Les pratiques infirmières avancées

Delamaire, Marie-Laure; Lafortune, Gaétan

doi:10.1787/5km4hv77vw47-fr

Cited by 14 publications

(3 citation statements)

References 17 publications

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“…As might be expected, advanced practice by nurses in front line care is most developed in the countries where primary care is mainly provided by clinical practice teams. (Delamaire & Lafortune, 2010, p. 55, Authors’ translation)…”

Section: Introductionmentioning

confidence: 99%

Nurses in France

Jović

Bianchi

Decouflet³

et al. 2015

Global Qualitative Nursing Research

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In France, medical practitioners are aware that the practice of the delivery of primary care by nurses occurs in other countries. However, there is disagreement about how to implement this practice. This aspect of the issue of front line care has not yet been studied in France. In this article, our aim is to identify to what extent the delivery of primary care by nurses is considered acceptable by doctors and nurses working in hospital emergency departments and in public and private health centers. The results of our research provide a picture of opinions that exist among doctors and nurses. These opinions highlight practices that are outside the current regulations and present perspectives, which range from conditionally in favor to unfavorable. Such opinions contribute to our knowledge because they are derived from the professionals directly involved and describe what is acceptable in this particular context.

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Section: Introductionmentioning

confidence: 99%

Nurses in France

Jović

Bianchi

Decouflet³

et al. 2015

Global Qualitative Nursing Research

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“…Most OECD countries explicitly promote horizontal and vertical integration to tackle these previously cited issues and to boost efficiency gains in outpatient care provision through interprofessional cooperation, task shifting and advanced roles for health care professionals (Delamaire & Lafortune, 2010;Groenewegen, Heinemann, Greß, & Schäfer, 2015;de Bont et al, 2016). Integration between GPs and nurses can generate technical efficiency gains for GPs (Nicholson & Propper, 2011) in two ways.…”

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confidence: 99%

Can General Practitioners Be More Productive? The Impact of Teamwork and Cooperation with Nurses on GP Activities

et al. 2020

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The integration of primary care organizations and interprofessional cooperation is encouraged in many countries to both improve the productive and allocative efficiency of care provision and address the unequal geographical distribution of general practitioners (GPs). In France, a pilot experiment promoted the vertical integration of and teamwork between GPs and nurses. This pilot experiment relied on the staffing and training of nurses; skill mixing, including the authorization to shift tasks from GPs to nurses; and new remuneration schemes. This article evaluates the overall impact of this pilot experiment over the period 2010-2017 on GP activities based on the following indicators: number of working days, patients seen at least once, patients registered, and visits delivered. We control for endogeneity and reduce selection bias by using a case-control design combining coarsened exact matching and difference-indifferences estimates on panel data. We find a small positive impact on the number of GP working days (þ1.2%) following enrollment and a more pronounced effect on the number of patients seen (þ7.55%) or registered (þ6.87%). However, we find no effect on the number of office and home visits. In this context, cooperation and teamwork between GPs and nurses seem to improve access to care for patients.

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“…L'International Council of Nursing en donnait une définition en 2008 : « l'Infirmière de Pratique Avancée est une infirmière qui a acquis un socle de connaissances, de compéten-ces dans la prise de décision face à des situations complexes dont les caractéristiques sont déterminées par le contexte clinique du pays dans lequel ce professionnel est accrédité ». Le rapport de l'Organisation de Coopération et de Dévelop-pement Économique (OCDE) sur les pratiques infirmières avancées dans le monde souligne les difficultés à mettre en oeuvre ces changements de pratique dans notre pays [7], malgré une incitation sur les coopérations inscrites dans la loi HPST de 2009, confirmées sous forme de recommandation par la HAS en 2012 [8]. Le projet de loi santé de 2014 fait également référence aux « nouveaux métiers » dans son article 30 [9].…”

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Emergency nursing, towards an evolution of trades

Garrigue

2015

Ann. Fr. Med. Urgence

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Les pratiques infirmières avancées

Cited by 14 publications

References 17 publications

Nurses in France

Nurses in France

Can General Practitioners Be More Productive? The Impact of Teamwork and Cooperation with Nurses on GP Activities

Emergency nursing, towards an evolution of trades

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