Abstract:
BACKGROUND:In many countries, acute care nurse practitioners contribute to patient care through an expanded scope of practice that includes nursing and medical activities. There have been calls across nations to establish better understanding of how nurse practitioners enact their roles in healthcare teams. The 2006 introduction of cardiology nurse practitioners in Quebec, Canada provides an opportunity to examine this process more closely. OBJECTIVES:The purpose of the study is to understand how nurse practitioners enact the medical and expanded nursing portions of their role in healthcare teams. DESIGN:A descriptive multiple-case study design was used. SETTINGS:The study was conducted in two university-affiliated teaching hospitals in Quebec. DATA SOURCES:Data were collected from March 2009 to May 2009. Data sources included interviews (N=59), field notes, documents, and a time and motion study (N=108 h 53 min) of nurse practitioner activities using a validated observation tool. METHODS:The interviews were conducted individually or in groups. Content analysis was used to analyse the qualitative data. Descriptive statistics were generated for the time and motion study. RESULTS:The clinical role component, including nursing and medical activities, occupied the largest portion of the nurse practitioners' work time. The pace of nurse practitioner work activities was faster in the first half of the workday in response to patient care demands. The enacted nurse practitioner scope of practice was sensitive to the local context, and the needs of team members, patients and families. Nursing and medical leadership, and the transfer of prescriptive authority and decision-making autonomy affected how nurse practitioners enacted the medical and expanded nursing portions of their roles. Participants believed the pace of work influenced the nurse practitioners' ability to develop relationships with team members, and enact all the components of their role. CONCLUSIONS:The practitioners' scope of practice changed in response to pressures inside and outside healthcare teams or a lack of healthcare system structures. The study findings appear to be applicable to nurse practitioners working in other specialties, and in other countries. Future research needs to examine how the pace of work affects the nurse practitioners' ability to provide care.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Kilpatrick K,Lavoie-Tremblay M,Ritchie JA,Lamothe L,Doran D,Rochefort Cdoi
10.1016/j.ijnurstu.2012.01.011subject
Has Abstractpub_date
2012-07-01 00:00:00pages
850-62issue
7eissn
0020-7489issn
1873-491Xpii
S0020-7489(12)00040-5journal_volume
49pub_type
杂志文章abstract::Ethics is increasingly being included in the training curriculum for health-care professionals. However, debate continues around the appropriate content of ethics courses for such students and the most relevant teaching approaches which will enable students to apply their ethical knowledge in clinical settings. At a t...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(95)00012-m
更新日期:1995-10-01 00:00:00
abstract:BACKGROUND:A standard measure to assess and predict violence is important for psychiatric services. No prospective study has examined the history of violence and heterogeneity of violence in predicting specific types of violence among inpatient with schizophrenia. OBJECTIVES:This study aimed to prospectively examine t...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.06.002
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Aging is a normal degenerative process that results in a decline in the gait and balance performance of older adults. Interactive cognitive motor training is an intervention that integrates cognitive and motor tasks to promote individuals' physical and cognitive fall risk factors. However, the additive effec...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2018.03.015
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to explore Indigenous people's experiences and perceptions of hospitalisation and acute care. METHODS:Systematic procedures were used for the literature search covering the period from 2000 to 2016. Final search was conducted in early September 2016. Quality of the selected st...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2017.03.003
更新日期:2017-06-01 00:00:00
abstract::Fatigue is frequently experienced by patients with chronic illnesses, and especially by patients with cancer and chronic obstructive airways disease. However, there is a paucity of qualitative research into the experiences of fatigued individuals and, consequently, definitions of fatigue have, to date, been based sole...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(96)00032-6
更新日期:1997-02-01 00:00:00
abstract:PURPOSE:To describe the symptom experience of hospitalised Chinese children and adolescents and examine the relationship of symptoms to pre-hospital factors and child behaviour. METHODS:Data were collected at two hospital sites in Hong Kong (HK) and at five hospitals in the Chinese Mainland (CM). A total of 307 hospit...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2004.02.001
更新日期:2004-08-01 00:00:00
abstract::Risk assessment scales (RASs) intended to identify patients most at risk of developing pressure ulcers have been widely used for many years. Numerous studies have evaluated their predictive validity but potential bias has been inherent in the design of all. To overcome these problems a simulation study was conducted i...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2003.10.005
更新日期:2004-03-01 00:00:00
abstract::The purpose of this study was to estimate the variance components associated with individual differences and various sources of measurement error of Caregiver Strain Index (CSI). A two-facet (item and occasion) crossed design generalizability study (G study) was conducted using a sample of 14 caregivers of cancer pati...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00021-4
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:The aim of this review was to examine the extent and nature of published literature on nurses' and nursing students' preparedness to care for older adults in lower and middle-income countries. METHOD:A scoping review with 27 articles, guided by the Arksey and O'Malley (2005) framework was conducted. The fol...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2019.01.018
