Nurses in advanced roles in primary care

Abstract

All Health Working Papers are now available through the OECD website at: http://www.oecd.org/els/health-systems/health-working-papers.htm JT03422943 This document, as well as any data and map included herein, are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area.

Evidence‐informed policymaking: Modelling nurses' career pathway from registered nurse to advanced practice nurse

“…APN refers to nursing beyond the level of front-line nursing that maximizes the use of graduate educational preparation, in-depth nursing knowledge, and expertise (Delamaire & Lafortune, 2010;Maier et al, 2017 ;Sheer & Wong, 2008). The umbrella term "APN" encompasses various types of roles such as clinical nurse specialist and nurse practitioner (NP), which are the two most common APN roles internationally (Maier et al, 2017;Sheer & Wong, 2008). Studies have revealed several, even hundreds, of job titles in use (Leary, Maclaine, Trevatt, Radford, & Punshon, 2017;Pulcini, Jelic, Gul, & Loke, 2010).…”

“…Studies have revealed several, even hundreds, of job titles in use (Leary, Maclaine, Trevatt, Radford, & Punshon, 2017;Pulcini, Jelic, Gul, & Loke, 2010). The array of titles used is found a problematic issue in several countries across Europe causing disparity and confusion (Dury et al, 2014;Leary et al, 2017;Maier et al, 2017;Mohr & Coke, 2018). Recently, some organizations have begun to develop frameworks for APN; however, there is a paucity of information guiding the policymaking or practice implementation process (Chang, Gardner, Duffield, & Ramis, 2012;Schober, Gerrish, & McDonnell, 2016).…”

“…The first APN role, clinical nurse specialist (CNS), emerged at the beginning of this century. Similar to many countries, APN roles are not regulated in Finland and have varying titles and job descriptions within organizations (Dury et al, 2014;Flinkman, 2018;Maier et al, 2017). Similar to many countries, APN roles are not regulated in Finland and have varying titles and job descriptions within organizations (Dury et al, 2014;Flinkman, 2018;Maier et al, 2017).…”

“…While policy incentives can encourage the uptake of new nursing roles, the final decisions to recruit and employ RNs in advanced roles are made by the organizations(Maier et al, 2017). Steps must be taken to evaluate the understanding and intake of these recommendations in the near future.…”

Implementing primary healthcare nurse practitioners in long‐term care teams: A qualitative descriptive study

“…Québec is one province in Canada; the government will add 2,000 NPs over the next decade to improve access to and quality of primary care in different settings, including LTC. Graduate-level university education and experience allow NPs to treat acute conditions, monitor stable chronic conditions and prescribe and monitor medications and tests (Maier, Aiken, & Busse, 2017; Ordre des infirmières et infirmiers du Québec, & Collège des médecins du Québec, 2014). International studies demonstrate that NPs increase access to services in LTC (Joanna Briggs Institute, 2010).…”