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Defining the Role of Primary Health Care Nurse Practitioners in Rural Nova Scotia Définir le rôle des infirmières praticiennes en soins primaires dans les régions rurales de la Nouvelle-Écosse

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Abstract:

This article reports on a mixed methods study to define the role of nurse practitioners (NPs) in rural Nova Scotia, Canada, by collecting the perceptions of rural health board chairpersons and health-care providers. Qualitative data were collected in telephone interviews with health board chairpersons. Quantitative data were collected in a survey of NPs, family physicians, public health nurses, and family practice nurses. The authors describe participants' perspectives on the health needs of rural communities, the gaps in the current model of primary health care services, the envisaged role of NPs in rural communities, and the facilitators of and barriers to NP role implementation. Optimizing the benefits of the NP role for residents of rural communities requires attention to the barriers that impede deployment and integration of the role.

French
Cet article présente une étude fondée sur des méthodes mixtes visant à définir le rôle des infirmières praticiennes (IP) dans les régions rurales de la province de la Nouvelle-Écosse au Canada. On a recueilli des données qualitatives par le biais d'entrevues téléphoniques auprès des présidents de conseils de santé, ainsi que des données quantitatives au moyen d'un questionnaire auquel ont répondu des IP, des médecins de famille, des infirmières de santé publique et des infirmières familiales. Les auteures décrivent le point de vue des répondants sur les besoins des communautés rurales en matière de santé; les lacunes relevées dans le modèle actuel de services de soins primaires; le rôle professionnel envisagé pour les IP dans les régions rurales et les facteurs qui facilitent ou entravent son établissement. Pour tirer le meilleur profit des avantages que présente cette fonction pour les populations des communautés rurales, il faudra prêter attention aux obstacles qui nuisent à son déploiement et à son intégration.

Keywords: NURSE PRACTITIONERS; PRIMARY HEALTH CARE; PROFESSIONAL ROLE; RURAL HEALTH SERVICES

Document Type: Research Article

Publication date: June 1, 2010

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