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Matthieu Aghnatios, Théo Darloy, Julien Dictor

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
    Summary

    Advanced practice nurses (APNs) in France face varied perceptions, highlighting a need for clear communication and collaboration. Successful integration requires awareness policies and training to foster teamwork among healthcare professionals.

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    Sante publique (Vandoeuvre-les-Nancy, France)·2022

    Area of Science:

    • Healthcare policy
    • Nursing practice
    • Health services research

    Background:

    • Advanced practice nursing (APN) was legally established in France in 2018.
    • APNs are being integrated into primary healthcare for managing stabilized chronic diseases.
    • Research supports the ongoing assessment of APN's impact on the French healthcare system.

    Purpose of the Study:

    • To explore diverse actor representations of the advanced practice nursing model.
    • To understand perceptions of APN roles in primary healthcare for chronic disease management in the PACA region.
    • To identify key factors influencing APN integration from patient, GP, nurse, and student perspectives.

    Main Methods:

    • Prospective qualitative study utilizing grounded theory.
    • Conducted 58 semi-structured individual interviews with key healthcare stakeholders.
    • Explored representations of the APN model among patients, general practitioners, nurses, and APN students.

    Main Results:

    • Heterogeneous actor representations of the APN role were observed, with noted vagueness and a need for improved communication.
    • Identified APN contributions in care plan monitoring, home healthcare, therapeutic education, and prevention, particularly in under-medicalized areas.
    • Integration challenges included task redistribution fears and role confusion, with easier acceptance in healthcare establishments compared to private ambulatory care.

    Conclusions:

    • Successful APN integration hinges on the mobilization of healthcare actors, necessitating targeted awareness policies.
    • Training health professionals, both in curricula and continuing education, is crucial for developing collaborative skills essential for APN implementation.
    • A cautious approach and a defined run-in period are recommended, with early APNs viewed as precursors to the model's broader adoption.

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