Aim: 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.
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