title: Primary health care registered nurses' types in implementation of health promotion practices.
abstract: Aim This study aimed to identify and reach consensus among primary health care participants [registered nurses (RNs) who receive clients, directors of nursing, senior physicians, health promotion officers, and local councillors] on the types of service provider that RNs who receive clients represent in the implementation of health promotion practices in primary health care in Eastern Finland.
  
  
  
  There is an increasing focus on public health thinking in many countries as the population ages. To meet the growing needs of the health promotion practices of populations, advance practice has been recognized as effective in the primary health care setting. The advance practice nurses share many common features, such as being RNs with additional education, possessing competencies to work independently, treating clients in both acute and primary care settings, and applying a variety of health promotion practices into nursing.
  
  
  
  The two-stage modified Delphi method was applied. In round one, semi-structured interviews were conducted among primary health care participants (n=42) in 11 health centres in Eastern Finland. In round two, a questionnaire survey was conducted in the same health centres. The questionnaire was answered by 64% of those surveyed (n=56). For data analysis, content analysis and descriptive statistics were used. Findings This study resulted in four types of service provider that RNs who receive clients represented in the implementation of health promotion practices in the primary health care setting in Eastern Finland. First, the client-oriented health promoter demonstrated four dimensions, which reached consensus levels ranging between 82.1 and 89.3%. Second, the developer of health promotion practices comprised four dimensions, which reached consensus levels between 71.4 and 85.7%. Third, the member of multi-professional teams of health promotion practices representing three dimensions, with consensus levels between 69.6 and 82.1%. Fourth, the type who showed interest towards health policy reached a consensus level of 55.4% in this study.
authors.affiliation: 1PhD Student in Health Science,Department of Nursing Science, Faculty of Health Sciences,University of Eastern Finland,Kuopio,Finland.
authors.forename: Virpi
authors.initials: V
authors.lastname: Maijala
authors.affiliation: 2Professor of Nursing,Department of Nursing Science, Faculty of Health Sciences,University of Eastern Finland,Kuopio,Finland.
authors.forename: Kerttu
authors.initials: K
authors.lastname: Tossavainen
authors.affiliation: 3Professor of Nursing,Head of the Department,Department of Nursing Science, Faculty of Health Sciences,University of Eastern Finland,Kuopio,Finland.
authors.forename: Hannele
authors.initials: H
authors.lastname: Turunen
mesh_terms: D005260:Female; D005387:Finland; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D024802:Nurse's Role; D009726:Nurses; D059017:Primary Care Nursing / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*
keywords: health promotion practice; primary health care; registered nurses