Registered nurses' perspective of nurse practitioners: A mixed-methods study

Area of Science:

• Nursing
• Healthcare Administration
• Health Services Research

Background:

• Poor registered nurse (RN) and nurse practitioner (NP) relationships hinder healthcare system integration.
• The RN-NP relationship is understudied, particularly in areas where the NP role is newly established.
• Understanding RN perspectives is crucial for effective NP integration.

Purpose of the Study:

• To assess registered nurses' knowledge of the nurse practitioner role.
• To identify factors influencing registered nurses' perspectives on nurse practitioners.
• To explore the dynamics of the RN-NP relationship.

Main Methods:

• An explanatory sequential mixed-methods design was employed.
• A cross-sectional survey of 277 RNs identified knowledge, feelings, and influencing factors.
• Semistructured interviews and thematic analysis further explored survey findings, with integrated quantitative and qualitative data.

Main Results:

• Key factors influencing RN perspectives included age, education, years of experience, and direct exposure to NPs.
• Qualitative themes revealed insights into NP scope of practice, role acceptance, and perceived benefits.
• Quantitative and qualitative findings demonstrated strong convergence.

Conclusions:

• Enhanced RN understanding of the NP role is essential for improving the RN-NP relationship.
• Direct exposure to NPs, through education or work experience, fosters positive RN perceptions and highlights patient care benefits.
• Educational initiatives and organizational support are recommended to promote RN-NP collaboration and integration.