Transforming health care delivery: The role of primary health care nurses in rural and remote Australia.
Aim: This paper describes the policy context and approaches taken to improve access to primary health care in Australia by supporting nurses to deliver improved integrated care meeting community needs. Context: In Primary Health Care (PHC), the nursing workforce are predominantly employed in the gen...
| Published in: | Australian Journal of Rural Health Vol. 32; no. 3; pp. 592 - 597 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Published: |
Wiley-Blackwell
Jun2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177773083&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177773083 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10385282 FQO jtl: Australian Journal of Rural Health issn: 10385282 maglogo: Y pubinfo: dt: Jun2024 vid: 32 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 177773083 176412090 10.1111/ajr.13120 177773083 ppf: 592 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Transforming health care delivery: The role of primary health care nurses in rural and remote Australia. aug: au: Robinson, Tracy Govan, Linda Bradley, Cressida Rossiter, Rachel affil: School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Orange New South Wales,, Australia sug: subj: Access to Primary Care Legislation and Jurisprudence Nursing Role Primary Care Nurse Practitioners Health Care Delivery, Integrated Rural Health Medically Underserved Area Australia Community Health Services Needs Assessment Health Policy Australia Rural Population Nursing Shortage Workforce Organizational Structure Educational Status Socioeconomic Factors Scope of Nursing Practice Health Resource Allocation Government Agencies ab: Aim: This paper describes the policy context and approaches taken to improve access to primary health care in Australia by supporting nurses to deliver improved integrated care meeting community needs. Context: In Primary Health Care (PHC), the nursing workforce are predominantly employed in the general practice sector. Despite evidence that nurse‐led models of care can bridge traditional treatment silos in the provision of specialised and coordinated care, PHC nurses' scope of practice varies dramatically. Nurse‐led models of care are imperative for rural and remote populations that experience workforce shortages and barriers to accessing health care. Existing barriers include policy constraints, limited organisational structures, education and financing models. Approach: The Australian Primary Health Care Nurses Association (APNA) received funding to implement nurse‐led clinics as demonstration projects. The clinics enable PHC nurses to work to their full scope of practice, improve continuity of care and increase access to health care in under serviced locations. We reviewed a range of peer‐reviewed literature, policy documents, grey literature and APNA provided sources, particularly those relevant to rural and remote populations. We argue more focus is needed on how to address variations in the scope of practice of the rural and remote PHC nursing workforce. Conclusion: Despite growing evidence for the effectiveness of nurse‐led models of care, significant policy and financial barriers continue to inhibit PHC nurses working to their full scope of practice. If their potential to transform health care and increase access to health services is to be realised these barriers must be addressed. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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