Authors
Sanna-Maria Nurmi, Anne-Mari Haavisto, Katja Heikkinen, Tarja Heino-Tolonen, Tuija Lehtikunnas, Virpi Sulosaari
Published in
Nursing outlook. Volume 74. Issue 5. Pages 102852. Aug 04, 2026. Epub Aug 04, 2026.
Abstract
In Finland, Nurse Practitioner (NP) role integration remains fragmented amid ongoing health and social care reform. Leadership is a key determinant of role development, yet evidence on how nurse leaders advance NP role integration remains limited.
To examine nurse leaders' perceptions of NP role integration within Finland's wellbeing services counties (WSCs).
A qualitative descriptive design was used. Data were collected through four focus group interviews with 18 nurse leaders from four WSCs and analyzed using qualitative content analysis.
Successful NP integration requires strong nursing leadership and governance. Although large-scale reforms create opportunities to redesign professional roles and workforce models, integration depends on a clear strategic vision and coordinated leadership across policy, organizational and clinical levels. Even when the value of NP roles is recognized, implementation is likely to remain fragmented unless nursing leaders are actively involved in workforce planning, service development and health policy decision-making.
PMID:
42551089
Bibliographic data and abstract were imported from PubMed on 05 Aug 2026.
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