INTRODUCTION: Primary care nursing teams may now comprise registered nurses (usually termed practice nurses), nurse practitioners, physician assistants, enrolled nurses, and primary care practice assistants, clinical assistants, or nursing assistants. There is a need to understand how practitioners in the different roles work with patients in the changed environment. The aim of this study was to describe the different configurations of health professionals’ skill-mix in three dissimilar primary care practices, their inter- and intra-professional collaboration and communication, and to explore the potential of expanded.
nursing scopes and roles to improve patient access.
METHODS: Document review, observation and interviews with key stakeholders were used to explore how health practitioners in three practice settings work together, including their delegation, substitution, enhancement and innovation in roles and interdisciplinary interactions in providing patient care. A multiphaser integrative, qualitative and skill-mix framework analysis was used to compare findings related to
nursing skill-mix across case studies. FINDINGS: Three models of primary care provision, utilizing different nursing skill-mix and innovations were apparent. These illustrate considerable flexibility and responsiveness to local need and circumstances.
Nursing care Patients Responsibility
The primary responsibility of a nurse is to serve as a caregiver for patients by addressing their physical needs, preventing illnesses, and managing various health conditions. To achieve this, nurses must diligently observe and monitor the patients, as well as document any pertinent information to assist in the decision-making process for their treatment.
Nurses tend to injuries, administer medications, conduct regular medical examinations, maintain detailed medical records, monitor heart rates and blood pressure, perform diagnostic tests, operate medical equipment, collect blood samples, and admit or discharge patients in accordance with physician orders. Additionally, nurses ensure the comfort of patients, change dressings, communicate any changes in a patient's condition to fellow nurses or doctors, record patient activities, and undertake other relevant responsibilities."
NURSING PLANING
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"A nurse is directly involved in the decision-making process for the treatment of patients. Thus, it is essential that nurses think critically when assessing the signs of patients and identify potential problems in order to make appropriate recommendations.
Although clinicians such as doctors, physician assistants and nurse practitioners usually make the final treatment decisions, nurses also play a crucial role in patients' treatment plans. This is due to the fact that nurses are usually the most familiar with the individual patient, as they monitor their signs and symptoms on an ongoing basis. Thus, nurses must collaborate with other members of the medical team to promote optimal results for the patient's health.
Patient education and support
Nurses are also responsible for ensuring that patients can best understand their state of health, their diseases, their medications and their treatments. This is especially important when patients are discharged from the hospital and are responsible for continuing their treatments at home.
A nurse must take the time to explain to the patient, his family or his caregiver what to do and what to expect when they leave the hospital or medical clinic. The nurses must also ensure that the patient feels supported and knows where to look for additional information if necessary.
In all aspects of healthcare, nurses provide information, encourage healthy practices, share their expertise and help patients heal. By guiding patients and their families, nurses can also refer patients to other appropriate services, resources and courses.
In addition to when patients leave the hospital, nurses also educate patients about their daily care plan. This is essential for the success of the treatment, as patients must be prepared for all stages of their treatment and recovery. The nurses are also responsible for training and helping other nurses."
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CONCLUSION: Enabling nurses to work to the full extent of their scope, along with some adjustments to
the models of care, greater multidisciplinary cooperation and coordination could mitigate future workforce shortages and improve patient access to care.
Source by: Léonie Walker BSc, PhD;1,2 Jill Clendon RN, PhD;1,2 Katherine Nelson RN, PhD
