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A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador

AIM: This study explores the contributions of family practice nurses in primary care across Newfoundland and Labrador funded by fee‐for‐service and alternate payment plans to examine the influence of funding arrangements on nursing roles/activities. DESIGN: A qualitative descriptive design was emplo...

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Detalles Bibliográficos
Autores principales: Mathews, Maria, Ryan, Dana, Buote, Richard, Parsons, Sandra, Lukewich, Julia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8262484/
https://www.ncbi.nlm.nih.gov/pubmed/33346409
http://dx.doi.org/10.1002/nop2.477
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author Mathews, Maria
Ryan, Dana
Buote, Richard
Parsons, Sandra
Lukewich, Julia
author_facet Mathews, Maria
Ryan, Dana
Buote, Richard
Parsons, Sandra
Lukewich, Julia
author_sort Mathews, Maria
collection PubMed
description AIM: This study explores the contributions of family practice nurses in primary care across Newfoundland and Labrador funded by fee‐for‐service and alternate payment plans to examine the influence of funding arrangements on nursing roles/activities. DESIGN: A qualitative descriptive design was employed. METHODS: Semi‐structured telephone interviews were conducted between March‐July 2018 with physicians and Registered Nurses working in primary care settings in Newfoundland and Labrador. Interviews were transcribed verbatim, and a content analysis approach was used to identify recurring themes. RESULTS: Clinic funding was instrumental in the integration of family practice nurses into primary care settings and influenced roles/activities. In fee‐for‐service practices, nurses work with physicians and focus on one‐on‐one patient care in office‐based settings, whereas nurses in alternate payment plans practices work more independently, in a wider range of settings and with emphasis on both individual and group‐based encounters. Compared with alternate payment plans practices, fee‐for‐service practices tend to be more restrictive due to physician billing requirements.
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spelling pubmed-82624842021-07-13 A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador Mathews, Maria Ryan, Dana Buote, Richard Parsons, Sandra Lukewich, Julia Nurs Open Research Articles AIM: This study explores the contributions of family practice nurses in primary care across Newfoundland and Labrador funded by fee‐for‐service and alternate payment plans to examine the influence of funding arrangements on nursing roles/activities. DESIGN: A qualitative descriptive design was employed. METHODS: Semi‐structured telephone interviews were conducted between March‐July 2018 with physicians and Registered Nurses working in primary care settings in Newfoundland and Labrador. Interviews were transcribed verbatim, and a content analysis approach was used to identify recurring themes. RESULTS: Clinic funding was instrumental in the integration of family practice nurses into primary care settings and influenced roles/activities. In fee‐for‐service practices, nurses work with physicians and focus on one‐on‐one patient care in office‐based settings, whereas nurses in alternate payment plans practices work more independently, in a wider range of settings and with emphasis on both individual and group‐based encounters. Compared with alternate payment plans practices, fee‐for‐service practices tend to be more restrictive due to physician billing requirements. John Wiley and Sons Inc. 2020-04-14 /pmc/articles/PMC8262484/ /pubmed/33346409 http://dx.doi.org/10.1002/nop2.477 Text en © 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
Mathews, Maria
Ryan, Dana
Buote, Richard
Parsons, Sandra
Lukewich, Julia
A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador
title A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador
title_full A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador
title_fullStr A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador
title_full_unstemmed A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador
title_short A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador
title_sort qualitative study exploring the influence of clinic funding on the integration of family practice nurses in newfoundland and labrador
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8262484/
https://www.ncbi.nlm.nih.gov/pubmed/33346409
http://dx.doi.org/10.1002/nop2.477
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