A Qualitative Analysis of the Functions of Primary Care Nurses in COVID‐19 Vaccination
Authors: Lyons Rhiannon , Mathews Maria , Ryan Dana , Hedden Lindsay , Lukewich Julia , Marshall Emily Gard , Gill Paul S. , Isenor Jennifer E. , Martin‐Misener Ruth , Wickett Jamie , Bulman Donna , Dufour Emilie , Meredith Leslie , Spencer Sarah , Vaughan Crystal , Brown Judith B. 
Published: September 2024

ABSTRACTAimTo 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 CareFindings 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.ImpactThis 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 ContributionNo 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.