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Nurse practitioner-client interaction as resource exchange: the nurse's view (NP-client interaction).
1Graduate Program in Primary Health Care Nursing, School for Health Studies, Simmons College, Boston, MA 02115, USA. rebecca.koeniger-donohue@simmons.edu
Journal of Clinical Nursing
|May 24, 2007
Summary
Nurse practitioners (NPs) expect to provide various resources to clients. The study found information, services, time, and affirmation were most common, aiding understanding of NP-client resource exchange.
Area of Science:
- Nursing Practice
- Healthcare Interactions
- Resource Exchange Theory
Background:
- Healthcare interactions necessitate understanding reinforcing elements from the nurse's viewpoint.
- Examining nurse practitioner (NP) client encounters requires a focus on the nurse's perspective.
Purpose of the Study:
- To explore nurse practitioner (NP) client encounters from the nurse's perspective.
- To apply resource exchange theory to understand NP-client interactions.
- To identify resources NPs expect to provide and those actually provided.
Main Methods:
- Exploratory descriptive design utilizing pre- and post-encounter interviews with NPs.
- Analysis of audio-recorded clinic visits and researcher field notes.
- Content analysis of data using ETHNOGRAPH software with two expert NPs and eight midlife female clients.
Main Results:
- NPs anticipated providing a wide array of resources.
- The most frequently provided resources included information, services, time, and affirmation (support, feedback, reassurance).
- Nurse self-disclosure was observed in more established NP-client relationships.
Conclusions:
- Resource exchange theory provides a framework for understanding NP-client interactions.
- Identified resources, relationship dynamics, and exchange types can inform a typology for NP clinical practice.
- This study offers insights into the nature of resources exchanged in NP-client relationships.
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