Nurse Practitioners as Most Responsible Provider: Impact on Care for Seniors Admitted to an Ontario Hospital

Acorn, Michelle

doi:10.15344/2394-4978/2015/126

Cited by 9 publications

(15 citation statements)

References 12 publications

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“…They provide nursing personnel with support to develop their knowledge and skills (Sangster‐Gormley et al., ). NPs improve patient and family satisfaction and increase use of advanced directives and quality of care in LTC (Acorn, ; Lin, Hsiao, Glen, Pai, & Zeng, ; Morilla‐Herrera et al., ). Moreover, timely interventions and follow‐ups by NPs decrease unnecessary transfers of LTC residents to emergency rooms by two‐thirds (Ouslander et al., ).…”

Section: Introductionmentioning

confidence: 99%

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

Kilpatrick

Jabbour

Tchouaket

et al. 2019

Journal of Advanced Nursing

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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.

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Section: Introductionmentioning

confidence: 99%

“…They provide nursing personnel with support to develop their knowledge and skills (Sangster-Gormley et al, 2013). NPs improve patient and family satisfaction and increase use of advanced directives and quality of care in LTC (Acorn, 2015;Lin, Hsiao, Glen, Pai, & Zeng, 2014;Morilla-Herrera et al, 2016).…”

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

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“…Advanced practice nurse roles have clearly demonstrated enriched staff knowledge and enhanced attitudes and tone of care 5. Furthermore, Acorn6 reported enhanced care continuity and satisfaction with an autonomous nurse practitioner as most responsible provider model for seniors admitted to a community hospital.…”

Section: Commentarymentioning

confidence: 99%

Commitment to patient-centred experiences at both the organisation and clinician level optimises empowerment of hospitalised older adults with advanced disease

Acorn

2017

Evid Based Nurs

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“…Empirical evidence demonstrates that palliative care provided by NPs in various settings was effective in improving persons' emotional and mental wellbeing as well as their quality of life [19]. NPs also increase ACP [20][21][22] and provide effective management of EOL symptoms [23,24].…”

Section: Introductionmentioning

confidence: 99%

Complexity of Nurse Practitioners’ Role in Facilitating a Dignified Death for Long-Term Care Home Residents during the COVID-19 Pandemic

Vellani

Boscart

Escrig-Piñol

et al. 2021

JPM

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Due to the interplay of multiple complex and interrelated factors, long-term care (LTC) home residents are increasingly vulnerable to sustaining poor outcomes in crisis situations such as the COVID-19 pandemic. While death is considered an unavoidable end for LTC home residents, the importance of facilitating a good death is one of the primary goals of palliative and end-of-life care. Nurse practitioners (NPs) are well-situated to optimize the palliative and end-of-life care needs of LTC home residents. This study explores the role of NPs in facilitating a dignified death for LTC home residents while also facing increased pressures related to the COVID-19 pandemic. The current exploratory qualitative study employed a phenomenological approach. A purposive sample of 14 NPs working in LTC homes was recruited. Data were generated using semi-structured interviews and examined using thematic analysis. Three categories were derived: (a) advance care planning and goals of care discussions; (b) pain and symptom management at the end-of-life; and (c) care after death. The findings suggest that further implementation of the NP role in LTC homes in collaboration with LTC home team and external partners will promote a good death and optimize the experiences of residents and their care partners during the end-of-life journey.

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Nurse Practitioners as Most Responsible Provider: Impact on Care for Seniors Admitted to an Ontario Hospital

Cited by 9 publications

References 12 publications

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

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

Commitment to patient-centred experiences at both the organisation and clinician level optimises empowerment of hospitalised older adults with advanced disease

Complexity of Nurse Practitioners’ Role in Facilitating a Dignified Death for Long-Term Care Home Residents during the COVID-19 Pandemic

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