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Jocelyn Schwingrouber, Alain Loschi, Stéphanie Gentile

    Recherche En Soins Infirmiers
    |June 20, 2022
    PubMed
    Summary
    This summary is machine-generated.

    Implementing advanced practice nurses (APNs) offers health system benefits but requires careful planning for successful integration. This study explores stakeholder perceptions to guide APN deployment strategies.

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    Area of Science:

    • Healthcare Management
    • Nursing Practice
    • Public Health Policy

    Background:

    • Advanced practice nurses (APNs) are proposed to address public health challenges with expanded skills.
    • The deployment of APNs is complex, with the PEPPA model serving as a key framework for their introduction.
    • Understanding stakeholder perceptions is crucial for successful APN integration into healthcare institutions.

    Purpose of the Study:

    • To explore diverse stakeholder perceptions regarding the introduction of APNs into health institutions.
    • To develop evidence-based recommendations supporting the successful integration of APNs.
    • To identify facilitators and barriers to APN implementation in healthcare settings.

    Main Methods:

    • A multicenter qualitative study was conducted in the Provence-Alpes-Côte d'Azur region of France.

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  • Participants included physicians, managers, nurses, patients, and advanced practice students.
  • Data collection involved exploring perceptions of APN roles and integration.
  • Main Results:

    • APNs are perceived as beneficial for both patients and the overall health system.
    • Key risks associated with APN introduction are primarily linked to their integration process.
    • Well-planned APN introduction projects must prioritize effective integration strategies.

    Conclusions:

    • Seven recommendations were identified, aligned with the PEPPA model, to facilitate successful hospital-based APN introduction.
    • Further research is needed on APN roles in out-of-hospital settings.
    • Evaluating the success of APN implementation requires ongoing assessment.