title: Nurses' performance on primary care in the National Health Service in England.
abstract: OBJECTIVE
  To analyze the expansion of nursing roles in primary care in the English National Health Service and the implications for professional practice.
  
  
  METHODS
  qualitative research in case study format, held in London, England, in six primary care units. Data were obtained through interviews with nine nurses. After the thematic data analysis, two units emerged: the nurses' performance characteristics and effects of the expansion of nursing roles.
  
  
  RESULTS
  expansion of nurses' roles: consultation, diagnosis and drug therapy, case management and monitoring of chronic conditions. Repercussions: for the user, there was improved access, communication and comprehensive care, increased duration of consultations, resulting in greater adherence; for nurses, there was the expansion of professional skills, knowledge and professional recognition; to the health care system, it resulted in cost savings.
  
  
  CONCLUSIONS
  benefits in expanding nursing roles, were visible, contributing to primary care quality.
authors: Programa de Pós-Graduação em Biociências e Saúde, Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brasil.
authors: Beatriz Rosana Gonçalves de Oliveira
authors: BR
authors: Toso
authors: Postgraduate Program in Primary Care and Public Health, Centre for Primary Care and Public Health, University of London, London, Ingland.
authors: Jonathan
authors: J
authors: Filippon
authors: Departamento de Atenção Primária a Saúde, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
authors: Ligia
authors: L
authors: Giovanella
mesh_terms: D001291:Attitude of Health Personnel; D004739:England; D006801:Humans; D009313:National Health Programs; D024802:Nurse's Role; D011320:Primary Health Care; D036301:Qualitative Research