scholarly journals Registered Nurses in Primary Care

2017 ◽  
Vol 40 (4) ◽  
pp. 287-296 ◽  
Author(s):  
Margaret Flinter ◽  
Clarissa Hsu ◽  
DeAnn Cromp ◽  
MaryJoan D. Ladden ◽  
Edward H. Wagner
2020 ◽  
Vol 42 (12) ◽  
pp. 1078-1087
Author(s):  
Julia Lukewich ◽  
Michelle Allard ◽  
Lisa Ashley ◽  
Kris Aubrey-Bassler ◽  
Denise Bryant-Lukosius ◽  
...  

A Delphi (consensus) process was used to obtain national agreement on competencies for registered nurses (RNs) in primary care. A draft of competencies was developed by key informants. Following this, nurses with primary care experience/expertise completed a Delphi survey to rate the importance of competency statements on a six-point Likert scale. Statements not reaching consensus (agreement ≥80%) were modified and included in a second (final) round. The first survey was completed by 63% ( n = 86/137) of participants and 84% ( n = 72/86) of these participants completed the second survey. Most statements ( n = 45) achieved agreement after the first survey; one statement was dropped and two were combined following the second round. The final list of competencies consists of 47 statements across six domains (professionalism; clinical practice; communication; collaboration and partnership; quality assurance, evaluation, and research; leadership). National competencies will help strengthen the RN workforce within primary care, improve team functioning, and support role integration/optimization.


2021 ◽  
Author(s):  
Daiana Bonfim ◽  
Ana Carolina Cintra Nunes Mafra ◽  
Danielle da Costa Palacio ◽  
Talita Rewa

Abstract Background The balance between supply and demand for primary health care (PHC) services is one of the main challenges to the health system in Brazil. In this context, the application of planning methods could benefit the decision-making process for human resources organizations. Hence, the objective of this study was to assess the staffing needs for registered nurses (RNs) and licensed practical nurses (LPNs) at PHC services using the WISN method. Methods The Workload Indicators of Staffing Need (WISN) methodology was applied at 13 Primary Care Units (PCU) located in the city of São Paulo, Brazil. It included 87 RNs and 174 LPNs, and used data from 2017 to 2019. Results The WISN results found that RNs were under high workload pressure at 10 PCUs (77%) in 2017 and 2018, with a decrease to 8 PCUs (61%) in 2019. For LPNs, high workload pressure increased from 2 PCUs (15%) in 2017 to 13 PCUs (100%) in 2018, with a decrease to 11 (85%) in 2019. Conclusion The assessment of staffing needs for RNs and LPNs at the PCUs included in the study identified a consistent deficit in the number of professionals, and high workload pressure in most services throughout the study period.


Nursing Open ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. 1197-1207 ◽  
Author(s):  
Monica Swanson ◽  
Sabrina T. Wong ◽  
Ruth Martin‐Misener ◽  
Annette J. Browne

2013 ◽  
Vol 23 (15-16) ◽  
pp. 2284-2294 ◽  
Author(s):  
Ann-Sofi Östlund ◽  
Barbro Wadensten ◽  
Elisabeth Häggström ◽  
Marja-Leena Kristofferzon

Author(s):  
Crystal Barrett ◽  
Maria Mathews ◽  
Marie-Eve Poitras ◽  
Allison A. Norful ◽  
Ruth Martin-Misener ◽  
...  

2021 ◽  
pp. 084456212110583
Author(s):  
Suzanne Braithwaite ◽  
Joan Tranmer ◽  
Rosemary Wilson ◽  
Joan Almost ◽  
Deborah Tregunno

Background Scope of practice enactment is poorly understood in the primary care setting. Purpose The following research objectives were addressed: (1) to revise and adapt the Actual Scope of Practice (ASCOP) questionnaire for use in the primary care setting, and (2) to determine internal consistency, construct validity, and sensitivity of the modified instrument. Methods To address the first objective, a narrative literature review and synthesis and an expert panel review was conducted. To address the second objective, a cross-sectional survey of 178 registered nurses who worked in primary care was conducted. Results The ASCOP, with few modifications, addressed key attributes of nursing scope of practice in the primary care setting. The modified instrument yielded acceptable alpha coefficients ranging from 0.66 to 0.91. Total mean score of 4.8 (SD  =  .67) suggests that registered nurses within interprofessional primary care teams almost always engage in activities reflected in the modified instrument. Conclusions The modified instrument is the first instrument validated to measure nursing scope of practice enactment in the primary care setting. Findings from this study support the use of the modified ASCOP questionnaire as a reliable and valid measure of scope of practice enactment among primary care registered nurses.


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