Clinical challenges and ongoing role changes for primary health-care nurses

Abstract

To ensure that the role of the PHN continues to develop, it is necessary to enable them to articulate, discuss, and evaluate their profession and to learn, in concrete forms, how to implement science in clinical practice.

Characteristics of nursing encounters in primary healthcare in remote areas: A survey of nurses’ patient record documentation and self-report

“…26 Researchers have shown that older adults use PHC services to a greater extent than other age groups. 6,8 In the present study there were also multiple reasons for nearly one out of 10 nursing encounters for those aged 65 years. Emanating from the results, nurses providing PHC in remote areas need advanced competence in gerontology and geriatrics, including the competence to use structured assessments to detect patient deterioration.…”

“…The preventive and promotive aspects of PHC are vital for public health, and one should accordingly seek to limit the emergence of a focus on a disease-oriented agenda in such care. 8,41 Consequently, nurses in remote areas should have good skills and sufficient expertise in driving a health-promotive agenda. 2,42,43…”

“…PHC services can furthermore be used to empower individuals, families and communities to optimize their health. 2,4 In the Western world today, there is great pressure on PHC services due to increasing demand, 6,8,9 in part created by a growing number of older people and patients with chronic conditions. 8,10,11 Accessibility and the realization of continuous patient-centered care that includes a high level of patient involvement are challenges.…”

“…2,4 In the Western world today, there is great pressure on PHC services due to increasing demand, 6,8,9 in part created by a growing number of older people and patients with chronic conditions. 8,10,11 Accessibility and the realization of continuous patient-centered care that includes a high level of patient involvement are challenges. 1,6 In remote areas, PHC services are primarily provided by registered nurses (RNs) and primary health nurses (PHNs; also called community, district or public healthcare nurses), who are often independently responsible for most patient encounters.…”

A student’s journey: Examining the efficacy of the academic preparation of BSN students and readiness to enter practice

“…As a discipline, nursing continues to struggle with determining the best tool to use for assessing CT [23]. Experts debate the importance of teaching strategies, evaluation methods, emphasis on clinical practice versus academic work, and individual learning needs as teaching priorities in order to minimize new graduates entering the clinical setting ill prepared [24]. Travale (2007) noted that, more than 57% of healthcare facilities currently hire inexperienced nurses into high acuity and critical care areas [2].…”