Reference : Dissertations

Escalating rates of chronic conditions, health inequities and workforce shortages challenge health care systems globally (World Health Organization [WHO] 2003). Nurses work in both autonomous and collaborative care practice settings (International Council of Nursing nd). Across the life span and a range of conditions nurses intervene to improve health outcomes for individuals, families and communities. Since the World Health Organization's Declaration of Alma-Ata in 1978 (WHO 1978), health care systems have looked to the primary care setting for driving health care reforms. Primary care refers to health care, based on the best available evidence and culturally appropriate methods, which is readily accessible to people in their communities (WHO 2003). Promoting community development; health promotion; illness prevention; and care of people who are unwell are key initiatives of nurses internationally and are increasing in importance. In developed societies, the general practice setting is a focus of primary care nursing interventions. In general practice, nurses play a critical role in working with health professionals and community health workers to improve the health outcomes of individuals, families and communities. Advances in General Practice Nursing provides a thought provoking comment on nurses working in an evolving sphere of nursing practice. Although nurses have worked in the primary care setting for many years, the role and scope of practice is not as well described as other areas of nursing practice, primarily due to the limited research and scholarship compared with their acute and critical care colleagues. In Meeting a Primary Care Challenge in the United States: Chronic Illness Care, Saxe, a nurse practitioner, describes how advance practice nursing can improve outcomes for chronic illness in the community. Somchit Hanucharurnkul provides an insight into the nurse practitioner model in Thailand and how this model is culturally acceptable and ap more...

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