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Australian Nurse Practitioners (NPs) use Critical Reflective Inquiry (CRI) to demonstrate value in chronic disease management. This method enhances NP roles by identifying and addressing healthcare gaps, fostering practitioner-researcher development.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Health Services Research

Background:

  • The Australian Nurse Practitioner (NP) role is underdeveloped despite evidence of effective care.
  • Translating NP practice into demonstrable value is crucial for role sustainability.
  • Systematic inquiry methods are needed to articulate NP contributions.

Purpose of the Study:

  • To adapt and apply Kim's Critical Reflective Inquiry (CRI) method within Australian NP practice.
  • To explore how CRI can illuminate the value and impact of NP roles.
  • To identify key areas of NP practice through a reflective inquiry process.

Main Methods:

  • Adaptation of Kim's (1999) Critical Reflective Inquiry (CRI) method by two Australian NPs.
  • Thematic analysis of 3 years of CRI application data.
  • Categorization of NP practice into five key headings.

Main Results:

  • CRI facilitated understanding, improvement, and critique of NP practice.
  • Five key areas of NP practice were identified: Specialised Care Access, Complications and Diagnostics Interventions, Pharmaceutical Treatment, Vulnerable Populations, and Leadership.
  • The CRI method demonstrated NP practice's role in addressing healthcare service gaps.

Conclusions:

  • Critical Reflective Inquiry (CRI) is a valuable tool for Australian Nurse Practitioners (NPs).
  • CRI helps translate NP practice into tangible 'products' and demonstrable 'value'.
  • The study positions NPs as practitioner-researchers, integral to healthcare improvement cycles.