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Annie Rioux-Dubois, Amélie Perron

    Recherche En Soins Infirmiers
    |June 20, 2022
    PubMed
    Summary

    Integrating nurse practitioners into primary care is complex. This study reveals challenges in their professional identity and patient management, highlighting the need for better understanding of their role in healthcare.

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    Area of Science:

    • Healthcare Policy
    • Nursing Practice
    • Sociology of Health

    Background:

    • The integration of nurse practitioners (NPs) into primary healthcare is complex and underexplored concerning broader healthcare changes.
    • Socioprofessional dynamics significantly impact NP integration within interprofessional teams.

    Purpose of the Study:

    • To examine the integration and negotiation processes of nurse practitioners within interprofessional primary healthcare settings.
    • To understand the factors influencing NP role integration and professional identity.

    Main Methods:

    • Critical ethnography utilizing actor-network theory and Foucault's concepts of discourse and power.
    • Data collection through semi-structured interviews (n=23 NPs), direct observation, and document analysis across three primary healthcare models.

    Main Results:

    • Identified key integration factors: organizational aims, practice standards, NP self-determination, physician collaboration, and patient management.
    • These factors led to instability, negotiation needs, and professional, identity, and moral challenges for NPs.

    Conclusions:

    • Findings challenge the perception of unclear NP roles, offering a nuanced understanding of their integration.
    • Highlights the complexities and negotiation required for successful NP integration in primary care settings.

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