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Characteristics of nursing encounters in primary healthcare in remote areas: a survey of nurses’ patient record documentation and self-report
Umeå University, Faculty of Medicine, Department of Nursing. Department of Nursing, Åland University of Applied Sciences, Mariehamn, Åland, Finland.ORCID iD: 0000-0003-2360-757X
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0002-1848-060x
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0003-3716-6445
Umeå University, Faculty of Medicine, Department of Nursing. Department of Nursing, Åland University of Applied Sciences, Mariehamn, Åland, Finland.ORCID iD: 0000-0002-3989-609X
2021 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 41, no 2, p. 84-91Article in journal (Refereed) Published
Abstract [en]

To meet both current and future competence needs, improved and updated understanding of nurses’ scope of practice when working in remote communities is needed. The aim was to describe and analyze the characteristics of nursing encounters in primary healthcare in remote areas. The setting for the study was an island community in Finland. Nurses’ patient record documentation and self-reports on patient encounters were surveyed (n = 1062). Patients aged ≥65 years accounted for most encounters. Great variety in the encounters was seen, though some nursing tasks and patient conditions were overrepresented. For patient safety reasons, it is important to review how nurses maintain competence regarding those tasks and conditions encountered less often. Primary healthcare services should focus on the broader determinants of health. However, a more disease-oriented focus was seen. To ensure quality of care in primary healthcare in remote areas, there is a need for standardized routines for monitoring patients and documenting findings and performed interventions.

Place, publisher, year, edition, pages
Sage Publications, 2021. Vol. 41, no 2, p. 84-91
Keywords [en]
nursing encounters, primary health nurses, registered nurses, remote areas, scope of practice, survey
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-182435DOI: 10.1177/2057158520973165Scopus ID: 2-s2.0-85132259666OAI: oai:DiVA.org:umu-182435DiVA, id: diva2:1546273
Available from: 2021-04-21 Created: 2021-04-21 Last updated: 2022-07-04Bibliographically approved

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Lundberg, AnnaGyllencreutz, LinaSaveman, Britt-IngerBoman, Erika

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