Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care

Bosse, Jordon D.; Simmonds, Katherine; Hanson, Charlene M.; Pulcini, Joyce; Dunphy, Lynne M.; Vanhook, Patricia M.; Poghosyan, Lusine

doi:10.1016/j.outlook.2017.10.002

Cited by 20 publications

(19 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Introductionmentioning

confidence: 99%

“…At present, societies must face an evolving dynamic health reality, which forces governments to organize, plan and adapt their health resources to meet new challenges [1]. These new health challenges include chronicity, disability, care for vulnerable populations and for those who are at risk of exclusion [1]. Many of these challenges are related with social aspects that influence the health of the population, such as poverty, unemployment, difficulties concerning the access and distribution of health resources, and marginalization [1].…”

Section: Introductionmentioning

confidence: 99%

“…These new health challenges include chronicity, disability, care for vulnerable populations and for those who are at risk of exclusion [1]. Many of these challenges are related with social aspects that influence the health of the population, such as poverty, unemployment, difficulties concerning the access and distribution of health resources, and marginalization [1]. In Primary Care (PC), health and social aspects converge, which has a joint influence on the individual, the family and the community [1].…”

Section: Introductionmentioning

confidence: 99%

“…Many of these challenges are related with social aspects that influence the health of the population, such as poverty, unemployment, difficulties concerning the access and distribution of health resources, and marginalization [1]. In Primary Care (PC), health and social aspects converge, which has a joint influence on the individual, the family and the community [1]. According to the WHO, PC “is about caring for people, rather than simply treating specific diseases or conditions and it provides comprehensive, accessible, community-based care that meets the health needs of individuals throughout their life” [2].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, the model of health management and organization influences the distribution of its resources (material, economic and human), and therefore, this influences the healthcare received [1,3,4]. On the other hand, the management of resources and the application of norms and regulations also affects the organization of health professionals and the planning of interventions and functions within the health system [4].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study

Madrazo-Pérez

Parás‐Bravo

Rayón-Valpuesta

et al. 2019

IJERPH

View full text Add to dashboard Cite

Background: Organizational culture plays a key role regarding organizational outcomes and determining strategies, goals, and modes of operating which is associated with higher rates of worker morale, turnover and lower adverse events related to patient quality of care issues. Aim: to describe the impact of the relocation of nurses from hospitals and other contexts to primary care from the perspective of primary care nurses. Methods: A qualitative, focused ethnographic study. Site: Cantabro Health Service, Cantabria, Spain. Purposeful sampling methods were used to include nurses who were working in primary care during the study, and who had previous experience of at least one year in primary care. Observation (385 hours, 7 months) and in-depth interviews (17) were used to collect data. A thematic analysis was applied. Results: Four themes emerged from the data: (a) staff policies applied, (b) beliefs regarding the newly incorporated nursing staff, (c) reasons for relocation to primary care, and (d) concern for the future. Conclusions: In primary care, the relocation of non-qualified nursing professionals who are at the end of their career may have a negative impact on the organizational culture. It is necessary to research the most appropriate measures for guaranteeing a satisfactory work environment based on nurses who are qualified in primary health care settings.

show abstract

Section: Introductionmentioning

confidence: 99%