The Process of Oncology Nurse Practitioner Patient Navigation: A Gounded Theory Approach: Key Factors for a Structural Assessment Utilizing an Oncology NP Navigator Care Model

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Johnson FM
Keyword(s):  
Nurse Practitioner ◽  
Advanced Practice ◽  
Theory Approach ◽  
Emergency Rooms ◽  
Key Factors ◽  
Practice Nurses ◽  
Oncology Nurse ◽  
Care Models ◽  
Evidenced Based

Nurse practitioner care led models care models are evolving. A literature review by [1] emphasizes the utilization of advanced practice nurses and nurses in the geriatric setting based on the utilization of evidenced-based nursing practices incorporating interprofessional novel approaches across settings ranging from the community, long-term, and acute care. Likewise, nurse practitioner led models are emerging in the forefront to deliver care to cancer patients across all care settings such as emergency rooms [2], survivorship [3], treatment both home [4], in-house [5], as well as for palliative care [6].

scholarly journals Advanced practice nurses in primary care in Switzerland: an analysis of interprofessional collaboration

2019 ◽  
Author(s):  
Renata Josi ◽  
Monica Bianchi ◽  
Sophie Brandt
Keyword(s):  
Primary Care ◽  
Medical Practice ◽  
Health Professionals ◽  
Interprofessional Collaboration ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Care Models ◽  
Team Functioning ◽  
Swiss Primary Care

Abstract Background: The increase in the number of chronically ill patients due to ageing is calling existing models of primary care into question. New care models have recently been implemented in Swiss primary care and involve interprofessional teams. This paper aimed to analyze the practice of interprofessional collaboration between advanced practice nurses, registered nurses, and medical practice assistants within new models of primary care in Switzerland using the National Interprofessional Competency Framework (NICF). Methods: An ethnographic design comprising semi-structured interviews and non-participant observations was conducted. Sixteen interviews were conducted with care providers at their primary care practice. Interviewees included four advanced practice nurses, two registered nurses, six medical practice assistants, and four general practitioners. Nine other health professionals were subsequently observed in their practice. Interviews and observations were conducted by the first author from February to April 2019. Results: Our analysis confirmed that role clarification, team functioning, collaborative leadership, interprofessional conflict resolution, patient-centered care, and interprofessional communication have a significant influence on the interprofessional collaboration among health professionals in Swiss primary care. Among these domains, role clarification and team functioning were the most frequently raised issues. Both were found to have the potential to negatively influence and, therefore, hinder efficient interprofessional collaboration within primary care. The observation of APNs and MPAs working in practice confirmed these results. Conclusion: From the analysis, it emerged that role clarification is crucial for effective interprofessional collaboration within new care delivery models in the Swiss primary care context. Our study results may inform international health policymakers and practitioners about six important domains of interprofessional care when implementing new care models. Practical experience with new models of care involving advanced practice nurses and medical practice assistants may also influence the regulation of the scope of practice of these health professionals in Switzerland.

scholarly journals Advanced practice nurses, registered nurses and medical practice assistants in new care models in Swiss primary care: a focused ethnography of their professional roles

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033929
Author(s):  
Renata Josi ◽  
Monica Bianchi
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Chronic Care ◽  
Advanced Practice Nurses ◽  
Models Of Care ◽  
Advanced Practice ◽  
Practice Nurses ◽  
New Models ◽  
Care Models ◽  
Swiss Primary Care

ObjectivesWe aimed to analyse roles and tasks of advanced practice nurses (APNs), registered nurses (RNs) without advanced practice education and medical practice assistants (MPAs) with regard to chronic care in Swiss primary care (PC). The objective of this study was to explore the potential of new care models, involving these health professionals, which could meet changing future healthcare needs.DesignAn ethnographic design comprising semi-structured interviews and non-participant observations was conducted.SettingHealth professionals who worked in 10 primary care practices in the German-speaking part of Switzerland were included in the study.ParticipantsIn total, 16 interviews were conducted with four APNs, six MPAs, two RNs and four general practitioners (GPs). Nine of the health professionals were subsequently observed in their primary care practice.ResultsAPNs and MPAs were both involved in chronic care in the PC practice. While APNs cared for older, multimorbid patients with more complex needs, MPAs were involved in counselling of younger patients with chronic disease such as type 2 diabetes. Additionally, APNs were involved in many home visits and visits in elderly peoples — and nursing homes. APNs worked with a high degree of autonomy while MPAs had worked mostly in delegation. Task division between GPs and APNs or MPAs was not clear in every case yet.ConclusionsAPNs and MPAs have a high potential to contribute to optimal care in new care models, which address needs of the elderly population. The experience from our sample may inform international health policymakers and practitioners about the tasks and responsibilities those health professionals can take over in PC when implementing new models of care. The practical experience with new models of care involving APNs and MPAs may also influence the future regulation with regard to the scope of practice of these health professionals in Switzerland.

scholarly journals A systematic review of the effectiveness of advanced practice nurses in long-term care

2021 ◽  
Author(s):  
Alba DiCenso
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Prospective Studies ◽  
Long Term Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Term Care ◽  
Practice Nurses

To report quantitative evidence of the effectiveness of advanced practice nursing roles, clinical nurse specialists and nurse practitioners, in meeting the healthcare needs of older adults living in long-term care residential settings. Although studies have examined the effectiveness of advanced practice nurses in this setting, a systematic review of this evidence has not been conducted. Quantitative systematic review. Twelve electronic databases were searched (1966-2010); leaders in the field were contacted; and personal files, reference lists, pertinent journals, and websites were searched for prospective studies with a comparison group. Studies that met inclusion criteria were reviewed for quality, using a modified version of the Cochrane Effective Practice and Organisation of Care Review Group risk of bias assessment criteria. Four prospective studies conducted in the USA and reported in 15 papers were included. Long-term care settings with advanced practice nurses had lower rates of depression, urinary incontinence, pressure ulcers, restraint use, and aggressive behaviours; more residents who experienced improvements in meeting personal goals; and family members who expressed more satisfaction with medical services. Advanced practice nurses are associated with improvements in several measures of health status and behaviours of older adults in long-term care settings and in family satisfaction. Further exploration is needed to determine the effect of advanced practice nurses on health services use; resident satisfaction with care and quality of life; and the skills, quality of care, and job satisfaction of healthcare staff.

Complexity Theory: A Long-Term Care Specialty Practice Exemplar for the Education of Advanced Practice Nurses

2004 ◽  
Vol 43 (2) ◽  
pp. 84-87 ◽  
Author(s):  
Eleanor S. McConnell ◽  
Deborah Lekan-Rutledge ◽  
Brenda Nevidjon ◽  
Ruth Anderson
Keyword(s):  
Complexity Theory ◽  
Long Term Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Term Care ◽  
Practice Nurses ◽  
Specialty Practice

scholarly journals A systematic review of the effectiveness of advanced practice nurses in long‐term care

2013 ◽  
Vol 69 (10) ◽  
pp. 2148-2161 ◽  
Author(s):  
Faith Donald ◽  
Ruth Martin‐Misener ◽  
Nancy Carter ◽  
Erin E. Donald ◽  
Sharon Kaasalainen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Term Care ◽  
Practice Nurses

scholarly journals The Process of Oncology Nurse Practitioner Patient Navigation: Triage an Essential Process

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Grounded Theory ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Cancer Care ◽  
Patient Navigation ◽  
Care Delivery ◽  
Theory Approach ◽  
Full Time ◽  
Oncology Nurse ◽  
Grounded Theory Approach

One of the most daunting challenges faced in the health care delivery system is the complexity of cancer care, and the process of care coordination, a subcomponent of patient navigation. A study was undertaken to identify a central navigation process utilized by nurse practitioners practicing oncology. The data in this article is a component of a larger study entitled: The Process of Oncology Nurse Practitioner Patient Navigation: A Grounded Theory Approach. Utilizing a grounded theory approach N = 20 oncology nurse practitioners (ONP) were recruited. To be eligible for the study the ONP had to have a: 1) license to practice in their respective state; 2) certification to practice as an oncology nurse; 3) minimum of 5 years full time experience in oncology nursing; and 4) English speaking. The participants were recruited by: 1) word of mouth networking with peers: 2) Soliciting volunteers through public announcements at professional nursing conferences; 3) Contacting authors of oncology NP navigation articles or convention pamphlets via telephone or e-mail; 4) Posting information soliciting oncology NP volunteers on blogs or websites of professional organizations with organizational director approval; and, 5) Recruiting by snowball sampling. Telephone interviews were conducted utilizing an open-ended questionnaire. Data analysis and coding revealed the central navigation processes. The triage process was carried out in a variety of unique settings, and utilized in some instances within navigation subsystems. Key triage paths were identified along the cancer continuum; documenting the need for ONP navigators to strategically place these systems in areas along the cancer continuum, to expedite timely delivery of patient care. Literature search revealed that cancer specific triage tools are lacking. Implications for research and practice include the development of these tools for cancer care. Of critical importance is the need to identify service gaps in cancer care, and strategically place triage systems, to offset these service gaps. Practical application of the research findings in relationship to current literature is integrated for discussion.

scholarly journals A systematic review of the effectiveness of advanced practice nurses in long-term care

2021 ◽  
Author(s):  
Alba DiCenso
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Prospective Studies ◽  
Long Term Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Term Care ◽  
Practice Nurses

