ArticleBMC primary care2023
The patient's first point of contact (PINPOINT) - protocol of a prospective multicenter study of communication and decision-making during patient assessments by primary care registered nurses.
Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06067672 (The Patient's First Point of Contact), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Patient's First Point of Contact (PINPOINT) - Protocol of a Prospective Multicentre Study of Communication and Decision-making During Patient Assessments by Primary Care Practice Nurses
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Determinants and Motivations of Vaccination Hesitancy and Uptake in Nurses: A Systematic Review and Meta-Analysis.Journal of clinical nursing · 2025Pooled it
- Building a Mental Health-Ready Nursing Workforce: A Scoping Review of Preparatory Interventions.International journal of mental health nursing · 2026Article
- Nurses' Roles, Challenges, and Reported Outcomes in Rural and Remote Healthcare: A JBI-Aligned Scoping Review (PRISMA-ScR).Healthcare (Basel, Switzerland) · 2026Review
- Juggling conflicting demands: registered nurses' experiences of goal conflicts in acute illness consultations in primary care - a thematic analysis.BMC primary care · 2026Article
- Health literacy and biosimilar acceptance in people with multiple sclerosis: a cross-sectional study.BMC nursing · 2026Article
- Barriers and implementation strategies for physical activity on prescription (PAP): healthcare personnel and management perspectives in Sweden-An explanatory sequential study design.BMC primary care · 2025Article
- Patient-Registered Nurse Communication: Exploring Patients' Expectations and Experience in Primary Care Consultations.Health expectations : an international journal of public participation in health care and health policy · 2025Observational
- More than chest pain: A case of oesophageal foreign body ingestion.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA major challenge for primary care is to set priorities and balance demands with available resources. The registered nurses in this study are practice nurses working in primary care offices, playing a large role in initial assessments. The overall objective of this research is to investigate practices of communication and decision-making during nurses' initial assessment of patients' health problems in primary care, examine working mechanisms in good practices and develop feasible solutions.
methodsProject PINPOINT aims for a prospective multicenter study using various methods for data collection and analysis. A purposive sample of 150 patient‒nurse consultations, including 30 nurses and 150 patients, will be recruited at primary care centers in three different geographic areas of southwest Sweden. The study will report on outcomes of communication practices in relation to patient-reported expectations and experiences, communication processes and patient involvement, assessment and decision-making, related priorities and value conflicts with data from patient questionnaires, audio-recorded real-time communication, and reflective interviews with nurses. DISCUSSION: This research will contribute to the knowledge needed for the guidance of first-line decision-making processes to best meet patient and public health needs. This knowledge is necessary for the development of assessments and decisions to be better aligned to patients and to set priorities. Insights from this research can empower patients and service providers and help understand and enhance feasible person-centered communication strategies tailored to patients' level of health literacy. More specifically, this research will contribute to knowledge that can strengthen nurses' communication, assessments, and clinical decision-making in primary care. In the long term, this will contribute to how the competencies of practice nurses and other professionals are organized and carried out to make the best use of the resources within primary care.
trial registrationClinicalTrials.gov Identifier: NCT06067672.
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Registered trials
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