Reflections on independence in nurse practitioner practice

Weiland, Sandra A.

doi:10.1111/j.1745-7599.2008.00330.x

Cited by 33 publications

(35 citation statements)

References 24 publications

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“…The volume of comparative research between NPs and doctors has received commentary in the literature, in so far as these studies limit the acknowledgement of NPs as care providers in their own right (Weiland, 2008) with their own values and unique approach to health care delivery (Wand, White & Patching, 2011). …”

Section: Evaluations Of Australian Np Public Models Of Carementioning

confidence: 99%

Preparing a Realist Evaluation to Investigate the Impact of Privately Practising Nurse Practitioners on Patient Access to Care in Australia

Currie¹,

Chiarella²,

Buckley³

2015

IJN

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Background: Evaluation of privately practising nurse practitioner (PPNP) services in Australia is an important issue, because the sustainability of viable health services requires that they are underpinned by sound research. As part of ongoing work in relation to the evaluation of PPNP services, the authors plan to use realist evaluation (RE) to explore, not only whether PPNP services increase patient's access to care, but also the means by which they achieve (or do not achieve) this outcome. RE is a complex methodology and its application requires careful preparation. Objective: To present the application of the RE methodology to an evaluation of PPNP services of health care in Australia. Method: This paper explores the philosophical underpinnings of RE and articulates the steps taken in preparing to apply RE to an evaluation of PPNP services in Australia. Discussion: RE is a complex methodology to understand and apply. There is an absence of documented detail in terms of how to apply RE to ensure that the evaluation is truly 'realist'. Yet making the choice to apply RE to evaluations of PPNP services in Australia and overseas holds many advantages, primarily because of RE's emphasis upon the context in which health care is delivered and how and why the context relates to the outcomes produced. This paper will contribute to the emerging dialogue on how to apply RE to evaluations of health care and will assist those considering using RE.

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Section: Evaluations Of Australian Np Public Models Of Carementioning

confidence: 99%

Preparing a Realist Evaluation to Investigate the Impact of Privately Practising Nurse Practitioners on Patient Access to Care in Australia

Currie¹,

Chiarella²,

Buckley³

2015

IJN

View full text Add to dashboard Cite

show abstract

“…The NPs are part of a team, collaborating with registered nurses, physicians andother stakeholders and foster interprofessional collaboration (CNA, 2011a), very important for improving access to patient-centred health care (CNA, 2011b).They holds the power communicative the greatest in the team and which is not still included (Quinland and Robertson, 2013) and could be the event is an opportunity for competition among health professionnals. Another study (Weiland, 2008) that demonstrated how other factors influence the ability of NPs to practice as independent.…”

Section: Introductionmentioning

confidence: 99%

Education, Roles and Responsibilities of Nurse Practitioners in Quebec, Canada: A Qualitative Study

Chapados¹

2015

International Journal of Research in Nursing

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“…It is how that final event occurs and the difficult decisions that transpire prior to and during one 's last phase of life that greatly influence the dying experience for everyone involved. However pessimistic and morbid it sounds, the reality is that 90 percent of Canadians are unlikely to experience a quick and painless death, instead dying from the consequences of chronic degenerative or life-limiting conditions (Carstairs, 2010 ;Weiland, 2008). They uniquely combine the holistic, comprehensive, and personcentered approach of nursing, with a biomedical focus on diagnostics and therapeutics (BCNPA; CRNBC, 2007;Weiland, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…However pessimistic and morbid it sounds, the reality is that 90 percent of Canadians are unlikely to experience a quick and painless death, instead dying from the consequences of chronic degenerative or life-limiting conditions (Carstairs, 2010 ;Weiland, 2008). They uniquely combine the holistic, comprehensive, and personcentered approach of nursing, with a biomedical focus on diagnostics and therapeutics (BCNPA; CRNBC, 2007;Weiland, 2008). FNPs are increasing in number and taking on more significant roles in rural primary care settings within BC, settings where consistent physician presence may be limited.…”

Section: Introductionmentioning

confidence: 99%

What constitutes a good death?: implications for family nurse practitioners in rural British Columbia

Fehr¹

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Death is an inevitable part of each individual 's life. It is how that fmal event occurs and the time prior to and during one's last phase of life that greatly influence the dying experience for everyone involved. This project aimed to methodically and critically review research evidence to identify key elements necessary for a good death from patients' perspectives. The final number of articles totaled 35, with a dimensional analysis technique used to review and theme data. A key message following data analysis was that there is a diversity of perspectives and subjective characterizations of what constitutes a good death within and across sociocultural groups. Contributions to a good death involved four overarching domains: 1) preparation for death, 2) sources of support, 3) communication, 4) quality of life issues. The rural family nurse practitioner (FNP) role in supporting a good death needs to be based on working to full scope; engaging in end-of-life (EOL) care planning and anticipating life expectancy; providing holistic and consistent care; engaging in multidisciplinary collaboration and effective communication;providing caregiver support and education; engaging in continuing competence; and providing leadership to ensure the best EOL care is available for all patients wishing to remain in their rural home community to die.

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Reflections on independence in nurse practitioner practice

Cited by 33 publications

References 24 publications

Preparing a Realist Evaluation to Investigate the Impact of Privately Practising Nurse Practitioners on Patient Access to Care in Australia

Preparing a Realist Evaluation to Investigate the Impact of Privately Practising Nurse Practitioners on Patient Access to Care in Australia

Education, Roles and Responsibilities of Nurse Practitioners in Quebec, Canada: A Qualitative Study

What constitutes a good death?: implications for family nurse practitioners in rural British Columbia

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