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Open Access Role Transition in Rural and Remote Primary Health Care Nursing: A Scoping Literature Review L'évolution du rôle de l'infirmière dans le secteur des soins primaires en région rurale et éloignée : un examen de la portée des études sur la question

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In order to align health services with population health needs, health authorities in sparsely populated rural and northern Canada are exploring how to better organize and deliver primary health care (PHC) services. A significant component of PHC innovation involves changes to the roles, work settings, and practice modes of registered nurses. While many studies have identified the need to revise nursing roles, few have examined the transition itself. The authors present the findings of a scoping literature review examining the transition of nursing roles in PHC, with a focus on rural and remote settings. Their review of 69 articles provides clear examples of the process of role transition and key professional and organizational issues, while also identifying the supports needed to change and sustain nurses' roles and responsibilities in PHC.

French
Afin de répondre adéquatement aux besoins de la population en matière de santé, les autorités sanitaires des localités peu peuplées des régions rurales et nordiques du Canada étudient aujourd'hui les moyens à mettre en œuvre pour améliorer l'organisation et la prestation des soins de santé primaires (SSP). Un aspect important de cette réflexion touche l'évolution des rôles, des milieux de travail et du champ d'exercice des infirmières autorisées. Même si un grand nombre d'études insistent sur la nécessité de revoir le rôle des infirmières, peu se penchent sur la question de la transition en soi. Les auteures présentent les conclusions d'un examen de 69 articles scientifiques sur l'évolution des rôles dévolus aux infirmières en SSP, notamment en milieu rural et éloigné. Leur recension offre des exemples concrets du processus de transition et des grandes questions professionnelles et organisationnelles qui s'y rattachent, tout en définissant les appuis qu'il faudra mobiliser pour transformer et soutenir les rôles et les responsabilités des infirmières en SSP.

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Keywords: NURSING ROLES; PRIMARY HEALTH CARE; ROLE TRANSITION; RURAL AND REMOTE

Document Type: Research Article

Publication date: 2010-12-01

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