Addressing the Primary Care Workforce: A Study of Nurse Practitioner Students’ Plans After Graduation

Budd, Geraldine M.; Wolf, Andrea; Haas, Richard E.

doi:10.3928/01484834-20150218-21

Cited by 12 publications

(5 citation statements)

References 14 publications

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“…One study of novice NPs in primary care ( n = 177) reported mentorship, professional development and role support as facilitators of this transition [ 50 ]. Further, positive clinical experience and perceptions of mentorship and preceptors were identified as some of the top predictors of NP students choosing to work in primary care [ 77 ]. As a result of growing evidence, the US National Academy of Medicine has recommended establishing accredited and standardised postgraduate training for primary care providers, including NPs [ 78 ].…”

Section: Resultsmentioning

confidence: 99%

“…At the organisational level, the practice environment can serve as a facilitating factor, as evidenced by US rural NPs, who are more likely than their urban counterparts to manage their patient care as primary care providers independently [ 29 , 49 , 110 ]. At a personal level, professional development opportunities, institutional commitment to ongoing education, work-life balance, mentorship, autonomy, ability to use clinical assessment and decision-making skills [ 57 , 77 , 90 , 98 ] are additional factors that help attract and keep NPs in primary care practice.…”

Section: Discussionmentioning

confidence: 99%

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Practice pathways, education, and regulation influencing nurse practitioners’ decision to provide primary care: a rapid scoping review

Elvidge,

Hobbs,

Fox

et al. 2024

BMC Prim. Care

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Background/Objective Initially established to improve access to healthcare, particularly for primary care, the full potential of the nurse practitioner role is yet to be realised in most countries. Despite this, most countries are working to meet an ageing population’s increasing healthcare needs and reduce healthcare costs and access disparities. Achieving these outcomes requires reform at multiple levels, including nurse practitioner practice pathways, education and regulation, and identifying the barriers and facilitators to optimising their primary care role. Methods A rapid scoping review of nurse practitioner practice pathways, education and regulation inclusive of: (1) a systematic search of Medline and CINAHL for peer-reviewed English language articles, including opinion pieces published between January 2015 and February 2022; and (2) a web-based search of nurse practitioner program entry requirements of International Nurse Regulator Collaborative country members with a protected nurse practitioner title and prescribing rights, plus the Netherlands. The individually summarised search data was integrated and synthesised using Popay’s narrative approach. Results Emerging evidence from the included nurse practitioner courses (n = 86) and articles (n = 79) suggests nurse practitioners working in primary care provide safe, effective care and improve healthcare efficiencies. However, different regulatory and educational models are required if the primary care nurse practitioner is to meet growing demand. Conclusions International variations in entry criteria, curriculum, and regulation shape the global profile of the nurse practitioner primary care workforce and their practice setting. For countries to grow their primary care nurse practitioner workforce to meet unmet needs, different entry requirements, program content and accredited post-registration transitional programs must be urgently considered.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Practice pathways, education, and regulation influencing nurse practitioners’ decision to provide primary care: a rapid scoping review

Elvidge,

Hobbs,

Fox

et al. 2024

BMC Prim. Care

View full text Add to dashboard Cite

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“…Eleven articles considered regulatory changes to improve rural nursing and allied health workforce recruitment and retention. Of these, eight considered scope of practice and new roles to deal with intractable rural workforce shortages, while the remainder evaluated overseas recruitment (, Table 4.3) 43-53 …”

