Potential scope and impact of a transboundary model of nurse practitioners in aged care

2009 ◽  
Vol 15 (3) ◽  
pp. 232 ◽  
Author(s):  
Kasia Bail ◽  
Paul Arbon ◽  
Marlene Eggert ◽  
Anne Gardner ◽  
Sonia Hogan ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Health Service Delivery ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Providers ◽  
Care Nurse ◽  
Residential Aged Care Facilities

Aged care is a growing issue in Australia and other countries. There are significant barriers to meeting the health needs of this population. Current services have gaps between care and lack communication and integration between care providers. Research was conducted in the Australian Capital Territory to investigate the potential role of the aged care nurse practitioner in health service delivery in aged care settings. A multimethod case study design was utilised, with three student nurse practitioners (SNP) providing care to aged care clients across three sectors of health service delivery (residential aged care facilities, general medical practices and acute care). Data collection consisted of in-depth interviews and journal entries of the SNP, as well as focus groups and surveys of multidisciplinary staff and patients over the age of 65 years in the settings frequented by the SNP. The aged care SNP were found to cross professional and organisational boundaries, cross intra- as well as interorganisational boundaries and to contribute to more seamless patient care as members of a multidisciplinary aged care team. The aged care nurse practitioner role consequently has the potential to function in a networked rather than a hierarchical manner, and this could be a key element in addressing gaps in care across care locales and between disciplines.

How do we capture the emergency nurse practitioners’ contribution to value in health service delivery?

2017 ◽  
Vol 41 (1) ◽  
pp. 89 ◽  
Author(s):  
Natasha Jennings ◽  
Matthew Lutze ◽  
Stuart Clifford ◽  
Michael Maw
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Care Delivery ◽  
Health Service Delivery ◽  
Healthcare Team ◽  
Rigorous Research ◽  
Care Outcomes ◽  
Team Evaluation

The emergency nurse practitioner is now a well established and respected member of the healthcare team. Evaluation of the role has focused on patient safety, effectiveness and quality of care outcomes. Comparisons of the role continue to focus on cost, with findings based on incomplete and almost impossible to define, recognition of contribution to service delivery by paralleled practitioners. Currently there is no clear definition as to how nurse practitioners contribute to value in health service delivery. Robust and rigorous research needs to be commissioned taking into consideration the unique hybrid nature of the emergency nurse practitioner role and focusing on the value they contribute to health care delivery.

Afghan refugees’ experience of Iran’s health service delivery

2016 ◽  
Vol 9 (2) ◽  
pp. 75-85 ◽  
Author(s):  
Abbas Heydari ◽  
Rana Amiri ◽  
Nahid Dehghan Nayeri ◽  
Vedadhir AboAli
Keyword(s):  
Health Care ◽  
Health Service ◽  
Service Delivery ◽  
Health System ◽  
Health Care Providers ◽  
Medical Science ◽  
Health Service Delivery ◽  
Care Providers ◽  
Content Type ◽  
Afghan Refugees

Purpose – The purpose of this paper is to explore experiences of Afghan refugees from health service delivery in Mashhad, Iran. Design/methodology/approach – This is a descriptive study with contextual and qualitative design. Semi-structured interview conducted with 19 Afghan refugees and their caregivers and a focus group session were held with Afghan medical science students. Purposive sampling technique was used to select participants. Data were analysed by qualitative content analysis of Graneheim and Lundman. Lincoln and Guba’s criteria were implemented to ensure trustworthiness. Findings – The results with the core concept of “position of immigrants in the health system” were presented at four themes of “perceived discrimination”, “snowed with loneliness”, “feeling inferior”, and “gratitude”. Research limitations/implications – This study has some implications for researchers and practitioners. The present study is the first study that was done on the health of Afghan refugees in Iran, therefore it can be a ground for further research. In addition, it has valuable results regarding the Afghan immigrants’ experience of health care system of Iran. Practical implications – It can be useful for improving the condition of immigrants in Iran and for improving Iran’s health system. In order to improve the health system in Iran, authorities should pay much attention to transcultural caring and needs of minorities. Furthermore, health workers should be trained to appropriately take care of all patients, without prejudice. Originality/value – Overall the study revealed that there is inequity in access to health services among Afghan refugees in Iran. The findings, although not generalized, offer important insights into health care providers in Iran which should be delivering health service without prejudice. The authors recommended that policies of public medical insurance and assistance programme should be implemented for providing affordable health care services for Afghan refugees.

scholarly journals Nurse Practitioner Independent Practice Authority and Mental Health Service Delivery in U.S. Community Health Centers

2017 ◽  
Vol 68 (10) ◽  
pp. 1032-1038 ◽  
Author(s):  
Bo Kyum Yang ◽  
Alison M. Trinkoff ◽  
Julie Magno Zito ◽  
Mehmet Burcu ◽  
Daniel J. Safer ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Nurse Practitioner ◽  
Community Health Centers ◽  
Health Service Delivery ◽  
Health Centers ◽  
Independent Practice ◽  
Mental Health Service Delivery

