File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Nurses in advanced roles as a strategy for equitable access to healthcare in the WHO Western Pacific region: a mixed methods study

TitleNurses in advanced roles as a strategy for equitable access to healthcare in the WHO Western Pacific region: a mixed methods study
Authors
KeywordsAdvanced practice nursing
Health equity
Health services accessibility
Nurse²s role
Professional role
Issue Date2021
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.human-resources-health.com/home/
Citation
Human Resources for Health, 2021, v. 19 n. 1, p. article no. 19 How to Cite?
AbstractBackground: The Western Pacific region constitutes one-quarter of the world’s population and has diverse health needs. While dialogue on and promotion of advanced practice nurses are ongoing, this study investigated the current responsibilities of nurses in advanced roles, future healthcare needs, and the implications of these components for nurses’ professional development within the Western Pacific region. Methods: This study employed three phases, a descriptive survey on the current status of nurses in advanced roles in the Western Pacific region, followed by a Delphi survey, and exploratory interviews. A total of 55 national experts with clinical, academic, and/or government-related backgrounds from 18 countries participated from December 2017 – December 2018. The descriptive survey via email to identify the status of nurses in advanced roles and a working definition was developed. This formed the basis for the Delphi survey, which identified key barriers and challenges for enhancing the development of nurses in advanced roles within the country (round 1) and for the region (rounds 2 and 3). Lastly, semi-structured individual interviews were conducted to identify strategies for establishing nurses in advanced roles to improve equitable access to healthcare. Results: Thirty-seven roles and characteristics were identified and categorized for nurses performing advanced roles. Emergency care, critical care, elderly health, child health, and rural/remote communities were identified as fields with particular need for nurses in advanced roles in the Western Pacific region. Providing effective services, influencing government leadership, and advocating for health system sustainability were deemed necessary to improve equitable healthcare access. We found that nurses in advanced roles are not limited to clinical tasks within the hospital but are poised for active participation in primary healthcare, education/teaching, professional leadership, quality management, and research. Conclusions: Demand for nurses in advanced roles is high in the Western Pacific region and 15 items were identified across five core strategic areas to enhance development of nurses in advanced roles. Governmental-level recommendations include establishing legislative protection, improving systems for remuneration, strengthening supportive channels, and conducting national needs assessments.
Persistent Identifierhttp://hdl.handle.net/10722/301320
ISSN
2018 Impact Factor: 2.547
2020 SCImago Journal Rankings: 1.396
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorKim, S-
dc.contributor.authorLee, TW-
dc.contributor.authorKim, GS-
dc.contributor.authorcho, E-
dc.contributor.authorJang, Y-
dc.contributor.authorChoi, M-
dc.contributor.authorBaek, S-
dc.contributor.authorLindsay, D-
dc.contributor.authorChan, S-
dc.contributor.authorLee, RLT-
dc.contributor.authorGuo, A-
dc.contributor.authorWong, FKY-
dc.contributor.authorYu, D-
dc.contributor.authorChair, SY-
dc.contributor.authorShimpuku, Y-
dc.contributor.authorMashino, S-
dc.contributor.authorLim, G-
dc.contributor.authorBonito, S-
dc.contributor.authorRumsey, M-
dc.contributor.authorNeill, A-
dc.contributor.authorHazarika, I-
dc.date.accessioned2021-07-27T08:09:22Z-
dc.date.available2021-07-27T08:09:22Z-
dc.date.issued2021-
dc.identifier.citationHuman Resources for Health, 2021, v. 19 n. 1, p. article no. 19-
dc.identifier.issn1478-4491-
dc.identifier.urihttp://hdl.handle.net/10722/301320-
dc.description.abstractBackground: The Western Pacific region constitutes one-quarter of the world’s population and has diverse health needs. While dialogue on and promotion of advanced practice nurses are ongoing, this study investigated the current responsibilities of nurses in advanced roles, future healthcare needs, and the implications of these components for nurses’ professional development within the Western Pacific region. Methods: This study employed three phases, a descriptive survey on the current status of nurses in advanced roles in the Western Pacific region, followed by a Delphi survey, and exploratory interviews. A total of 55 national experts with clinical, academic, and/or government-related backgrounds from 18 countries participated from December 2017 – December 2018. The descriptive survey via email to identify the status of nurses in advanced roles and a working definition was developed. This formed the basis for the Delphi survey, which identified key barriers and challenges for enhancing the development of nurses in advanced roles within the country (round 1) and for the region (rounds 2 and 3). Lastly, semi-structured individual interviews were conducted to identify strategies for establishing nurses in advanced roles to improve equitable access to healthcare. Results: Thirty-seven roles and characteristics were identified and categorized for nurses performing advanced roles. Emergency care, critical care, elderly health, child health, and rural/remote communities were identified as fields with particular need for nurses in advanced roles in the Western Pacific region. Providing effective services, influencing government leadership, and advocating for health system sustainability were deemed necessary to improve equitable healthcare access. We found that nurses in advanced roles are not limited to clinical tasks within the hospital but are poised for active participation in primary healthcare, education/teaching, professional leadership, quality management, and research. Conclusions: Demand for nurses in advanced roles is high in the Western Pacific region and 15 items were identified across five core strategic areas to enhance development of nurses in advanced roles. Governmental-level recommendations include establishing legislative protection, improving systems for remuneration, strengthening supportive channels, and conducting national needs assessments.-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.human-resources-health.com/home/-
dc.relation.ispartofHuman Resources for Health-
dc.rightsHuman Resources for Health. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAdvanced practice nursing-
dc.subjectHealth equity-
dc.subjectHealth services accessibility-
dc.subjectNurse²s role-
dc.subjectProfessional role-
dc.titleNurses in advanced roles as a strategy for equitable access to healthcare in the WHO Western Pacific region: a mixed methods study-
dc.typeArticle-
dc.identifier.emailYu, D: dyu1@hku.hk-
dc.identifier.authorityYu, D=rp02647-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12960-021-00555-6-
dc.identifier.pmid33588873-
dc.identifier.pmcidPMC7885366-
dc.identifier.scopuseid_2-s2.0-85101458604-
dc.identifier.hkuros323442-
dc.identifier.volume19-
dc.identifier.issue1-
dc.identifier.spagearticle no. 19-
dc.identifier.epagearticle no. 19-
dc.identifier.isiWOS:000620216300001-
dc.publisher.placeUnited Kingdom-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats