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Nurse practitioners' implementation assessment in Swiss nursing homes: A mixed study protocol (the EVALIPS_VD
Ricardo Salgado1, Nishalini Gunalingam2, Renée Dion3
1La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
International Journal of Nursing Studies Advances
|April 13, 2026
Summary
This study assesses nurse practitioner (NP) implementation in Swiss nursing homes to create a toolkit for role sustainability. Findings will guide the integration of NPs to improve long-term care quality and accessibility.
Area of Science:
- Healthcare Management
- Nursing Practice
- Gerontology
Background:
- Switzerland's aging population increases demand for long-term care, straining nursing homes with complex needs and staff shortages.
- The nurse practitioner (NP) role is recognized globally for enhancing care accessibility, quality, and coordination in long-term care settings.
- Limited scientific data exists on NP implementation and impact within Swiss nursing homes, despite recent legislation in Vaud.
Purpose of the Study:
- To evaluate the implementation process of the nurse practitioner role in Swiss nursing homes.
- To develop a best-practice toolkit supporting the sustainability of the NP role in Switzerland.
- To address the growing need for advanced nursing roles in long-term care.
Main Methods:
- A two-phase, mixed-method study utilizing the PEPPA Plus model in two Vaud nursing homes.
- Phase 1: Embedded case study with rapid ethnography, NP activity logging, and longitudinal outcome measurement (resident, staff, institutional).
- Phase 2: Toolkit development using Thoele's methodology, incorporating Phase 1 findings through focus groups and data analysis.
Main Results:
- (Anticipated) Data will reveal key facilitators and barriers to NP role implementation in the Swiss context.
- (Anticipated) Quantitative and qualitative data will demonstrate the impact of NPs on resident, staff, and institutional outcomes.
- (Anticipated) Analysis will inform the development of a practical toolkit for sustainable NP integration.
Conclusions:
- The study will provide crucial evidence on nurse practitioner implementation in Swiss nursing homes.
- A developed toolkit will support the successful and sustainable integration of NPs, enhancing long-term care.
- This research addresses a critical gap in understanding advanced nursing roles in Switzerland's evolving healthcare landscape.
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