Beatriz Rosana Gonçalves de Oliveira Toso1, Jonathan Filippon2, Ligia Giovanella3. 1. Programa de Pós-Graduação em Biociências e Saúde, Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brasil. 2. Postgraduate Program in Primary Care and Public Health, Centre for Primary Care and Public Health, University of London, London, Ingland. 3. Departamento de Atenção Primária a Saúde, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
Abstract
OBJECTIVE: To analyze the expansion of nursing roles in primary care in the English National Health Service and the implications for professional practice. METHOD: qualitative research in case study format, held in London, England, in six primary care units. Data were obtained through interviews with nine nurses. After the thematic data analysis, two units emerged: the nurses' performance characteristics and effects of the expansion of nursing roles. RESULTS: expansion of nurses' roles: consultation, diagnosis and drug therapy, case management and monitoring of chronic conditions. Repercussions: for the user, there was improved access, communication and comprehensive care, increased duration of consultations, resulting in greater adherence; for nurses, there was the expansion of professional skills, knowledge and professional recognition; to the health care system, it resulted in cost savings. CONCLUSION: benefits in expanding nursing roles, were visible, contributing to primary care quality.
OBJECTIVE: To analyze the expansion of nursing roles in primary care in the English National Health Service and the implications for professional practice. METHOD: qualitative research in case study format, held in London, England, in six primary care units. Data were obtained through interviews with nine nurses. After the thematic data analysis, two units emerged: the nurses' performance characteristics and effects of the expansion of nursing roles. RESULTS: expansion of nurses' roles: consultation, diagnosis and drug therapy, case management and monitoring of chronic conditions. Repercussions: for the user, there was improved access, communication and comprehensive care, increased duration of consultations, resulting in greater adherence; for nurses, there was the expansion of professional skills, knowledge and professional recognition; to the health care system, it resulted in cost savings. CONCLUSION: benefits in expanding nursing roles, were visible, contributing to primary care quality.
Authors: Eduarda Ferreira Dos Anjos; Poliana Cardoso Martins; Nília Maria Brito De Lima Prado; Vanessa Moraes Bezerra; Patty Fidelis De Almeida; Adriano Maia Dos Santos Journal: Asian Pac J Cancer Prev Date: 2021-08-01