health focus. Contemp Nurse 2015. [DOI: 10.1080/10376178.2014.11081955] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Gordon CJ, Aggar C, Williams AM, Walker L, Willcock SM, Bloomfield J. A transition program to primary health care for new graduate nurses: a strategy towards building a sustainable primary health care nurse workforce? BMC Nurs 2014; 13:34. [PMID: 25550684 PMCID: PMC4279900 DOI: 10.1186/s12912-014-0034-x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2014] [Accepted: 11/03/2014] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND This debate discusses the potential merits of a New Graduate Nurse Transition to Primary Health Care Program as an untested but potential nursing workforce development and sustainability strategy. Increasingly in Australia, health policy is focusing on the role of general practice and multidisciplinary teams in meeting the service needs of ageing populations in the community. Primary health care nurses who work in general practice are integral members of the multidisciplinary team - but this workforce is ageing and predicted to face increasing shortages in the future. At the same time, Australia is currently experiencing a surplus of and a corresponding lack of employment opportunities for new graduate nurses. This situation is likely to compound workforce shortages in the future. A national nursing workforce plan that addresses supply and demand issues of primary health care nurses is required. Innovative solutions are required to support and retain the current primary health care nursing workforce, whilst building a skilled and sustainable workforce for the future. DISCUSSION This debate article discusses the primary health care nursing workforce dilemma currently facing policy makers in Australia and presents an argument for the potential value of a New Graduate Transition to Primary Health Care Program as a workforce development and sustainability strategy. An exploration of factors that may contribute or hinder transition program for new graduates in primary health care implementation is considered. SUMMARY A graduate transition program to primary health care may play an important role in addressing primary health care workforce shortages in the future. There are, however, a number of factors that need to be simultaneously addressed if a skilled and sustainable workforce for the future is to be realised. The development of a transition program to primary health care should be based on a number of core principles and be subjected to both a summative and cost-effectiveness evaluation involving all key stakeholders.
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Affiliation(s)
| | - Christina Aggar
- />Sydney Nursing School, University of Sydney, Sydney, NSW 2006 Australia
| | - Anna M Williams
- />Sydney Nursing School, University of Sydney, Sydney, NSW 2006 Australia
| | - Lynne Walker
- />Australian Primary Health Care Nurses Association (APNA), Melbourne, Victoria 3205 Australia
| | - Simon M Willcock
- />Central Clinical School, University of Sydney, Sydney, NSW 2006 Australia
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