Nurse Practitioner Integration: Insights Into the Next Generation of Policy and Research

Porat-Dahlerbruch, Joshua; Poghosyan, Lusine; Ellen, Moriah

doi:10.34172/ijhpm.2023.7411

Cited by 4 publications

(10 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…National leaders from other health professions should be consulted and express cooperation (engaging) (Bryant-Lukosius et al, 2004). Beginning the integration process without such understanding can result in poor integration progress and wasted resources because policies must be retrospectively updated and often with opposition in practice (execution) (Porat-Dahlerbruch et al, 2022;Porat-Dahlerbruch et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

“…Policymakers tended to focus on both costs and savings. Policies should reflect the nuances in the priorities reported by each participant group to ensure efficacious integration (Porat-Dahlerbruch et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

“…No research has systematically evaluated the full range of factors influencing efficacious geriatric NP integration in Israel on a national scale. Without such information, national and organizational policymakers lack sufficient, evidence-based information to design policies that can magnify facilitators and curtail barriers to geriatric NP integration (Porat-Dahlerbruch et al, 2022;Porat-Dahlerbruch et al, 2023). This study intends to address this knowledge gap by identifying factors affecting the integration of geriatric NPs in Israel.…”

Section: Integration Of Geriatric Nurse Practitioners In Israelmentioning

confidence: 99%

“…Israel can serve as a valuable example for other countries aiming to understand policies and practices for integrating geriatric NPs into the health system for several reasons-(a) national-level perspectives can be captured due to the country's relatively small area and population; (b) there is less variation in the integration of NPs in different care settings due to the small workforce size of about 120 geriatric NPs; and (c) the infancy of the geriatric NP role provides outcomes of the effects of early integration efforts. Moreover, internationally, no system-level research methods have been developed to study the integration of NPs (Porat-Dahlerbruch et al, 2023). We present an implementation science-derived approach that can inform future research on geriatric NP integration and discuss the implications of these study findings for other health systems.…”

Section: International Applicationmentioning

confidence: 99%

“…Nurse practitioner integration can be defined as "a multilevel process of incorporating NPs into the health system to an extent at which they can function to the full extent of their education, training, and scope of practice and contribute to patient, health system, and population needs" (Porat-Dahlerbruch et al, 2022). To achieve intended patient, system, and workforce outcomes, NPs must successfully integrate into all levels of the health system-national, organizational, and care team levels (Porat-Dahlerbruch et al, 2022;Porat-Dahlerbruch et al, 2023). Due to a dearth in the knowledge, policymakers and organizational leaders lack sufficient evidence to ensure that policies are designed to promote the maximal contribution of geriatric NPs in practice (Henni et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Understanding factors affecting the integration of geriatric nurse practitioners into health systems

Porat-Dahlerbruch,

Ratz,

Aaron

et al. 2023

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

Background: Geriatric nurse practitioners (NPs) are introduced into health systems to alleviate provider shortages and improve care for older adults. To achieve these goals, geriatric NPs must be integrated into the health system such that they can efficaciously practice. Internationally, little is known about factors affecting the integration of NPs. Such evidence would improve policymaking and the impact of geriatric NPs on care. In Israel, geriatric NPs were recently introduced. Their ongoing integration is an exemplar for other countries. Purpose: To identify factors affecting the integration of geriatric NPs in Israel and discuss application of these factors in international policy and research. Methodology: The Consolidated Framework for Implementation Research guided this qualitative descriptive study. A semistructured interview guide was used to collect data from four professional groups (geriatric NPs, physicians, administrators, and policymakers), which, together, provide a system-level perspective. Factors were identified using deductive content analysis and designated as facilitators, barriers, neutral, or mixed effects. Results: There were 58 participants across the four professional groups. Twenty-eight factors were identified, including patient needs and leadership engagement (facilitators), available information (barrier), culture (mixed), and evidence strength (neutral). Perspectives on several factors differed by the professional group's role in integrating NPs (e.g., costs). Conclusions: The barriers highlight lacking interprofessional support from a priori policymaking and communication breakdowns. Policies should reflect priorities of administrators, clinicians, and policymakers. Implications: These factors may inform policymaking in other countries but would be most effective if based on country-specific research. This implementation science approach may inform future studies.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Integration Of Geriatric Nurse Practitioners In Israelmentioning

confidence: 99%

Section: International Applicationmentioning

confidence: 99%