Using a mixed-methods design to examine nurse practitioner integration in British Columbia

Area of Science:

• Healthcare policy research
• Nursing practice evaluation
• Mixed-methods research methodology

Background:

• Legislation in British Columbia (2005) enabled nurse practitioners (NPs) to practice.
• This research evaluated the integration and impact of NPs within the BC healthcare system.

Purpose of the Study:

• To demonstrate the application of mixed-methods research in evaluating healthcare professional integration.
• To provide practical examples of a multiphase mixed-methods design for evaluation research.

Main Methods:

• A multiphase mixed-methods research design was employed over three years.
• Data collection included surveys, focus groups, participant interviews, and case studies.
• Triangulation of data sources and methods ensured comprehensive analysis.

Main Results:

• The multiphase mixed-methods design proved robust and flexible for evaluation research.
• Challenges and benefits associated with the multiphase design were identified.

Conclusions:

• The multiphase mixed-methods approach is effective for evaluating complex healthcare integrations.
• This paper serves as a guide for researchers utilizing multiphase mixed-methods designs.