scholarly journals Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

2020 ◽  
Author(s):  
Nicole Schönenberger ◽  
Beat Sottas ◽  
Christoph Merlo ◽  
Stefan Essig ◽  
Stefan Gysin
Keyword(s):  
Patient Perspective ◽  
Qualitative Content Analysis ◽  
Core Competencies ◽  
Holistic Approach ◽  
Well Being ◽  
Added Value ◽  
Advanced Practice ◽  
Structured Interviews ◽  
Practice Nurses ◽  
Family Practices

Abstract Background: Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices.Methods: We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis.Results: The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and approach of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion: Our results suggest that patients value the APNs’ competencies, despite their initial lack of role knowledge. Overall, they perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

scholarly journals Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Nicole Schönenberger ◽  
Beat Sottas ◽  
Christoph Merlo ◽  
Stefan Essig ◽  
Stefan Gysin
Keyword(s):  
Patient Perspective ◽  
Qualitative Content Analysis ◽  
Core Competencies ◽  
Holistic Approach ◽  
Well Being ◽  
Added Value ◽  
Advanced Practice ◽  
Structured Interviews ◽  
Practice Nurses ◽  
Family Practices

Abstract Background Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices. Methods We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis. Results The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and style of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion Our results suggested that patients value the APNs’ competencies, despite their initial lack of role knowledge. Trust in the GP seemed to be the most important factor for patients’ receptiveness toward the APN role. Overall, patients perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

scholarly journals Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

2020 ◽  
Author(s):  
Nicole Schönenberger ◽  
Beat Sottas ◽  
Christoph Merlo ◽  
Stefan Essig ◽  
Stefan Gysin
Keyword(s):  
Patient Perspective ◽  
Qualitative Content Analysis ◽  
Core Competencies ◽  
Holistic Approach ◽  
Well Being ◽  
Added Value ◽  
Advanced Practice ◽  
Structured Interviews ◽  
Practice Nurses ◽  
Family Practices

Abstract Background: Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices.Methods: We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis.Results: The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and style of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion: Our results suggested that patients value the APNs’ competencies, despite their initial lack of role knowledge. Trust in the GP seemed to be the most important factor for patients’ receptiveness toward the APN role. Overall, patients perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

scholarly journals Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

2020 ◽  
Author(s):  
Nicole Schönenberger ◽  
Beat Sottas ◽  
Christoph Merlo ◽  
Stefan Essig ◽  
Stefan Gysin
Keyword(s):  
Patient Perspective ◽  
Qualitative Content Analysis ◽  
Core Competencies ◽  
Holistic Approach ◽  
Well Being ◽  
Added Value ◽  
Advanced Practice ◽  
Structured Interviews ◽  
Practice Nurses ◽  
Family Practices

Abstract Background: Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices.Methods: We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis.Results: The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and approach of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion: Our results suggest that patients value the APNs’ competencies, despite their initial lack of role knowledge. Trust in the GP seems to be the most important factor for patients’ receptiveness toward the APN role. Overall, patients perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

scholarly journals Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

2020 ◽  
Author(s):  
Nicole Schönenberger ◽  
Beat Sottas ◽  
Christoph Merlo ◽  
Stefan Essig ◽  
Stefan Gysin
Keyword(s):  
Patient Perspective ◽  
Qualitative Content Analysis ◽  
Core Competencies ◽  
Holistic Approach ◽  
Well Being ◽  
Added Value ◽  
Advanced Practice ◽  
Structured Interviews ◽  
Practice Nurses ◽  
Family Practices

Abstract Background: Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices.Methods: We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis.Results: The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and approach of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion: Our results suggest that patients value the APNs’ competencies, despite their initial lack of role knowledge. Trust in the GP seems to be the most important factor for patients’ receptiveness toward the APN role. Overall, patients perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

Family Caregiver Experience of Resistance to Care: Occurrence Patterns, Context, and Impact on Caregiver

2021 ◽  
pp. 104973232110426
Author(s):  
Yumi Shirai ◽  
Susan Silverberg Koerner ◽  
Shuo Xu
Keyword(s):  
Family Caregiver ◽  
Qualitative Content Analysis ◽  
Well Being ◽  
Intervention Strategies ◽  
Specific Intervention ◽  
Structured Interviews ◽  
Support Intervention ◽  
Stress Theory ◽  
Potential Impact ◽  
Occurrence Patterns

Although the extant literature identifies resistance to care (RTC) as one of the most frequently reported and impactful caregiver (CG) stressors, typical studies that rely on quantitative measures of RTC do not fully explain how and why RTC negatively influences CGs’ well-being. As such, it is difficult to develop specific intervention strategies to support CGs in dealing with RTC. Informed by existing literature and tenets from Stress Theory, the current study includes semi-structured interviews with 19 family CGs of community-dependent (non-institutionalized) elders, regarding their RTC experiences. Through a directed qualitative content analysis, we explored occurrence patterns, contextual factors of when and how RTC occurs, how CGs respond to RTC, and its potential impact on CGs’ subjective stress. The results revealed distinguishable characteristics of four types of RTC: Frequent-Pervasive, Frequent-Delimited, Transition-Activated, and Shock-to-Unfamiliar/Unexpected. We discuss how recognition of those types of RTC can be integrated into CG support intervention strategies.

scholarly journals Older Adults’ Experiences in an Online Intervention for Managing Subjective Depressive Symptoms

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 861-861
Author(s):  
Janella Hudson ◽  
Rachel Ungar ◽  
Laurie Albright ◽  
Rifky Tkatch ◽  
James Schaeffer ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Qualitative Content Analysis ◽  
Well Being ◽  
Late Life Depression ◽  
Structured Interviews ◽  
Community Interactions ◽  
Web Based ◽  
Age Related ◽  
Depressive Feelings

Abstract Background Many older adults struggle with late-life depression, stress, and anxiety, especially when facing age-related transitions including retirement, relocation, and the death of a spouse. Given the consequences of depression among older adults, which include higher rates of suicide, timely interventions that help to manage depressive symptoms are essential. Objective The primary purpose of this study was to explore the perceived efficacy of an online program in improving subjective depressive feelings. Methods Older adult participants were recruited for semi-structured interviews (n = 24) in a web-based intervention that included interactive games and activities undergirded by a cognitive behavioral therapy (CBT) approach. Participants were asked to provide feedback about program features, including weekly module content, games, interactive activities and community interactions, and any perceived effects on their health behaviors and/or emotional well-being. Participants’ responses were analyzed using qualitative content analysis. Results Participants reported several gains, including developing the habit of forming ongoing, incremental goals, achieving wellness-related goals, and experiencing an overall positive shift in perspective. In addition, participants reported feeling greater gratitude, increased positivity, and improvement in mood. Featured games and activities helped to promote stress relief and entertainment, and mindfulness exercises were cited as the most helpful and/or enjoyable among participants. Participants expressed a preference for program content related to aging and aging-related transitions. Conclusions This study demonstrated feasibility of an interactive web-based intervention for older adults with subjective depressive feelings, while also providing important findings about users’ preferences for personalized, aging-related feedback.

scholarly journals Implementation of Intentional Touch for Geriatric Patients with Chronic Pain: A Qualitative Pilot Study

2019 ◽  
Vol 26 (3) ◽  
pp. 195-205
Author(s):  
Barbara Stöckigt ◽  
Ralf Suhr ◽  
Daniela Sulmann ◽  
Michael Teut ◽  
Benno Brinkhaus
Keyword(s):  
Chronic Pain ◽  
Pain Relief ◽  
Therapeutic Relationship ◽  
Pain Perception ◽  
Visual Analysis ◽  
Qualitative Content Analysis ◽  
Video Recording ◽  
Well Being ◽  
Special Importance ◽  
Structured Interviews

Background: Intentional Touch (InTouch) refers to a soft physical touch with the aim to ease complaints and enhance well-being. Central questions were perception of InTouch by nurses and patients and possible effects on pain perception. Patients and Methods: InTouch was developed by stakeholder involvement. Nurses working in geriatric care received expert training in InTouch. Semi-structured interviews and participant observation (including video recording) were conducted with nurses applying and patients with chronic pain receiving InTouch after the beginning of the intervention and after 4 weeks. Interviews were analyzed based on Qualitative Content Analysis and video recordings based on Qualitative Visual Analysis. Results: Six elderly patients with chronic pain and 6 nurses were included. Nurses and patients equally described relaxation, well-being, and a sensation of warmth during the intervention. Patients reported no pain during the intervention. After the intervention, 3 patients each experienced pain relief or no change. Patients described better drive and positive feelings, and nurses felt empowered in their nursing work. Empathetic attention had special importance for improving the therapeutic relationship. Conclusion: The results of this study suggest that InTouch promoted relaxation, well-being, and pain relief for elderly people suffering from chronic pain and may contribute positively to the therapeutic relationship.

scholarly journals Advanced practice nurses' experiences and well‐being: Baseline demographics from a cohort study

2020 ◽  
Vol 28 (4) ◽  
pp. 959-967
Author(s):  
Emily Wood ◽  
Rachel King ◽  
Steve Robertson ◽  
Peter Allmark ◽  
Michaela Senek ◽  
...  
Keyword(s):  
Cohort Study ◽  
Well Being ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses

Legal complaints about midwives and the impact on the profession

2017 ◽  
Vol 26 (1) ◽  
pp. 148-160 ◽  
Author(s):  
Akram Peyman ◽  
Nahid Dehghan Nayeri ◽  
Mohammad Esmaeilpour Bandboni ◽  
Zahra Behboodi Moghadam
Keyword(s):  
Qualitative Content Analysis ◽  
Well Being ◽  
Professional Status ◽  
Medical Sciences ◽  
Structured Interviews ◽  
Ethical Considerations ◽  
Written Text ◽  
Litigation Process ◽  
Training Professional ◽  
The Impact

Introduction: Midwives play an important role in maintaining and increasing women’s health and well-being. Training professional midwives is one of the main policies of any healthcare system. Since the number of complaints against midwives has increased recently, this study was conducted to explore the perspectives of midwives regarding patients’ complaint to authorities and their impacts on the profession of midwifery. Methods: Being conducted in 2013, this qualitative study was the first of its type in Iran. Data were collected through in-depth semi-structured interviews with 14 midwives working in different cities across the country. The participants were selected using a purposive sampling method. Interviews were transcribed verbatim and analyzed following a qualitative content analysis approach. Written text was then coded, and themes were extracted from the data. Ethical considerations: The study was conducted with midwives’ free informed consent and was approved by Ethics Committee of Tehran University of Medical Sciences. Findings: By analyzing the data, four main themes regarding the impact of complaint on midwifery profession were developed. These included the following: “dissatisfied of midwifery, professional deviation, obsession with work, and weakening of the professional status.” Conclusion: The experience of patients’ complaint to legal authorities against midwives was described, by participants, as a painful experience. Lack of midwives’ knowledge about professional rules and litigation process created many problems for them and could negatively affect their practice and the society’s attitude toward midwifery. Thus, we suggest that in order to prevent such problems, midwives and midwifery students should be educated regarding factors that have the potential to create such problems and also prevention strategies.

scholarly journals How practice nurses engage with parents during their consultations about the MMR vaccine: a qualitative study

2021 ◽  
Vol 22 ◽  
Author(s):  
M.C. Hill ◽  
D. Salmon ◽  
J. Chudleigh ◽  
L.M. Aitken
Keyword(s):  
Qualitative Content Analysis ◽  
Sources Of Information ◽  
Structured Interviews ◽  
Mmr Vaccine ◽  
Practice Nurses ◽  
Modern Times ◽  
Parental Concerns ◽  
Qualitative Descriptive ◽  
Nurses Perceptions ◽  
Demographic Background

Abstract Aim: We aimed to understand practice nurses’ perceptions about how they engage with parents during consultations concerning the measles, mumps and rubella (MMR) vaccine. Background: The incidence of measles is increasing globally. Immunisation is recognised as the most significant intervention to influence global health in modern times, although many factors are known to adversely affect immunisation uptake. Practice nurses are a key member of the primary care team responsible for delivering immunisation. However, little is known how practice nurses perceive this role. Methods: Semi-structured interviews were undertaken with 15 practice nurses in England using a qualitative descriptive approach. Diversity in terms of years of experience and range of geographical practice settings were sought. These interviews were recorded, transcribed verbatim and open-coded using qualitative content analysis to manage, analyse and identify themes. Findings: Three themes were derived from the data: engaging with parents, the informed practice nurse and dealing with parental concerns: strategies to promote MMR uptake. During their consultations, practice nurses encountered parents who held strong opinions about the MMR vaccine and perceived this to be related to the parents’ socio-demographic background. Practice nurses sought to provide parents with tailored and accurate sources of information to apprise their immunisation decision-making about the MMR vaccine.

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