title: Health promotion practices delivered by primary health care nurses: Elements for success in Finland.
abstract: OBJECTIVE
  The aim of this study was to identify and reach a consensus on the elements needed for the success of health promotion practices delivered by registered nurses (RNs) who receive clients in primary health care among primary health care participants in eastern Finland.
  
  
  BACKGROUND
  Advanced practice nurses are a reaction to the changing health needs of society. These nurses have come to play a significant part in improving health-promotive care in the primary health care setting.
  
  
  METHODS
  A mixed method two-stage Delphi technique was applied.
  
  
  RESULTS
  A health-promoting organizational culture (e.g., the respectful management of health promotion) and nurses' health orientation and development (e.g., nurses' professional growth and work well-being) were found as the main elements required for the success of the health promotion practices in primary health care.
  
  
  CONCLUSIONS
  A health-promoting organizational culture with the strategic and respectful leadership of health promotion is significant in the implementation of the health promotion practices delivered by RNs in primary health care.
authors.affiliation: University of Eastern Finland, Faculty of Health Sciences, Department of Nursing Science, Kuopio, FI-70211 Finland. Electronic address: vkemppai@uef.fi.
authors.forename: Virpi
authors.initials: V
authors.lastname: Maijala
authors.affiliation: University of Eastern Finland, Faculty of Health Sciences, Department of Nursing Science, Kuopio, FI-70211 Finland. Electronic address: kerttu.tossavainen@uef.fi.
authors.forename: Kerttu
authors.initials: K
authors.lastname: Tossavainen
authors.affiliation: University of Eastern Finland, Faculty of Health Sciences, Department of Nursing Science, Kuopio, FI-70211 Finland. Electronic address: hannele.turunen@uef.fi.
authors.forename: Hannele
authors.initials: H
authors.lastname: Turunen
mesh_terms: D003697:Delphi Technique; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D009740:Nursing Staff; D011320:Primary Health Care / Q000458:organization & administration*
keywords: Health promotion practice; Primary health care; Registered nurses