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A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis

BACKGROUND: Integrating Nurse Practitioners into primary care teams is a process that involves significant challenges. To be successful, nurse practitioner integration into primary care teams requires, among other things, a redefinition of professional boundaries, in particular those of medicine and...

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Autores principales: Contandriopoulos, Damien, Brousselle, Astrid, Dubois, Carl-Ardy, Perroux, Mélanie, Beaulieu, Marie-Dominique, Brault, Isabelle, Kilpatrick, Kelley, D’Amour, Danielle, Sansgter-Gormley, Esther
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4349481/
https://www.ncbi.nlm.nih.gov/pubmed/25889415
http://dx.doi.org/10.1186/s12913-015-0731-5
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author Contandriopoulos, Damien
Brousselle, Astrid
Dubois, Carl-Ardy
Perroux, Mélanie
Beaulieu, Marie-Dominique
Brault, Isabelle
Kilpatrick, Kelley
D’Amour, Danielle
Sansgter-Gormley, Esther
author_facet Contandriopoulos, Damien
Brousselle, Astrid
Dubois, Carl-Ardy
Perroux, Mélanie
Beaulieu, Marie-Dominique
Brault, Isabelle
Kilpatrick, Kelley
D’Amour, Danielle
Sansgter-Gormley, Esther
author_sort Contandriopoulos, Damien
collection PubMed
description BACKGROUND: Integrating Nurse Practitioners into primary care teams is a process that involves significant challenges. To be successful, nurse practitioner integration into primary care teams requires, among other things, a redefinition of professional boundaries, in particular those of medicine and nursing, a coherent model of inter- and intra- professional collaboration, and team-based work processes that make the best use of the subsidiarity principle. There have been numerous studies on nurse practitioner integration, and the literature provides a comprehensive list of barriers to, and facilitators of, integration. However, this literature is much less prolific in discussing the operational level implications of those barriers and facilitators and in offering practical recommendations. METHODS: In the context of a large-scale research project on the introduction of nurse practitioners in Quebec (Canada) we relied on a logic-analysis approach based, on the one hand on a realist review of the literature and, on the other hand, on qualitative case-studies in 6 primary healthcare teams in rural and urban area of Quebec. RESULTS: Five core themes that need to be taken into account when integrating nurse practitioners into primary care teams were identified. Those themes are: planning, role definition, practice model, collaboration, and team support. The present paper has two objectives: to present the methods used to develop the themes, and to discuss an integrative model of nurse practitioner integration support centered around these themes. CONCLUSION: It concludes with a discussion of how this framework contributes to existing knowledge and some ideas for future avenues of study.
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spelling pubmed-43494812015-03-05 A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis Contandriopoulos, Damien Brousselle, Astrid Dubois, Carl-Ardy Perroux, Mélanie Beaulieu, Marie-Dominique Brault, Isabelle Kilpatrick, Kelley D’Amour, Danielle Sansgter-Gormley, Esther BMC Health Serv Res Research Article BACKGROUND: Integrating Nurse Practitioners into primary care teams is a process that involves significant challenges. To be successful, nurse practitioner integration into primary care teams requires, among other things, a redefinition of professional boundaries, in particular those of medicine and nursing, a coherent model of inter- and intra- professional collaboration, and team-based work processes that make the best use of the subsidiarity principle. There have been numerous studies on nurse practitioner integration, and the literature provides a comprehensive list of barriers to, and facilitators of, integration. However, this literature is much less prolific in discussing the operational level implications of those barriers and facilitators and in offering practical recommendations. METHODS: In the context of a large-scale research project on the introduction of nurse practitioners in Quebec (Canada) we relied on a logic-analysis approach based, on the one hand on a realist review of the literature and, on the other hand, on qualitative case-studies in 6 primary healthcare teams in rural and urban area of Quebec. RESULTS: Five core themes that need to be taken into account when integrating nurse practitioners into primary care teams were identified. Those themes are: planning, role definition, practice model, collaboration, and team support. The present paper has two objectives: to present the methods used to develop the themes, and to discuss an integrative model of nurse practitioner integration support centered around these themes. CONCLUSION: It concludes with a discussion of how this framework contributes to existing knowledge and some ideas for future avenues of study. BioMed Central 2015-02-27 /pmc/articles/PMC4349481/ /pubmed/25889415 http://dx.doi.org/10.1186/s12913-015-0731-5 Text en © Contandriopoulos et al.; licensee BioMed Central. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Contandriopoulos, Damien
Brousselle, Astrid
Dubois, Carl-Ardy
Perroux, Mélanie
Beaulieu, Marie-Dominique
Brault, Isabelle
Kilpatrick, Kelley
D’Amour, Danielle
Sansgter-Gormley, Esther
A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis
title A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis
title_full A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis
title_fullStr A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis
title_full_unstemmed A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis
title_short A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis
title_sort process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4349481/
https://www.ncbi.nlm.nih.gov/pubmed/25889415
http://dx.doi.org/10.1186/s12913-015-0731-5
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