Primary health care registered nurses’ types in implementation of health promotion practices

Abstract

The two-stage modified Delphi method was applied. In round one, semi-structured interviews were conducted among primary health care participants (n=42) in 11 health centres in Eastern Finland. In round two, a questionnaire survey was conducted in the same health centres. The questionnaire was answered by 64% of those surveyed (n=56). For data analysis, content analysis and descriptive statistics were used. Findings This study resulted in four types of service provider that RNs who receive clients represented in the implementation of health promotion practices in the primary health care setting in Eastern Finland. First, the client-oriented health promoter demonstrated four dimensions, which reached consensus levels ranging between 82.1 and 89.3%. Second, the developer of health promotion practices comprised four dimensions, which reached consensus levels between 71.4 and 85.7%. Third, the member of multi-professional teams of health promotion practices representing three dimensions, with consensus levels between 69.6 and 82.1%. Fourth, the type who showed interest towards health policy reached a consensus level of 55.4% in this study.

Establishing priorities on the range of conditions managed by UK community practitioner nurse prescribers: A modified Delphi consensus study

“…This aligns with the complex care needs of the patients these nurses have been reported to manage in the UK (Queens Nurse Institute ). Our findings also align with the international research that has explored community and public health nursing roles in countries including Australia (Kelehera & Parker, ; Kemp et al., ; Rodden et al, 2016), Finland (Maijala et al., ), the US (Schaffer, Anderson, & Rising, ) and Israel (Nissanholtz‐Gannot et al., ), the findings of which report the increasing involvement of these nurses in acute episodic care and health promotion activities.…”

“…Community and public health nurses have the potential to make significant contributions to the healthcare needs of various population groups in a variety of community settings and changing population profiles have led to international interest in the work of these nurses (WHO ). Evidence available (Nissanholtz‐Gannot, Rosen, & Hirschfeld, ; Roden, Jarvis, Campbell‐Crofts, & Whitehead , Maijala, Tossavainen, & Turunen, ; Kelehera & Parker, ; Kemp, Harris, & Comino, ), has identified a shift in focus of the care provided by these nurses. In Australia, for example, researchers have reported community nurses to be increasingly working in roles that have moved away from longer term support and care to provision of a more “acutely” focussed episodic care (Kemp et al., ) with increasing involvement in health promotion activities (Kelehera & Parker, ; Roden, et al, ).…”

“…In Australia, for example, researchers have reported community nurses to be increasingly working in roles that have moved away from longer term support and care to provision of a more “acutely” focussed episodic care (Kemp et al., ) with increasing involvement in health promotion activities (Kelehera & Parker, ; Roden, et al, ). Similarly, in Finland and Israel, researchers have reported nurse's involvement in the implementation of a variety of health educational activities in the primary healthcare context (Maijala et al., ) and a shift in nursing tasks from hospitals to the community setting, a key area of involvement, including health promotion (Nissanholtz‐Gannot et al., ).…”

Impact of the COVID-19 Pandemic Crisis on the Health Care System in Less Developed Regions of Poland

“…Patient satisfaction as a measure of quality of care is a valid outcome and a key component to value-based care (Ramaswamy et al, 2020). The level of satisfaction and the level of risk perception induced by the unavailability of certain services were carried out in relation to four features of primary health care: availability, continuity, equality and quality of care (Maijala, Tossavainen, and Turunen, 2016;Stevenson et al, 2001).…”