Related Experiment Videos
Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review
Esther Sangster-Gormley1, Ruth Martin-Misener, Barbara Downe-Wamboldt
1School of Nursing, University of Victoria, British Columbia, Canada. egorm@uvic.ca
Journal of Advanced Nursing
|January 26, 2011
Summary
Nurse practitioner role implementation in Canada is influenced by three key factors: stakeholder involvement, acceptance of the role, and clear role definition. Enhancing these elements can improve best practices for integrating nurse practitioners into healthcare systems.
Area of Science:
- Healthcare Policy and Management
- Nursing Practice and Education
Background:
- Nurse practitioners (NPs) have existed for over 40 years, yet their integration into healthcare systems remains challenging.
- Existing frameworks for NP role implementation exist, but identifying specific influencing factors is crucial for optimizing best practices.
- Canada has experienced significant growth in NP positions, making its implementation experience a relevant area of study.
Purpose of the Study:
- To conduct a literature review on the Canadian experience with nurse practitioner role implementation.
- To identify key factors that influence the successful implementation of nurse practitioner roles in Canada.
Main Methods:
- An integrative review of Canadian literature published between 1997 and 2010.
- Searches were conducted across multiple electronic databases (CINAHL, Cochrane, Medline, PubMed, Web of Science, etc.) and organizational websites.
- The review methodology was guided by Whittemore and Knafl's integrative review framework.
Main Results:
- Twelve documents (10 studies, 2 provincial reports) were included in the review.
- Facilitators and barriers to NP role implementation were identified and thematically analyzed.
- Three core concepts emerged as influencing implementation: stakeholder involvement, acceptance of the NP role, and the intention or definition of the role.
Conclusions:
- Nurse practitioner role implementation in Canada is significantly influenced by involvement, acceptance, and intention.
- Developing strategies to enhance these three factors is recommended to inform best practices for NP role implementation.
- This review provides valuable insights for policymakers and healthcare organizations aiming to optimize NP integration.
Related Concept Videos
01:30Current Trends in Nursing II
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
01:22The Professional Nurse
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
01:28Current Trends in Nursing I
Current trends in nursing include:
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:21Interdisciplinary Care: The Health Care Team-I
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions: