Complexities of Introducing Group Medical Visits With Nurse Practitioners in British Columbia
| Autor: | Martin Dawes, Sabrina T. Wong, Laura Housden, Annette J. Browne |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
inorganic chemicals
Scope of practice Leadership and Management Nurse practitioners Advanced practice nursing Primary care Nurse's Role 03 medical and health sciences 0302 clinical medicine Power dynamics Nursing Patient-Centered Care Humans Medicine Nurse Practitioners 030212 general & internal medicine Qualitative Research Patient Care Team British Columbia Primary Health Care business.industry 030503 health policy & services technology industry and agriculture General Medicine Group Processes Issues ethics and legal aspects Current practice 0305 other medical science business |
| Zdroj: | Policy, Politics, & Nursing Practice. 17:198-207 |
| ISSN: | 1552-7468 1527-1544 |
| DOI: | 10.1177/1527154416675224 |
| Popis: | In Canada, increasing numbers of people with chronic conditions have prompted calls for innovative approaches to delivering primary care. These approaches may include group medical visits (GMVs) and the introduction of nurse practitioners (NPs). We examined why NPs in the province of British Columbia were not using GMVs. This case study is part of a larger research project that examined the impact of GMVs with NPs for patients with chronic conditions. We completed open-ended interviews with seven NPs working in primary care. Interviews were audiotaped and transcribed. Data were analyzed using interpretive descriptive approaches. Three major themes emerged: (a) advantages of GMVs, (b) questioning the fit of GMVs in current practice contexts, and (c) navigating scope of practice and role constraints that affect NPs’ ability to use GMVs. Power dynamics and hierarchies may influence NPs’ ability to adapt to GMVs. Consideration of practice environments and structures that enable the NPs ability to diffuse and utilize health-care innovative care delivery methods is needed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|