How are acute care nurse practitioners enacting their roles in healthcare teams? A descriptive multiple-case study

Kilpatrick, Kelley; Lavoie‐Tremblay, Mélanie; Ritchie, Judith A.; Lamothe, Lise; Doran, Diane; Rochefort, Christian M.

doi:10.1016/j.ijnurstu.2012.01.011

Cited by 36 publications

(44 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These findings resonate with previous descriptions of these advance practice roles (Dowling, Beauchesne, Farrelly, & Murphy, 2013;Kilpatrick et al, 2012;Lowe et al, 2012). In distilling the framework, attention is also focused on features of advanced practice nursing that are not well articulated in models and descriptions of practice.…”

Section: Discussionsupporting

confidence: 79%

“…However, there are a number of weaknesses associated with this research. Although other methods, such as qualitative interviews, self-reflective inquiry, focus groups studies, observations of practice, and case review have also been used, these approaches are much less common (Ball & Cox, 2004;Bousfield, 1997;Bryant-Lukosius et al, 2010;Fenton & Brykczynski, 1993;Kilpatrick et al, 2012). Although other methods, such as qualitative interviews, self-reflective inquiry, focus groups studies, observations of practice, and case review have also been used, these approaches are much less common (Ball & Cox, 2004;Bousfield, 1997;Bryant-Lukosius et al, 2010;Fenton & Brykczynski, 1993;Kilpatrick et al, 2012).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Deriving Consensus on the Characteristics of Advanced Practice Nursing

Hutchinson

East²,

Stasa³

et al. 2014

Nursing Research

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 79%

mentioning

confidence: 99%

Deriving Consensus on the Characteristics of Advanced Practice Nursing

Hutchinson

East²,

Stasa³

et al. 2014

Nursing Research

View full text Add to dashboard Cite

show abstract

“…There is consensus in the literature (e.g., Andregard & Jangland, ; Maier et al., ; Oldenburger, Baumann, & Banfield, ) that implementation of advanced practice nursing roles, like those of NPs is complex. Several factors, including role clarity and support of managers and healthcare team members influence optimal implementation of these roles (Kilpatrick, Lavoie‐Tremblay, Ritchie, Doran, & Lamothe, ; Kilpatrick, Lavoie‐Tremblay, Ritchie, Lamothe, et al., ). Clear messages from medical and nursing leaders on NP role priorities also influence implementation (Kilpatrick, ).…”

Section: Introductionmentioning

confidence: 99%

Implementing primary healthcare nurse practitioners in long‐term care teams: A qualitative descriptive study

Kilpatrick

Jabbour

Tchouaket

et al. 2019

Journal of Advanced Nursing

Self Cite

View full text Add to dashboard Cite

Aim To identify the conditions needed to implement nurse practitioners (NP) in long‐term care (LTC) in Québec, Canada. Design A qualitative descriptive study was undertaken. Methods Semi‐structured interviews (N = 91) and socio‐demographic questionnaires were completed with providers and managers from May 2016–March 2017. Nurse practitioner activity logs were compiled at three sites. Content analysis was used. Results All sites initially implemented a shared care model but not all sites successfully implemented a consultative model. The progression was influenced by physicians’ level of comfort in moving towards a consultative model. Weekly meetings with physicians and nurse managers and an office for NPs located near healthcare teams facilitated communication and improved implementation. Half‐time NP positions facilitated recruitment. Improvements were noted in timely care for residents, family involvement and quality of documentation of the healthcare team. Regulatory restrictions on prescribing medications used frequently in LTC and daily physician presence at some sites limited implementation. Conclusion The project fostered an understanding of the conditions needed to successfully implement NPs in LTC. An examination of the perspective of residents and families is needed.

show abstract

“…The paucity of healthcare professionals and indeed the general public’s understanding to the NP role [36, 40] impacts on consumer decision to see the NP as well as NPs being able to work at their full scope of practice [41]. ACF staff, PCPs, residents and their families having had experience with the NPs requested referral to the NPs.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of an aged care nurse practitioner service: quality of care within a residential aged care facility hospital avoidance service

Dwyer

Craswell

Rossi

et al. 2017

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundReducing avoidable hospitialisation of aged care facility (ACF) residents can improve the resident experience and their health outcomes. Consequently many variations of hospital avoidance (HA) programs continue to evolve. Nurse practitioners (NP) with expertise in aged care have the potential to make a unique contribution to hospital avoidance programs. However, little attention has been dedicated to service evaluation of this model and the quality of care provided. The purpose of this study was to evaluate the quality of an aged care NP model of care situated within a HA service in a regional area of Australia.MethodsDonabedian’s structure, process and outcome framework was applied to evaluate the quality of the NP model of care. The Australian Nurse Practitioner Study standardised interview schedules for evaluating NP models of care guided the semi-structured interviews of nine health professionals (including ACF nurses, medical doctors and allied health professionals), four ACF residents and their families and two NPs. Theory driven coding consistent with the Donabedian framework guided analysis of interview data and presentation of findings.ResultsStructural dimensions identified included the ‘in-reach’ nature of the HA service, distance, limitations of professional regulation and the residential care model. These dimensions influenced the process of referring the resident to the NP, the NPs timely response and interactions with other professionals. The processes where the NPs take time connecting with residents, initiating collaborative care plans, up-skilling aged care staff and function as intra and interprofessional boundary spanners all contributed to quality outcomes. Quality outcomes in this study were about timely intervention, HA, timely return home, partnering with residents and family (knowing what they want) and resident and health professional satisfaction.ConclusionsThis study provides valuable insights into the contribution of the NP model of care within an aged care, HA service and how staff manipulated the process dimensions to improve referral to the NPs. NP service in this study was dynamic, flexible and responsive to both patient and organisational demands.

show abstract

How are acute care nurse practitioners enacting their roles in healthcare teams? A descriptive multiple-case study

Cited by 36 publications

References 54 publications

Deriving Consensus on the Characteristics of Advanced Practice Nursing

Deriving Consensus on the Characteristics of Advanced Practice Nursing

Implementing primary healthcare nurse practitioners in long‐term care teams: A qualitative descriptive study

Evaluation of an aged care nurse practitioner service: quality of care within a residential aged care facility hospital avoidance service

Contact Info

Product

Resources

About