The aims of this study were to assess nursing students' knowledge of a
nd attitudes towards primary health care using a newly developed Canad
ian instrument, the Primary Health Care Questionnaire (PHCQ). The inst
rument was refined for use in the UK prior to collecting data from 427
students in degree, Project 2000, health visitor and district nursing
courses. Findings indicate that students in all programmes surveyed h
ave been exposed to the concepts of primary health care. Students have
acquired knowledge about primary health care and, generally, positive
attitudes to the concepts. Significant differences were found between
several student groups on both the knowledge and attitude measures. A
lthough further psychometric evaluation of this new measure is recomme
nded, the PHCQ shows promise as a valuable measure for use in assessin
g the move toward an increased emphasis on primary health care concept
s in nursing eduation.