Evidence map›Paper›PMID 39304325›Full record

ArticleJournal of advanced nursing2025

A Qualitative Analysis of the Functions of Primary Care Nurses in COVID-19 Vaccination.

Rhiannon Lyons, Maria Mathews, Dana Ryan, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Paul S Gill, Jennifer E Isenor, Ruth Martin-Misener, Jamie Wickett and 6 more

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Pandemic preparedness lessons for family physicians and other primary care providers.Canadian family physician Medecin de famille canadien · 2026
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Rhiannon LyonsDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Maria MathewsDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Dana RyanDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.ORCID https://orcid.org/0000-0001-7949-8849
Lindsay HeddenFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
Julia LukewichFaculty of Nursing, Memorial University, St. John's, Newfoundland and Labrador, Canada.
Emily Gard MarshallDepartment of Family Medicine Primary Care Research Unit, Dalhousie University, Halifax, Nova Scotia, Canada.
Paul S GillDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Jennifer E IsenorCollege of Pharmacy, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.
Ruth Martin-MisenerSchool of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.
Jamie WickettDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Donna BulmanFaculty of Nursing, Memorial University, St. John's, Newfoundland and Labrador, Canada.
Emilie DufourDepartment of Family Medicine Primary Care Research Unit, Dalhousie University, Halifax, Nova Scotia, Canada.
Leslie MeredithDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Sarah SpencerFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
Crystal VaughanFaculty of Nursing, Memorial University, St. John's, Newfoundland and Labrador, Canada.
Judith B BrownDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Funding

CIHR 477227
6 · The paper itself

Abstract

aimTo describe vaccination roles of primary care nurses during the COVID-19 pandemic in Canada.

designThis analysis was part of a larger mixed-methods case study.

methodsWe conducted semi-structured qualitative interviews from May 2022 to January 2023 with primary care nurses across four provinces: British Columbia, Ontario, Newfoundland and Labrador, and Nova Scotia. We asked participants to describe their roles during various stages of the pandemic, facilitators and challenges encountered and possible roles that nurses could have played. We used thematic analysis and analysed codes relevant to vaccination.

resultsWe interviewed a total of 76 nurses and identified four key functions of primary care nurses' roles in COVID-19 vaccination: (1) education, (2) vaccine administration, (3) outreach and (4) advocacy. Themes outlined nurses' roles with respect to patient education, addressing vaccine hesitancy, partaking in vaccination roles outside of regular primary care practice and supporting accessibility in COVID-19 vaccination. Specific tasks varied by nursing professions.

conclusionPrimary care nurses fostered trust through existing patient-provider relationships to enhance roles and activities related to education, outreach and advocacy in COVID-19 vaccination. Some COVID-19 vaccine-related roles were more easily integrated into primary care, whereas others competed with routine primary care roles. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: Findings highlight the vital contributions of primary care nurses towards COVID-19 vaccination efforts in Canada. Leveraging nursing expertise can enhance future pandemic response efforts and improve patient care by addressing barriers to vaccination and promoting equitable access to vaccination services. IMPACT: This study addresses a knowledge gap by describing the vaccination-related roles of primary care nurses during the pandemic. Findings illustrate that nurses demonstrated adaptability through their engagement in vaccine education, administration, outreach and advocacy. This research informs resource allocation, policy development and workforce planning for future vaccination efforts during a pandemic response. REPORTING

methodThe authors have adhered to the Standards for Reporting Qualitative Research (SRQR) guidelines included in the Empirical Research Qualitative reporting method. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Provides insight into the pivotal roles of primary care nurses during the COVID-19 vaccination efforts in Canada, highlighting their diverse contributions towards education, vaccine administration, outreach and advocacy. Offers implications for future pandemic planning by informing resource allocation, policy development and workforce planning for vaccination efforts.

Indexed as

COVID-19COVID-19 VaccinesNurse's RolePrimary Care NursingVaccinationAdultCanadaFemaleHumansMaleMiddle AgedPrimary Health CareQualitative ResearchSARS-CoV-2COVID-19 VaccinesCOVID‐19nurse rolesnursingpandemic responseprimary carequalitative researchvaccination

Identifiers

PMID39304325
PMCPMC11967291

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.