Section: Resultsmentioning

confidence: 99%

Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia

Osborne¹,

Piper²,

Alston³

et al. 2020

Medical Journal of Australia

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Chapter 1: Retail initiatives to improve the healthiness of food environments in rural, regional and remote communities Objective: To synthesise the evidence for effectiveness of initiatives aimed at improving food retail environments and consumer dietary behaviour in rural, regional and remote populations in Australia and comparable countries, and to discuss the implications for future food environment initiatives for rural, regional and remote areas of Australia. Study design: Rapid review of articles published between January 2000 and May 2020. Data sources: We searched MEDLINE (EBSCOhost), Health and Society Database (Informit) and Rural and Remote Health Database (Informit), and included studies undertaken in rural food environment settings in Australia and other countries. Data synthesis: Twenty‐one articles met the inclusion criteria, including five conducted in Australia. Four of the Australian studies were conducted in very remote populations and in grocery stores, and one was conducted in regional Australia. All of the overseas studies were conducted in rural North America. All of them revealed a positive influence on food environment or consumer behaviour, and all were conducted in disadvantaged, rural communities. Positive outcomes were consistently revealed by studies of initiatives that focused on promotion and awareness of healthy foods and included co‐design to generate community ownership and branding. Conclusion: Initiatives aimed at improving rural food retail environments were effective and, when implemented in different rural settings, may encourage improvements in population diets. The paucity of studies over the past 20 years in Australia shows a need for more research into effective food retail environment initiatives, modelled on examples from overseas, with studies needed across all levels of remoteness in Australia. Several retail initiatives that were undertaken in rural North America could be replicated in rural Australia and could underpin future research. Chapter 2: Which interventions best support the health and wellbeing needs of rural populations experiencing natural disasters? Objective: To explore and evaluate health and social care interventions delivered to rural and remote communities experiencing natural disasters in Australia and other high income countries. Study design: We used systematic rapid review methods. First we identified a test set of citations and generated a frequency table of Medical Subject Headings (MeSH) to index articles. Then we used combinations of MeSH terms and keywords to search the MEDLINE (Ovid) database, and screened the titles and abstracts of the retrieved references. Data sources: We identified 1438 articles via database searches, and a further 62 articles via hand searching of key journals and reference lists. We also found four relevant grey literature resources. After removing duplicates and undertaking two stages of screening, we included 28 studies in a synthesis of qualitative evidence. Data synthesis: Four of us read and assesse...

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“…A greater emphasis on gerodontological learning experiences during clinical placements has the potential to positively impact on future practice. Internationally, graduates who received gerodontology education have been found more likely to consider working with aged-care communities (Abbey et al, 2006;Budd et al, 2015). However, Nilsson et al (2018) identified a paucity of research in this area for the undergraduate dental curricula in Australia and found that clinical exposure to aged-care oral health at an undergraduate level could positively influence student learning outcomes.…”

Section: Introductionmentioning

confidence: 99%

Preparing dental graduates to provide care for frail and care-dependent older patients: An educational intervention

Nilsson

Young

Croker

2021

FoHPE

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Introduction: Australia’s population is living longer and retaining more of their dentition. While the demand for oral health services in residential aged-care facilities increases, there is a call for further inclusion of gerodontology in the undergraduate dental curriculum. This qualitative study explored the attitude of dental students to providing oral health care to older people using a pilot gerodontology curriculum as an intervention during a final-year clinical placement in Hobart, Tasmania.Methods: Focus groups with undergraduate dental students on clinical placement were conducted in 2018 prior to and after implementation of a pilot gerodontology curriculum. The qualitative data was thematically analysed.Results: Two focus groups were conducted with a total of 18 dental students. The main themes included: applied practical learning in aged care, unpreparedness for managing frail older patients, lack of confidence with the process of gaining consent from people with dementia, barriers to providing care to older people and interactions with residents and staff of residential aged-care facilities. Conclusions: This study highlighted the barriers for dental students providing care to older people. There is a need to evaluate how gerodontology is currently taught in the undergraduate dental curriculum to better prepare the dental workforce to respond effectively and more confidently to the growing population of dentate older people in residential aged-care facilities.

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Addressing the Primary Care Workforce: A Study of Nurse Practitioner Students’ Plans After Graduation

Cited by 12 publications

References 14 publications

Practice pathways, education, and regulation influencing nurse practitioners’ decision to provide primary care: a rapid scoping review

Practice pathways, education, and regulation influencing nurse practitioners’ decision to provide primary care: a rapid scoping review

Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia

Preparing dental graduates to provide care for frail and care-dependent older patients: An educational intervention

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