What is the current state of knowledge of the organizational attributes that influence RN contributions to WC within the context of primary care in high-income countries?
Registered nurses (general class or equivalent) who deliver well-child care in primary care settings. Data related to primary care nurses with a specialty in their area of practice will be included in the review. Data specific to nurse practitioners, licensed practical nurses or registered practical nurses will be excluded from the review. Where specific nursing designation is not specified, data will be excluded.
This review will include data related to organizational attributes that influence nursing contributions to well-child care. This includes but is not limited to factors related to the organizational context, staffing, scope of practice, and the work environment. Studies with a focus on nursing, roles, activities, and scope of practice will be included. Data related to any dimension of well-child care as outlined in the Rourke Baby Record will be included.
Due to health service delivery differences between high-income and middle to low-income countries, this review will be restricted to primary care settings in high-income countries to isolate the context of interest. Studies conducted in countries classified as high-income economies by the World Bank (2020) will be included. Primary care is defined by Starfield as the sector of health care in which individuals first establish contact with the health system for all new needs and problems, are provided person-focused care over time for all common needs, and receive coordination and integration of health services provided elsewhere by other members of the health care team (1998). Studies conducted in settings classified as primary care according to Starfield’s definition (Starfield, 1998) will be included in this review. Where a study includes multiple sectors, such as acute care and primary care, only data related to primary care will be included in the review. This review will exclude studies not focused on nursing within the primary care setting. Where a study includes multiple sectors, such as acute care and primary care, but does not categorize findings as such, the study will be excluded from this review.