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Nurses in advanced roles in primary care: Policy levers for implementation

Author

Listed:
  • Claudia B. Maier

    (Technical University, Berlin)

  • Linda H. Aiken

    (University of Pennsylvania)

  • Reinhard Busse

    (Technical University, Berlin)

Abstract

Many OECD countries have undergone reforms over the past decade to introduce advanced roles for nurses in primary care to improve access to care, quality of care and/or to reduce costs. This working paper provides an analysis of these nurse role developments and reforms in 37 OECD and EU countries. Four main trends emerge: 1) the development in several countries of specific advanced practice nursing roles at the interface between the traditional nursing and medical professions; 2) the introduction of various new, supplementary nursing roles, often focused on the management of chronic conditions; 3) the rise in educational programmes to train nurses to the required skills and competencies; and 4) the adoption of new laws and regulations in a number of countries since 2010 to allow certain categories of nurses to prescribe pharmaceuticals (including in Estonia, Finland, France, Netherlands, Poland and Spain).

Suggested Citation

  • Claudia B. Maier & Linda H. Aiken & Reinhard Busse, 2017. "Nurses in advanced roles in primary care: Policy levers for implementation," OECD Health Working Papers 98, OECD Publishing.
    • Handle: RePEc:oec:elsaad:98-en
    DOI: 10.1787/a8756593-en
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    Citations

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    Cited by:

    1. Köppen, Julia & Maier, Claudia B. & Busse, Reinhard, 2018. "What are the motivating and hindering factors for health professionals to undertake new roles in hospitals? A study among physicians, nurses and managers looking at breast cancer and acute myocardial ," Health Policy, Elsevier, vol. 122(10), pages 1118-1125.
    2. Torunn Kitty Vatnøy & Tor‐Ivar Karlsen & Bjørg Dale, 2019. "Exploring nursing competence to care for older patients in municipal in‐patient acute care: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3339-3352, September.
    3. Ingrid Taylor & Pia Bing‐Jonsson & Sigrid Wangensteen & Elisabeth Finnbakk & Leiv Sandvik & Brendan McCormack & Lisbeth Fagerström, 2020. "The self‐assessment of clinical competence and the need for further training: A cross‐sectional survey of advanced practice nursing students," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(3-4), pages 545-555, February.
    4. Kinga Harpula & Anna Bartosiewicz, 2022. "Factors Influencing Nurses’ Opinions on the Implementation of Nursing Advice in Poland," IJERPH, MDPI, vol. 19(13), pages 1-9, June.
    5. Silje Havrevold Henni & Marit Kirkevold & Konstantinos Antypas & Christina Foss, 2019. "The integration of new nurse practitioners into care of older adults: A survey study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2911-2923, August.
    6. Burau, Viola & Mejsner, Sofie Buch & Falkenbach, Michelle & Fehsenfeld, Michael & Kotherová, Zuzana & Neri, Stefano & Wallenburg, Iris & Kuhlmann, Ellen, 2024. "Post-COVID health policy responses to healthcare workforce capacities: A comparative analysis of health system resilience in six European countries," Health Policy, Elsevier, vol. 139(C).
    7. Dorota Kilańska & Anna Lipert & Marika Guzek & Per Engelseth & Michał Marczak & Kamila Sienkiewicz & Remigiusz Kozłowski, 2021. "Increased Accessibility to Primary Healthcare Due to Nurse Prescribing of Medicines," IJERPH, MDPI, vol. 19(1), pages 1-22, December.
    8. Marlene Carvalho & Filomena Gaspar & Teresa Potra & Pedro Lucas, 2022. "Translation, Adaptation, and Validation of the Self-Efficacy Scale for Clinical Nurse Leaders for the Portuguese Culture," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    9. Kotherová Zuzana & Caithamlová Martina & Nemec Miroslav, 2023. "Factors Influencing the Involvement of Nurses in Preventive Care and Health Literacy in the Czech Republic," Central European Journal of Public Policy, Sciendo, vol. 17(2), pages 33-50, December.
    10. Kuhlmann, Ellen & Groenewegen, Peter P. & Bond, Christine & Burau, Viola & Hunter, David J., 2018. "Primary care workforce development in Europe: An overview of health system responses and stakeholder views," Health Policy, Elsevier, vol. 122(10), pages 1055-1062.

    More about this item

    Keywords

    policy response; policyresponse;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J2 - Labor and Demographic Economics - - Demand and Supply of Labor

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