To report quantitative evidence of the effectiveness of advanced practice nursing roles, clinical nurse specialists and nurse practitioners, in meeting the healthcare needs of older adults living in long-term care residential settings. Although studies have examined the effectiveness of advanced practice nurses in this setting, a systematic review of this evidence has not been conducted. Quantitative systematic review. Twelve electronic databases were searched (1966-2010); leaders in the field were contacted; and personal files, reference lists, pertinent journals, and websites were searched for prospective studies with a comparison group. Studies that met inclusion criteria were reviewed for quality, using a modified version of the Cochrane Effective Practice and Organisation of Care Review Group risk of bias assessment criteria. Four prospective studies conducted in the USA and reported in 15 papers were included. Long-term care settings with advanced practice nurses had lower rates of depression, urinary incontinence, pressure ulcers, restraint use, and aggressive behaviours; more residents who experienced improvements in meeting personal goals; and family members who expressed more satisfaction with medical services. Advanced practice nurses are associated with improvements in several measures of health status and behaviours of older adults in long-term care settings and in family satisfaction. Further exploration is needed to determine the effect of advanced practice nurses on health services use; resident satisfaction with care and quality of life; and the skills, quality of care, and job satisfaction of healthcare staff.

scholarly journals Advanced practice nurses in primary care in Switzerland: an analysis of interprofessional collaboration

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Renata Josi ◽  
Monica Bianchi ◽  
Sophie Karoline Brandt
Keyword(s):  
Primary Care ◽  
Medical Practice ◽  
Health Professionals ◽  
Interprofessional Collaboration ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses ◽  
New Models ◽  
Care Models ◽  
Team Functioning

Abstract Background The increase in the number of chronically ill patients due to ageing is calling existing models of primary care (PC) into question. New care models have recently been implemented in Swiss PC and involve interprofessional teams. This paper aimed to investigate the practice of interprofessional collaboration between advanced practice nurses, registered nurses, and medical practice assistants within new models of PC in Switzerland using the National Interprofessional Competency Framework. Methods An ethnographic design comprising semi-structured interviews and non-participant observations was conducted. Sixteen interviews were conducted with care providers at their PC practice. Interviewees included four advanced practice nurses, two registered nurses, six medical practice assistants, and four general practitioners. Nine other health professionals were subsequently observed in their practice. Interviews and observations were conducted by the first author from February to April 2019. Results Our analysis of interview and observational data confirmed that role clarification, team functioning, collaborative leadership, interprofessional conflict resolution, patient-centered care, and interprofessional communication have a significant influence on the interprofessional collaboration among health professionals in Swiss PC. Among these domains, role clarification and team functioning were the most frequently raised issues. Both were found to have the potential to negatively influence and, therefore, hinder efficient interprofessional collaboration within PC. Conclusion From the analysis, it emerged that role clarification is crucial for effective interprofessional collaboration within new care delivery models in the Swiss PC context. Our study results may inform international health policymakers and practitioners about six important domains of interprofessional care when implementing new care models. Practical experience with new models of care involving advanced practice nurses and medical practice assistants may also influence the regulation of the scope of practice of these health professionals in Switzerland.

scholarly journals Advanced Practice Nurses in Primary Care in Switzerland: An Analysis of Interprofessional Collaboration

2019 ◽  
Author(s):  
Renata Josi ◽  
Monica Bianchi ◽  
Sophie Brandt
Keyword(s):  
Primary Care ◽  
Medical Practice ◽  
Health Professionals ◽  
Interprofessional Collaboration ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses ◽  
New Models ◽  
Care Models ◽  
Team Functioning

Abstract Background: The increase in the number of chronically ill patients due to ageing is calling existing models of primary care (PC) into question. New care models have recently been implemented in Swiss PC and involve interprofessional teams. This paper aimed to investigate the practice of interprofessional collaboration between advanced practice nurses, registered nurses, and medical practice assistants within new models of PC in Switzerland using the National Interprofessional Competency Framework. Methods: An ethnographic design comprising semi-structured interviews and non-participant observations was conducted. Sixteen interviews were conducted with care providers at their PC practice. Interviewees included four advanced practice nurses, two registered nurses, six medical practice assistants, and four general practitioners. Nine other health professionals were subsequently observed in their practice. Interviews and observations were conducted by the first author from February to April 2019. Results: Our analysis of interview and observational data confirmed that role clarification, team functioning, collaborative leadership, interprofessional conflict resolution, patient-centered care, and interprofessional communication have a significant influence on the interprofessional collaboration among health professionals in Swiss PC. Among these domains, role clarification and team functioning were the most frequently raised issues. Both were found to have the potential to negatively influence and, therefore, hinder efficient interprofessional collaboration within PC. Conclusion: From the analysis, it emerged that role clarification is crucial for effective interprofessional collaboration within new care delivery models in the Swiss PC context. Our study results may inform international health policymakers and practitioners about six important domains of interprofessional care when implementing new care models. Practical experience with new models of care involving advanced practice nurses and medical practice assistants may also influence the regulation of the scope of practice of these health professionals in Switzerland.

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