The phrase "a primary first step" is correct and usable in written English.
It can be used when discussing the initial action or measure taken in a process or plan.
Example: "Before we can move forward with the project, we need to identify a primary first step to ensure we are on the right track."
Alternatives: "an initial step" or "a fundamental first step".
For these reasons, we suspect that altered edaphic conditions associated with the management of post-disturbance soils along with the seeding of pioneer species likely contributed the primary first steps leading to the divergence of older rehabilitated sites away from the intended natural analogues unlike younger sites where soil conditions are believed to have been more carefully managed.
The results reported demonstrated the practical implementation of ATPS for the design of a primary recovery process as a first step for the commercial purification of B-phycoerythrin produced by P. cruentum.
This pilot intervention gauged the acceptability of health coaching to patients and the feasibility of implementing coaching in primary care as a first step towards the introduction of peer coaching.
Easing the debt burden for those entering primary care would be a good first step.
10 24 25 A surprising omission in these studies is the limited attention that has been paid to access to primary care physicians (PCPs), a crucial first step where access to surgery is via referral to a specialist.
Detecting an effect on recovery time of exacerbations, the primary outcome, is an essential first step before trying to prove that the intervention can increase HRQL or reduce hospital admissions.
A first step in primary care is practice-level reviewing of prescribing and potential non-pharmacological approaches to chronic pain management; a plan can then be formulated that is not over-influenced by the short-term consultation-by-consultation approach.
The authors conclude that "recognition and appropriate diagnosis of depression in primary care is associated with significantly greater short-term improvement [and] that increasing recognition of depression in primary care is only a first step toward more appropriate treatment" (p.97).
The attack, which analysts say badly hurt Mr. McNary among rural white voters, helped Mr. Ashcroft score an easy primary victory, his first step to becoming Missouri's 50th governor.
