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Table 3 Summary of results

From: ‘Thinking outside the box’: advanced geriatric nursing in primary health care in Scandinavia

Domain

The current challenges in health services for older population

Categories

Care needs of comorbid older patients aging in place

Lack of competent staff

Organisational challenges

Sub-categories

Complex care needs

Medical competence

Collaboration

Loneliness and lack of social support

Competence in gerontology and geriatrics

Continuity

  

Resources

Domain

The envisioned GNP scope of practice in health services for the older population

Categories

Advanced competence closer to the patient

Autonomous role including task-shifting

Linking role

Sub-categories

Competence to meet the needs of geriatric patient

Autonomous role with focus on assessments

Link between patient, nurse and physician

Combining the nursing and medicine paradigm

Task-shifting

Link between patient and care

Being positioned close to the patients

 

Link to evidence-based practice

Domain

Factors influencing the implementation of the GNP role

Categories

GNP competence level

Unclear role and scope of practice

Openness to reorganisation

Sub-categories

Doubts about GNP competence level

Rights and obligations

Changing traditional systems

Taking on increased responsibility and gaining trust

GNP models

Allocation of resources