Context and implementation of advanced nursing practice in two countries: An exploratory qualitative comparative...

Area of Science:

• Health Services Research
• Nursing Practice
• Healthcare Innovation

Background:

• Health innovations, like advanced practice nursing roles, face slow international adoption due to implementation complexities.
• Limited research exists on specific contextual factors influencing advanced practice nursing (APN) role implementation.
• Understanding context is crucial for managing the complexities of health innovation processes.

Purpose of the Study:

• To integrate findings and comprehensively understand contextual factors influencing APN development and implementation.
• To compare these factors in two distinct national settings: Canada and Spain.

Main Methods:

• Qualitative, descriptive, and explanatory research design.
• Triangulation of findings using diverse qualitative methods and participant perspectives.
• Data collection involved focus groups in Catalonia and interviews in Quebec, analyzing understanding, needs, barriers, and facilitators.

Main Results:

• Convergent themes dominated findings despite differences in context and population between Canada and Spain.
• Common barriers and facilitators to APN role development were identified across participant groups.
• Organizational and environmental factors emerged as the most frequently discussed themes.

Conclusions:

• Understanding contextual factors is essential for comprehending complex healthcare phenomena.
• Further international research is needed to compare innovative processes and contextual influences on APN roles.