Primary Care Physician Perceptions of the Nurse Practitioner in the 1990s

Aquilino, Mary L.; Damiano, Peter C.; Willard, Jean C.; Momany, Elizabeth T.; Levy, Barcey T.

doi:10.1001/archfami.8.3.224

Cited by 19 publications

(13 citation statements)

References 4 publications

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“…Medical practitioners who had experience in collaborating with a NP were significantly more likely to disagree that NPs provide low-quality primary health care, and more likely to support NP prescribing, consider that NPs can attract new patients, agree that patients accept NPs and believe that NPs free up MP time [77,78]. In Carr et al’s survey 100% of the GPs who worked with a NP agreed that NP should work in primary health care compared to 89% of the GPs who did not [76].…”

Section: Resultsmentioning

confidence: 99%

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

et al. 2013

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BackgroundThis integrative review synthesises research studies that have investigated the perceptions of nurse practitioners and medical practitioners working in primary health care. The aggregation of evidence on barriers and facilitators to working collaboratively and experiences about the processes of collaboration is of value to understand success factors and factors that impede collaborative working relationships.MethodsAn integrative review, which used systematic review processes, was undertaken to summarise qualitative and quantitative studies published between 1990 and 2012. Databases searched were the Cochrane Library, the Joanna Briggs Institute Library, PubMed, Medline, CINAHL, Informit and ProQuest. Studies that met the inclusion criteria were assessed for quality. Study findings were extracted relating to a) barriers and facilitators to collaborative working and b) views and experiences about the process of collaboration. The findings were narratively synthesised, supported by tabulation.Results27 studies conducted in seven different countries met the inclusion criteria. Content analysis identified a number of barriers and facilitators of collaboration between nurse practitioners and medical practitioners. By means of data comparison five themes were developed in relation to perceptions and understanding of collaboration. Nurse practitioners and medical practitioners have differing views on the essentials of collaboration and on supervision and autonomous nurse practitioner practice. Medical practitioners who have a working experience with NPs express more positive attitudes towards collaboration. Both professional groups report concerns and negative experiences with collaborative practice but also value certain advantages of collaboration.ConclusionsThe review shows that working in collaboration is a slow progression. Exposure to working together helps to overcome professional hurdles, dispel concerns and provide clarity around roles and the meaning of collaboration of NPs and MPs. Guidelines on liability and better funding strategies are necessary to facilitate collaborative practice whether barriers lie in individual behaviours or in broader policies.

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Section: Resultsmentioning

confidence: 99%

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

et al. 2013

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“…4 Faculty concerns included perceived additional teaching load, cost-effectiveness of employing dental therapists, and the ability of dental therapists to improve access to care to underserved groups on government programs. [10][11][12][13][14] If these motivators occur with dental faculty, attitudes toward dental therapy and dental therapy students should become more favorable over time. These findings were consistent with the results of other studies that found little support for dental therapy among all Minnesota and U.S. dentists.…”

Section: Resultsmentioning

confidence: 99%

“…[6][7][8][9] Earlier studies on nurse practitioners and physician assistants suggested physicians were more likely to accept those professionals when they worked with them, were familiar with their role, and understood how they benefited patient care. [10][11][12][13][14] If these motivators occur with dental faculty, attitudes toward dental therapy and dental therapy students should become more favorable over time. This potential has particular promise at the University of Minnesota School of Dentistry as dental therapy students take courses with either dental students or dental hygiene students, and sometimes all three student groups are in the same course under the instruction of the same faculty members.…”

Section: Resultsmentioning

confidence: 99%

Dental School Faculty Attitudes Toward Dental Therapy: A Four‐Year Follow‐Up

Self

Lopez

Blue

2017

Journal of Dental Education

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This study is a follow-up to a 2010 study at one U.S. dental school that found faculty attitudes toward the dental therapy model were mixed and there was a clear divide in attitudes between faculty members who were full-time educators and part-timers who also practiced outside the educational institution. The aim of this study was to determine faculty attitudes toward and perceptions of the dental therapy model at the same school four years after implementation of the dental therapy program. The identical questionnaire used in 2010 was used in this survey conducted from November 2013 to January 2014. All 254 full-time and part-time faculty members were invited to participate; responses were received from 75 faculty members, for a 30% response rate. Four years after the initial survey, the respondents showed greater acceptance of dental therapists and of dental therapy as a mechanism for addressing access to care problems. A majority of the respondents reported feeling a personal responsibility to ensuring the dental therapy model succeeded (52%); indicated being comfortable having a dental therapist provide care for their patients (60%); and agreed that the ability to delegate work to a dental therapist would make a dentist's job more satisfying (54%). Faculty members who also worked in a private practice viewed the role of dental therapists in private practice more favorably in 2014 than in 2010. This study provides insight into how attitudes of educators toward a new profession evolve over time. The faculty appeared to be undergoing a reorientation on the topic of dental therapy. This transition in point of view may have been facilitated by factors such as continued exposure to the new professionals, information sharing, and time.

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“…Além disso, permitiu investigar o objeto de pesquisa na perspectiva da gestão central e no âm-bito das UBS e seus trabalhadores. As taxas de resposta dos secretários municipais, Coordenadores da Atenção Básica ou da Estratégia Saúde da Família e retorno dos formulários de fonte documental superaram as expectativas quando comparadas às de outros estudos em saúde pú-blica que também utilizaram instrumentos autoaplicados 21,22 .…”

Section: Discussionunclassified

Gestão do trabalho, da educação, da informação e comunicação na atenção básica à saúde de municípios das regiões Sul e Nordeste do Brasil

et al. 2010

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A descentralização das ações no Sistema Único de Saúde requer competências específicas para a gestão municipal. As demandas incluem o gerenciamento de equipes de trabalho, estrutura física e tecnológica, e organização de insumos e estratégias. Por meio de inquérito epidemiológico estudou-se a gestão do trabalho, da educação, da informação e da comunicação na atenção básica à saúde de 41 municípios com mais de 100 mil habitantes das regiões Sul e Nordeste do Brasil. Evidenciou-se uma escassa profissionalização dos gestores e limitações importantes das estruturas e instrumentos de gestão. A precarização do trabalho é um problema relevante na atenção básica. A supervisão do trabalho está pouco direcionada ao planejamento e às práticas de saúde. A educação permanente de trabalhadores se limita a particularidades das ações de saúde. Geralmente, a informação em saúde no âmbito municipal se restringe à coleta e transferência de dados às esferas estadual e federal. Já a comunicação não se constitui em uma estratégia efetiva de vinculação entre gestores, trabalhadores, população e controle social.

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Primary Care Physician Perceptions of the Nurse Practitioner in the 1990s

Abstract: The association between previous experience with a primary care NP and a more positive attitude toward NPs has important implications for the training of primary care physicians, particularly in community-based, multidisciplinary settings.

Cited by 19 publications

References 4 publications

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

Dental School Faculty Attitudes Toward Dental Therapy: A Four‐Year Follow‐Up

Gestão do trabalho, da educação, da informação e comunicação na atenção básica à saúde de municípios das regiões Sul e Nordeste do Brasil

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