scholarly journals Using the PEPPA Framework to Develop and Implement a Nurse Practitioner Role Within Canada’s National Ballet School

2021 ◽  
Vol 1 (1) ◽  
pp. 10-22
Author(s):  
Erin Ziegler ◽  
Sophia Kim ◽  
Rachel J. Bar
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Advanced Practice Nursing ◽  
Health And Wellness ◽  
Physical And Mental Health ◽  
Wellness Program ◽  
Nursing Role ◽  
Dance Training ◽  
Timely Access ◽  
Practitioner Role

Aim: To outline the successful development and implementation of a nurse practitioner role within a professional ballet school. Background: Nurse practitioners are well integrated into primary and acute care in Ontario, yet the role within schools and private athletic institutions is not well documented. Canada’s National Ballet School is a professional ballet school with a combination of day students and those living in residences. Students complete both dance training and academics at the School. The physical and mental health of students was identified as a key priority by the school, leading to the development of an integrated health and wellness program. To facilitate more timely access to healthcare and provide an opportunity for collaboration and consultation within the school, a plan to implement a nurse practitioner role into the school was developed. Methods: In order to develop and implement the role of the nurse practitioner within the institution, the participatory, evidence-based, patient-focused process for advanced practice nursing role development, implementation, and evaluation (PEPPA) framework was used. The first seven steps of the PEPPA framework were applied in this project. Findings: The PEPPA framework allowed for us to identify key barriers and facilitators for the role implementation and successfully implement the nurse practitioner role. While the initial plan was for a slower implementation, the COVID-19 pandemic highlighted the need for a nurse practitioner in the institution more urgently. Conclusion: The PEPPA framework provided us with an organized process for developing and implementing the nurse practitioner role at Canada’s National Ballet School.

scholarly journals I Have Never Felt so Novice: Using Narrative Reflection to Explore the Transition from Expert RN to Novice NP Student

2021 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Erin Ziegler ◽  
Sarah Kalvoda ◽  
Elyse Ancrum-Lee ◽  
Erin Charnish
Keyword(s):  
Nurse Practitioner ◽  
Registered Nurse ◽  
Student Experience ◽  
Ways Of Knowing ◽  
Advanced Practice Nursing ◽  
Future Research ◽  
Competency Development ◽  
Mixed Emotions ◽  
Nursing Role ◽  
Expert Theory

Aim: To explore the experiences of nurse practitioner students moving from expert registered nurses to novice nurse practitioner program students.  Background: Moving from registered nurse to nurse practitioner can be a time filled with mixed emotions, lack of confidence, adaptation, and competency development. Learning about and navigating the advanced practice nursing role can be challenging. Students in the nurse practitioner program are encouraged to engage in regular reflective writing to foster role development and learning.  This paper aims to reflectively explore the experiences of transition from registered nurse to nurse practitioner student.  Methods: Inspired by Benner’s Novice to Expert Theory and Carper’s ways of knowing, the authors personally reflected on their transition experiences during NP schooling and then collectively developed a composite reflection of the shared experience.  From this exercise common themes were identified.  Conclusion: This unique reflective paper identified common themes in the experience of transitioning to the student role. Potential areas for future research-based exploration of the nurse practitioner student experience were identified. By understanding these experiences, students can be better prepared in advance and faculty can design both formal and informal support measures to better support the student experience.   

Implementation of the Acute Care Nurse Practitioner Role

1994 ◽  
Vol 5 (3) ◽  
pp. 404-407
Author(s):  
Lynn A. Kelso ◽  
Lori M. Massaro
Keyword(s):  
Acute Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Medical Center ◽  
Care Nurse ◽  
University Of Pittsburgh ◽  
Acute Care Nurse Practitioner ◽  
The University ◽  
Pittsburgh Medical ◽  
Practitioner Role

In this article, the experiences of two new acute care nurse practitioners working at the University of Pittsburgh Medical Center arc described. Included are the experiences they encountered in initiating the role and some of the responsibilities they assumed.

