Abstract
The actual and future challenges part of providing healthcare services in primary care are strong motivations for expanding nursing roles. In this chapter, an international overview of the development of advanced practice nursing in primary care is presented. This includes a description of possible advanced practice nursing roles and work duties, as well as the impact that such roles have had, emanating from research results. In systematic reviews and international evaluations, researchers find that nurses working in advanced roles provide a high quality of care. The advanced practice nurse workforce in primary care is evolving worldwide. One international trend is the increasing use of nurse role expansion as a strategy to improve access to health services; improve quality of care; provide new, time-intense services (primarily for patients with chronic conditions); and/or improve efficiency in service delivery.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bing-Jonsson PC (2019) Avansert klinisk sykepleie i helse- og omsorgstjenester i kommunene. In: Fagerström L (ed) Avansert klinisk sykepleie. Gyldendal Akademisk, Oslo, pp 161–177
Bourbonniere M, Evans LK (2002) Advanced practice nursing in the care of frail older adults. J Am Geriatr Soc 50:2062–2076. https://doi.org/10.1046/j.1532-5415.2002.50621.x
Buchan J, Campbell J (2013) Challenges posed by the global crisis in the health workforce. BMJ 347:f6201. https://doi.org/10.1136/bmj.f6201
Christian R, Baker K (2009) Effectiveness of nurse practitioners in nursing homes. A systematic review. JBI Libr Syst Rev 7(30):1332–1351. https://doi.org/10.11124/01938924-200907300-00001
Delamaire M-L, Lafortune G (2010. http://www.oecdilibrary.org/social-issues-migration-health/nurses-in-advanced-roles_5kmbrcfms5g7-en. Accessed 29 May 2020) Nurses in advanced roles: a description and evaluation of experiences in 12 developed countries. In: OECD Health Working Paper, 54. https://doi.org/10.1787/5kmbrcfms5g7-en
DELSA/HEA (2016) Nurses in advanced roles in primary care: policy levers for implementation. Workshop—towards a more efficient use of health human resources: what lessons can we learn from innovations across OECD countries? 27 June, 2016 OECD Conference Centre, 2 rue André Pascal, Paris 16th arrondissement, France
Eidsberg kommune (2015) “Virtuell avdeling”. Sluttrapport for pilotprosjektet “Virtuell avdeling”—flere gode år i eget hjem med høy kvalitet på kommunale hjemmetjeneste. https://omsorgsforskning.brage.unit.no/omsorgsforskning-xmlui/bitstream/handle/11250/2485745/Eidsberg%20kommune.pdf?sequence=1&isAllowed=y. Accessed 29 May 2020
Garin N, Koyanagi A, Chatterji S, Tyrovolas S, Olaya B, Leonardi M, Lara E, Koskinen S, Tobias-Adamczyk B, Ayuso-Mateos JL, Haro JM (2016) Global multimorbidity patterns: a cross-sectional, population-based, multi-country study. J Gerontol A Biol Sci Med Sci 71(2):205–214. https://doi.org/10.1093/gerona/glv128
Henni SH, Kirkevold M, Antypas K, Foss C (2018) The role of advanced geriatric nurses in Norway. A descriptive exploratory study. Int J Older People Nurs 13:e12188. https://doi.org/10.1111/opn.12188
Henni SH, Kirkevold M, Antypas K, Foss C (2019) The integration of new nurse practitioners into care of older adults: a survey study. J Clin Nurs 28:2911–2923. https://doi.org/10.1111/jocn.14889
Holm Hansen E, Boman E, Bing-Jonsson P, Fagerström L (2020) Introducing nurse practitioners into Norwegian primary health care – experiences and learning. Res Theor Nurs Pract 34(1):21–34. https://doi.org/10.1891/1541-6577.34.1.21
Hughes F, Clark M (2002) Nurse practitioners in New Zealand. http://www.moh.govt.nz/NoteBook/nbbooks.nsf/0/DA9F59B23B35E201CC256C14008312BA/$file/NursePractitionersinNZ.pdf. Accessed 29 May 2020
International Council of Nurses (2020) Guidelines on advanced practice nursing. Geneva: ICN; 2020. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf. Accessed 11 May 2020
Kroetzen M, van Dijk L, Groenewegen P, Francke A (2011) Nurse prescribing of medicines in Western European and Anglo-Saxon countries. A systematic review of the literature. BMC Health Serv Res 11:1. https://doi.org/10.1186/1472-6963-11-127
Laurant M, Reeves D, Hermens R, Braspenning J, Grol R, Sibbald B (2005) Substitution of doctors by nurses in primary care. Cochrane Database Syst Rev (2). https://doi.org/10.1002/14651858.CD001271.pub2
Laurant M, Reees D, Hermens R, Baspåenning J, Grol R, Sibbald B (2014) Substitution of doctors by nurses in primary care. Cochrane Databse of Syst Rev (2): CD00d1271
Laurant M, van der Biezen M, Wijers N, Watananirun K, Kontopantelis E, van Vught AJAH (2018) Nurses as substitutes for doctors in primary care. Cochrane Database Syst Rev (7):CD001271. https://doi.org/10.1002/14651858.CD001271.pub3
Maier CB, Barnes H, Aiken LH, Busse R (2016) Descriptive, cross-country analysis of the nurse practitioner workforce in six countries: size, growth, physician substitution potential. BMJ Open 6:e011901. https://doi.org/10.1136/bmjopen-2016-011901
Maier CB, Aiken LH, Busse R (2017) Nurses in advanced roles in primary care. Policy levers for implementation. In: OECD Health Working Papers, p 98. https://doi.org/10.1787/a8756593-en
OECD (2008) The looming crisis in the health workforce. How can OECD countries respond? http://www.who.int/hrh/migration/looming_crisis_health_workforce.pdf?ua=1. Accessed 29 May 2020
OECD (2016) Health workforce policies in OECD countries: right jobs, Right skills, Right places. https://read.oecd-ilibrary.org/social-issues-migration-health/health-workforce-policies-in-oecd-countries_9789264239517-en#page1. Accessed 29 May 2020
Ono T, Schoenstein M, Buchan J (2014) Geographic imbalances in doctor supply and policy responses. Accessed 29 May 2020. https://doi.org/10.1787/5jz5sq5ls1wl-en
Seitio-Kgokgwe O, Gauld RDC, Hill PC, Barnett P (2015) Development of the national health information systems in Botswana: pitfalls, prospects and lessons. Online J Publ Health Inform. https://doi.org/10.5210/ojphi.v7/2.5630
World Health Organization (2007) Task shifting to tackle health worker shortages. WHO/HSS/2007.03. Accessed 29 May 2020
World Health Organization (2008) Task shifting: rational redistribution of tasks among health workforce teams: global recommendations and guidelines. http://www.who.int/healthsystems/TTRTaskShifting.pdf?ua=1. Accessed 29 May 2020
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Fagerström, L.M. (2021). Advanced Practice Nursing in Primary Care. In: A Caring Advanced Practice Nursing Model . Advanced Practice in Nursing. Springer, Cham. https://doi.org/10.1007/978-3-030-53555-1_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-53555-1_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-53554-4
Online ISBN: 978-3-030-53555-1
eBook Packages: MedicineMedicine (R0)