scholarly journals Editorial: A Milestone

2007 ◽  
Vol 13 (2) ◽  
pp. 9
Author(s):  
Hal Swerissen

This special issue of the Australian Journal of Primary Health on comparative approaches to primary health care is timely. The AJPH has been published for 12 years. Over that time it has developed a unique blend of research, comment and practice articles covering the range of interests embodied in primary health. We have regularly published special issues to highlight important themes. The first of these was in 1999 on health promotion evaluation. Subsequently, we have had issues on primary health care (2000), the future of primary health care (2002), chronic disease management (2003), addressing inequity through primary care (2004), reflections on the Australian primary health care sector (2005), and health care in community settings (2006).

2010 ◽  
Vol 16 (3) ◽  
pp. 211 ◽  
Author(s):  
Helen Keleher ◽  
Rhian Parker ◽  
Karen Francis

Health reform is increasingly targeted towards strengthening and expansion of primary health systems as care is shifted from hospitals to communities. The renewed emphasis on prevention and health promotion is intended to curb the tide of chronic disease and sustain effective chronic disease management, as well as address health inequities and increase affordable access to services. Given the scope of nurses’ practice, the success of Australia’s health system reforms are dependent on a nursing workforce that is appropriately educated and prepared for practice in community settings. This article reports on the results of an Australian national audit of all undergraduate nursing curricula to examine the extent of professional socialisation and educational preparation of nurses for primary health care. The results of the audit are compared with Australian nursing standards associated with competency in primary health care. The findings indicate that Australian nursing competencies are general in their approach to skills and knowledge, not specifying any particular competencies for primary health care, while undergraduate student preparation for practice in primary health and community settings is patchy and not keeping pace with reform agendas that promote expanded roles for nurses in primary health care, prevention and health promotion. The implication for nursing curriculum reform is that attention to achieving nursing graduate capacity for primary health care and health promotion is a priority.


2021 ◽  
pp. 102539
Author(s):  
Hui Ding ◽  
Yiwei Chen ◽  
Min Yu ◽  
Jieming Zhong ◽  
Ruying Hu ◽  
...  

2019 ◽  
Vol 31 (5) ◽  
pp. 300-308
Author(s):  
Jérôme Pelletier ◽  
Sarah Vermette ◽  
Sophie Lauzier ◽  
Mathieu Bujold ◽  
Louise Bujold ◽  
...  

2019 ◽  
pp. 084456211986273
Author(s):  
Laurence Guillaumie ◽  
Dominique Therrien ◽  
Mathieu Bujold ◽  
Jérôme Pelletier ◽  
Louise Bujold ◽  
...  

Background Primary health care nurse practitioners (PHCNPs) can play a key role in chronic disease management. However, little is known about the challenges they face. Purpose The study aimed to describe PHCNPs’ perspectives on their role for patients with chronic health conditions, the barriers they face, and facilitating factors. Methods A qualitative descriptive exploratory study was conducted with 24 PHCNPs in the Canadian province of Quebec. Results PHCNPs believe that they are in an optimal position to address the needs of patients with chronic health conditions, especially in providing self-management support. However, PHCNPs reported feeling pressured to practice according to a biomedical model and to constantly defend their role in chronic disease management. They feel that they are frequently being diverted from their role to compensate for the lack of family doctors. PHCNPs made concrete recommendations to optimize their autonomous practice and quality of care: promoting strong interprofessional communication skills, genuine mentoring relationships between PHCNPs and partner physicians, managers upholding the full scope of PHCNPs’ practice, and a more flexible legislative framework. Conclusions The original conception of PHCNPs as health professionals with unique characteristics is at stake. The factors that should be targeted to support the autonomy of PHCNPs were identified.


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