Primary health care nurse practitioners in Canada. 2007

Alba DiCenso, and Lucille Auffrey, and Denise Bryant-Lukosius, and Faith Donald, and Ruth Martin-Misener, and Sue Matthews, and Joanne Opsteen
Nursing and Clinical Epidemiology & Biostatistics, CHSRF/CIHR Chair in Advanced Practice Nursing, McMaster University, Hamilton, ON, Canada.

Canada, like many countries, is in the midst of primary health care reform. A key priority is to improve access to primary health care, especially in remote communities and areas with physician shortages. As a result, there is an increased emphasis on the integration of primary health care nurse practitioners. As of March 2006, legislation exists in all provinces and two territories in Canada that allows nurse practitioners (NPs) to implement their expanded nursing role. In this paper, we will briefly review the historical development of the NP role in Canada and situate it in the international context; describe the NP role, supply of NPs in the country, and the settings in which they work; propose an NP practice model framework; summarize facilitators and barriers to NP role implementation in primary health care delivery; and outline strategies to address the barriers.

UI MeSH Term Description Entries
D009722 Nurse Practitioners Nurses who are specially trained to assume an expanded role in providing medical care under the supervision of a physician. Nurse Practitioner,Practitioner, Nurse,Practitioners, Nurse
D011320 Primary Health Care Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192) Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D002170 Canada The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.
D000078329 Workforce The number of people working or available for work or service. Human Resources,Labor Supply,Manpower,Staffing,Womanpower,Human Resource,Labor Supplies,Manpowers,Staffings,Supply, Labor,Womanpowers,Workforces
D017132 Workplace Place or physical location of work or employment. Job Site,Work Location,Work Place,Work-Site,Worksite,Job Sites,Location, Work,Work Locations,Work Places,Work Site,Work-Sites,Workplaces,Worksites
D017146 Models, Organizational Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups. Organizational Models,Model, Organizational,Organizational Model
D019555 Physician-Nurse Relations The reciprocal interaction of physicians and nurses. Nurse-Physician Relations,Physician Nurse Relationship,Nurse Physician Relations,Nurse Relationship, Physician,Nurse Relationships, Physician,Nurse-Physician Relation,Physician Nurse Relations,Physician Nurse Relationships,Physician-Nurse Relation,Relation, Nurse-Physician,Relation, Physician-Nurse,Relations, Nurse-Physician,Relations, Physician-Nurse,Relationship, Physician Nurse,Relationships, Physician Nurse
D024802 Nurse's Role The expected function of a member of the nursing profession. Nurse's Scope of Practice,Nurses Role,Nurses' Role,Nurse Role,Nurse Scope, Practice,Nurse's Roles,Nurses Roles,Nurses Scope, Practice,Nurses' Roles,Practice Nurse's Scope,Practice Nurse's Scopes,Role, Nurse's,Role, Nurses,Role, Nurses',Roles, Nurse's,Roles, Nurses,Roles, Nurses'

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