Holistic Nursing Values in Nurse Practitioner Education

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Elizabeth Kinchen
Keyword(s):  
Nursing Education ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
High Reliability ◽  
Reliability And Validity ◽  
Advanced Practice Nursing ◽  
Patient Centered ◽  
Holistic Nursing ◽  
Nursing Values ◽  
Practitioner Education

AbstractMuch has been written about the inclusion of holistic nursing values and practices in undergraduate nursing education, but their inclusion and influence in advanced practice nursing education has not been fully explored. Nurse practitioners (NPs) are nurses, so it is assumed that the nursing perspective provides a framework for NP education and practice, and that NP education represents the blending of a holistic nursing approach with medical diagnosis and treatment. Nurse practitioners are taking increasing responsibility for filling the gap in primary healthcare availability in the U.S., and in the current political and economic healthcare climate, NPs are in a position to promote primary care models that honor comprehensive, patient-centered, and relationship-based care. As a result, it becomes essential to quantify the inclusion of these values in NP educational programs and coursework, as instilling core values for practice begins in educational environments. This quantitative, descriptive study explored the inclusion of holistic nursing values by NP faculty, using the Nurse Practitioner Holistic Caring Instrument (NPHCI). The NPHCI exhibited quite high reliability and validity in the sample, including confirmation of its three subscales. Survey results suggest that NP faculty actively incorporate holistic nursing values in educational coursework, and that age, length of time teaching in NP programs, highest educational degree, and academics as the primary area of practice were important indicators of the inclusion of holistic nursing values in NP program curricula. Findings add to knowledge of NP education, but further study is warranted.

The Role of the Neonatal Nurse Practitioner in the Community Hospital Level I Nursery

2012 ◽  
Vol 31 (3) ◽  
pp. 141-147 ◽  
Author(s):  
Julie Hatch
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Neonatal Intensive Care ◽  
Community Hospital ◽  
Clinical Care ◽  
Advanced Practice Nursing ◽  
Tertiary Center ◽  
Neonatal Nurse Practitioners ◽  
Level I ◽  
Nursing Roles

Neonatal nurse practitioners (NNPs) have played a significant role in providing medical coverage to many of the country’s Level III neonatal intensive care units (NICUs). Extensive education and experience are required for a nurse practitioner (NP) to become competent in caring for these critically ill newborns. The NNP can take this competence and experience and expand her role out into the community Level I nurseries. Clinical care of the infants and close communication with parents, pediatricians, and the area tertiary center provide a community service with the goal of keeping parents and babies together in the community hospital without compromising the health of the baby. The NNP service, with 24-hour nursery and delivery coverage, supports an ongoing obstetric service to the community hospital. The NNP’s experience enables her to provide a neonatal service that encompasses a multitude of advanced practice nursing roles.

Using the PEPPA framework to develop the nurse practitioner role in emergency care: Critical reflections

2021 ◽  
pp. 205715852098847
Author(s):  
Erika Boman ◽  
Kim Gaarde ◽  
Rika Levy-Malmberg ◽  
Frances Kam Yuet Wong ◽  
Lisbeth Fagerström
Keyword(s):  
Emergency Department ◽  
Nurse Practitioner ◽  
Current Model ◽  
Models Of Care ◽  
Advanced Practice Nursing ◽  
Model Of Care ◽  
New Model ◽  
New Models ◽  
Nursing Roles ◽  
Practitioner Role

In this article, we describe and critically reflect on how the PEPPA framework, a Participatory Evidence-based Patient-focused Process for Advanced Practice Nursing, was used to develop a new model of care including the nurse practitioner (NP) role in an emergency department in Norway, where the role is in its infancy. While there is limited earlier research on the applicability of the PEPPA framework, it was here found to be useful. Supported by the framework, we mapped the current model of care, identified stakeholders and participants, determined the need for a new model of care, identified priority problems and goals, and defined the new model of care and the NP role. The PEPPA framework is recommended to develop new models of care including the NP role. Nonetheless, the process has not been straightforward. It is noted that to communicate and establish the new role in a setting as demanding as an emergency department takes time. Support from the management team is essential to succeed in developing and establishing new models of care and new nursing roles, such as the nurse practitioner role.

scholarly journals A mixed methods study of the work patterns of full-time nurse practitioners in Canadian nursing homes

2021 ◽  
Author(s):  
R. Martin-Misener ◽  
F. Donald ◽  
Abigail Wickson-Griffiths ◽  
Noori Akhtar-Danesh ◽  
J. Ploeg ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Nursing Homes ◽  
Case Studies ◽  
Nurse Practitioners ◽  
National Survey ◽  
Nurse Practitioner ◽  
Family Care ◽  
Full Time ◽  
Work Patterns ◽  
Practitioner Role

The aim of this study was to explore the integration of the nurse practitioner role in Canadian nursing homes to enable its full potential to be realised for resident and family care. The objective was to determine nurse practitioners' patterns of work activities. Nurse practitioners were introduced in Canadian nursing homes a decade ago on a pilot basis. In recent years, government and nursing home sector interest in the role has grown along with the need for data to inform planning efforts. The study used a sequential mixed methods design using a national survey followed by case studies. A national survey of nurse practitioners included demographic items and the EverCare Nurse Practitioner Role and Activity Scale. Following the survey, case studies were conducted in four nursing homes. Data were collected using individual and focus group interviews, document reviews and field notes. Twenty-three of a target population of 26 nurse practitioners responded to the survey, two-thirds of whom provided services in nursing homes with one site and the remainder in nursing homes with as many as four sites. On average, nurse practitioners performed activities in communicator, clinician, care manager/coordinator and coach/educator subscales at least three to four times per week and activities in the collaborator subscale once a week. Of the 43 activities, nurse practitioners performed daily, most were in the clinician and communicator subscales. Case study interviews involved 150 participants. Findings complemented those of the survey and identified additional leadership activities. Nurse practitioners undertake a range of primary health care and advanced practice activities which they adapt to meet the unique needs of nursing homes. Knowledge of work patterns enables nursing homes to implement the full range of nurse practitioner roles and activities to enhance resident and family care.

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.

Acute Care Nurse Practitioner Practice: Results of a 5-Year Longitudinal Study

2005 ◽  
Vol 14 (3) ◽  
pp. 211-219 ◽  
Author(s):  
Ruth M. Kleinpell
Keyword(s):  
Acute Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Advanced Practice Nurses ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Care Nurse ◽  
Practice Nurses ◽  
National Certification

The role of acute care nurse practitioners (ACNPs) has developed in capacity. More than 3500 advanced practice nurses have been certified as ACNPs, and the number of practice settings where these professionals work is continually expanding. Beginning in 1996, a series of surveys were conducted of nurse practitioners seeking national certification as ACNPs. What started as an attempt to gather information on the role of ACNPs evolved into a national 5-year longitudinal survey of ACNP practice. The cumulative results of the project are reported, and how the role of the ACNP was established in advanced practice nursing is discussed.

scholarly journals Nurse practitioner consultations in primary health care: patient, carer, and nurse practitioner qualitative interpretations of communication processes

2018 ◽  
Vol 20 ◽  
Author(s):  
Julian Barratt ◽  
Nicola Thomas
Keyword(s):  
Social Interactions ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Care Patient ◽  
Computer Assisted ◽  
Structured Interviews ◽  
Policy Makers ◽  
Mixed Methods Case Study ◽  
Communication Processes ◽  
Practitioner Role

AbstractAimTo advance understanding of the discrete nature of the communication processes and social interactions occurring in nurse practitioner consultations.BackgroundPreceding qualitative investigations of nurse practitioner consultations have, when conducting interviews with participants, often exclusively sampled either nurse practitioners or patients. Furthermore, previous qualitative studies of the nature of nurse practitioner consultations have not typically also sampled carers attending with patients for nurse practitioner consultations. Accordingly this study was developed, in part, to address this exclusivity of sampling in qualitative research of nurse practitioner consultations by developing an inclusive sample of patient, carer and nurse practitioner participants of nurse practitioner consultations, so as to conjointly develop an understanding of the multiple perceptions of those participants of communication processes occurring in nurse practitioner consultations.MethodsQualitative component of a larger mixed methods case study of communication processes and social interactions in nurse practitioner consultations, utilising individual semi-structured interviews with the patient (n = 9), carer (n = 2) and nurse practitioner (n = 3) participants of video-recorded consultations derived from a nurse practitioner-led general practice clinic. Interview transcripts were initially analysed via an emergent thematic analysis, followed up by computer-assisted qualitative data analysis with NVivo 9.FindingsThe participants’ perceptions of nurse practitioner consultation communication processes and social interactions were represented through six themes: Consulting style of nurse practitioners; Nurse practitioner – GP comparisons; Lifeworld content or lifeworld style; Nurse practitioner role ambiguity; Creating the impression of time and Expectations for safety netting. The findings identify a need for policy makers to address a perceived ambiguity of the nature of the nurse practitioner role amongst patients and carers. The benefits of nurse practitioners using personable, everyday lifeworld styles of communication for optimising interactions, sharing clinical reasoning and conveying a sense of having time for patients and carers in consultations are also identified.

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