A clinical trial of nurse practitioner care in residential aged care facilities

2018 ◽  
Vol 77 ◽  
pp. 129-132 ◽  
Author(s):  
Glenn Arendts ◽  
Pamela Deans ◽  
Keith O’Brien ◽  
Christopher Etherton-Beer ◽  
Kirsten Howard ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Nurse Practitioner ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

scholarly journals Antibiotic prescribing practice in residential aged care facilities — health care providers' perspectives

2014 ◽  
Vol 201 (10) ◽  
pp. 574-574 ◽  
Author(s):  
Ching Jou Lim ◽  
Megan W‐L Kwong ◽  
Rhonda L Stuart ◽  
Kirsty L Buising ◽  
N Deborah Friedman ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Aged Care ◽  
Residential Aged Care ◽  
Antibiotic Prescribing ◽  
Care Providers ◽  
Care Facilities ◽  
Prescribing Practice ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

Oral health care in residential aged care services: barriers to engaging health-care providers

2015 ◽  
Vol 21 (2) ◽  
pp. 148 ◽  
Author(s):  
Lydia Hearn ◽  
Linda Slack-Smith
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Providers ◽  
Oral Care ◽  
Oral Health Care ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Providers ◽  
Care Services ◽  
Residential Aged Care Facilities

The oral health of older people living in residential aged care facilities has been widely recognised as inadequate. The aim of this paper is to identify barriers to effective engagement of health-care providers in oral care in residential aged care facilities. A literature review was conducted using MEDline, CINAHL, Web of Science, Academic Search Complete and PsychInfo between 2000 and 2013, with a grey literature search of government and non-government organisation policy papers, conference proceedings and theses. Keywords included: dental/oral care, residential aged care, health-care providers, barriers, constraints, and limitations. A thematic framework was used to synthesise the literature according to a series of oral health-care provision barriers, health-care provider barriers, and cross-sector collaborative barriers. A range of system, service and practitioner level barriers were identified that could impede effective communication/collaboration between different health-care providers, residents and carers regarding oral care, and these were further impeded by internal barriers at each level. Findings indicated several areas for investigation and consideration regarding policy and practice improvements. While further research is required, some key areas should be addressed if oral health care in residential aged care services is to be improved.

scholarly journals Implementation of an older person’s nurse practitioner in rural aged care in Victoria, Australia: a qualitative study

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Kaye Ervin ◽  
Carol Reid ◽  
Anna Moran ◽  
Cynthia Opie ◽  
Helen Haines
Keyword(s):  
Access To Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Medical Practitioner ◽  
Aged Care ◽  
Direct Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Staff Perceptions ◽  
Timely Access

Abstract Background There are staff shortages nation-wide in residential aged care, which is only predicted to grow as the population ages in Australia. The aged care staff shortage is compounded in rural and remote areas where the health service workforce overall experiences difficulties in recruitment and retention. There is evidence that nurse practitioners fill important service gaps in aged care and rural health care but also evidence that barriers exist in introducing this extended practice role. Methods In 2018, 58 medical and direct care staff participated in interviews and focus groups about the implementation of an older person’s nurse practitioner (OPNP) in aged care. All 58 interviewees had previously or currently worked in an aged care setting where the OPNP delivered services. The interviews were analysed using May’s implementation theory framework to better understand staff perceptions of barriers and enablers when an OPNP was introduced to the workplace. Results The major perceived barrier to capacity of implementing the OPNP was a lack of material resources, namely funding of the role given the OPNP’s limited ability to self-fund through access to the Medicare Benefits Schedule (MBS). Staff perceived that benefits included timely access to care for residents, hospital avoidance and improved resident health outcomes. Conclusion Despite staff perceptions of more timely access to care for residents and improved outcomes, widespread implementation of the OPNP role may be hampered by a poor understanding of the role of an OPNP and the legislative requirement for a collaborative arrangement with a medical practitioner as well as limited access to the MBS. This study was not a registered trial.

scholarly journals Living on the edge: issues that undermine the capacity of residential aged care providers to support student nurses on clinical placement

2007 ◽  
Vol 31 (3) ◽  
pp. 368 ◽  
Author(s):  
Andrew L Robinson ◽  
Sharon Andrews-Hall ◽  
Matthew Fassett
Keyword(s):  
Nursing Students ◽  
Teaching And Learning ◽  
Aged Care ◽  
Residential Aged Care ◽  
Research Approach ◽  
Care Providers ◽  
Clinical Placements ◽  
Undergraduate Nursing ◽  
Action Research Approach ◽  
Residential Aged Care Facilities

This paper reports in part on the Building Connections in Aged Care Project about developing quality clinical placements for undergraduate nursing students in residential aged care in Tasmania, Australia. Informed by an action research approach, and using multi-methods data collection, the three-stage project explored issues impacting on students? experiences of placement, implemented strategies to address identified issues, and tested the sustainability of achievements gained. This research highlights the vulnerability of residential aged care facilities to changing conditions and shows how problematic circumstances related to staffing and workloads can readily undermine their capacity to provide supportive teaching and learning environments for students.

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