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A qualitative study exploring nursing home care environments where nurse practitioners work
Gregory L Alexander1, Supakorn Kueakomoldej2, Christina Congdon1
1School of Nursing, Columbia University, New York, NY, USA.
Geriatric Nursing (New York, N.Y.)
|January 15, 2023
Summary
Supporting nurse practitioners (NPs) in nursing homes requires optimal care environments. Key factors include NP practice, goals, and workplace challenges, with NP-physician relationships being crucial for quality elder care.
Area of Science:
- Gerontology
- Healthcare Management
- Nursing Practice
Background:
- Growing need for nurse practitioners (NPs) in nursing homes to enhance elder care quality.
- Optimal care environments are essential for NPs to effectively support older adults.
- Existing tools may not fully capture NP perspectives on nursing home environments.
Purpose of the Study:
- To explore nurse practitioner (NP) experiences within nursing home care environments.
- To identify key facets of the care environment that impact NP practice.
- To adapt a tool for measuring nursing home care environments from the NP perspective.
Main Methods:
- Qualitative study involving thirteen semi-structured interviews with nurse practitioners (NPs).
- Application of deductive and inductive coding techniques for thematic analysis.
- Identification of overarching categories and specific codes describing the nursing home environment.
Main Results:
- Three major themes emerged: NP practice, overall goals of practice, and workplace challenges.
- Seven overarching categories and 33 codes were derived, detailing important environmental aspects.
- Nurse practitioner-physician relationships were identified as highly important, while NP-administration relationships were less critical.
Conclusions:
- Nursing home care environments significantly impact nurse practitioner (NP) effectiveness in caring for older adults.
- Understanding NP-specific environmental factors, including interprofessional relationships, is vital for improving care quality.
- The study provides a foundation for developing and refining tools to assess and enhance NP practice environments in nursing homes.
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