Transforming Nursing Education and Practice: a Review on the Innovation Strategy towards Sustainable Primary Healthcare Workforce

Nurses embody largest group of healthcare providers and the initial access of patient contact in many settings. They convey primary care in small and large hospital practices in clinics, schools and workplace. They function independent and collaborative practices often taking lead clinical, management, accountability roles in innovative means in rural areas, where modern technology-assisted care delivery is little. The researcher-utilized reviews using content analysis to address aim of identifying barriers and innovation strategies that nurses have helped implement in health services to transform primary healthcare. Search strategy is based on combining terms including, health innovation, practice, innovation strategy, and primary healthcare policy, yielded 84 results. Due to diverse potential findings, the review utilized degrees of criteria selection. Multi-staging strategy was developed to identify relevant review literatures. ProQuest and Ebscohost serve as databases during retrieval. Results revealed barriers to transforming PHC practice include frequent staff turnover, scope-of-practice limitation, fragmentation of care and lack of support from key stakeholders. Literatures unveiled that these be resolved by allowing nurses practice fully their training, expanding opportunities for nurses to lead collaborative efforts and implementing nurse residency program. Additionally, transition programs should typically include periods of orientation, preceptorship from key stakeholders to promote innovative culture in workplace.