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Incorporating consumers' voices in tertiary education curricula is an ongoing initiative of educators of health professions in order to facilitate students' readiness for consumer-based practice and to meet accreditation standards. Consequently, educators within these professions use a range of different str...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2020.103619
更新日期:2020-09-01 00:00:00
abstract::Following their introduction in the United States in the 1970s various forms of compulsory treatment in the community have been introduced internationally. Compulsory treatment in the community involves a statutory framework that mandates enforceable treatment in a community setting. Such frameworks can be categorized...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2009.02.006
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Nurse managers play an important role in implementing patient safety practices in hospitals. However, the influence of their professional background on their clinical leadership behaviour remains unclear. Research has demonstrated that concepts of Bourdieu (dispositions of habitus, capital and field) help to...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.09.006
更新日期:2016-11-01 00:00:00
abstract::In a number of countries throughout the world attention is being paid to the ways in which health and social care research is undertaken and regulated. In the United Kingdom, new research governance frameworks are intended to promote improvement in research quality. This paper draws on our experiences of seeking resea...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00111-6
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:A number of health-related quality of life instruments for children and adolescents have been developed and used in European countries during recent years. However, few well-validated instruments have been translated into Norwegian. As part of a larger investigation about pain and health-related quality of l...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.10.001
更新日期:2011-05-01 00:00:00
abstract::Pre-admission forensic nursing assessment is a tradition that has no research evidence base, little documentary support and is an expensive drain on nursing resources from clinical environments. Such an expensive practice warrants some evaluation of the quality of these nursing assessments. This study assessed the qua...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(03)00017-8
更新日期:2003-08-01 00:00:00
abstract::A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest-posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for patients with type 2 di...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(01)00046-3
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Improvements in care and treatment have led to more young adults with life-limiting conditions living beyond childhood, which means they must make the transition from children's to adult services. This has proved a challenging process for both young adults and service providers, with complex transition inter...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2017.06.013
更新日期:2017-11-01 00:00:00
abstract::The Community Nursing Project reports the results of a mailed questionnaire survey of the working and educational experience of 689 nurses employed outside hospitals and nursing homes in Victoria in 1985. This paper reports that part of the study relevant to their practice settings, job titles, job content and working...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(91)90047-7
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:Knowledge of women's experience with breast cancer is based on studies on middle-class Caucasian women. Generalizations are drawn from the few studies of South Asian women such as lack of desire to discuss personal and family issues. The purpose of this qualitative study was to understand the experience of C...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2006.08.023
更新日期:2008-02-01 00:00:00
abstract::A survey of lecturers (n = 47) and students (n = 110) was undertaken to explore their preferred teaching strategies, using a questionnaire based on Heron's (1977) Dimensions of Facilitator Styles (Human potential research project, University of Surrey, Guildford). Overall it was found that the students tended to prefe...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(92)90013-7
更新日期:1992-11-01 00:00:00
abstract::This paper reports on the first phase of an action research practice development project to explore, develop and evaluate the role of the generic healthcare support worker in a high dependency rehabilitation service. The project is being jointly conducted by staff from the University of Southampton, the University of ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00026-7
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:Systematic reviews of literature are increasingly important in healthcare. While reviewers are expected to follow reporting guidelines, inconsistencies may be observed in presentation of reviews, potentially detracting from the credibility of findings. Predetermined eligibility criteria are fundamental to th...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.02.002
更新日期:2015-07-01 00:00:00
abstract::The aim of this study was to illuminate nurses' experiences of the encounter with elderly patients who developed acute confusional state (ACS) in orthopaedic care. Forty-eight nurses with professional background as registered (n=26) or licensed practical nurses (n=22) who took part in the nursing care of acute confuse...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00109-8
更新日期:2003-05-01 00:00:00
abstract::This study represents a survey of the nursing quality assurance programs in 12 hospitals in Alberta. The objectives of the study were: to identify the nature, content and costs of the programs, to determine the extent of nurse involvement in the design and operation of the programs, and the value and importance nurses...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(92)90032-c
更新日期:1992-08-01 00:00:00
abstract:BACKGROUND:Patients' responses to acute myocardial infarction symptoms are affected by symptom incongruence, which is the difference between the symptoms they expect to experience and the symptoms they actually experienced during an acute myocardial infarction. OBJECTIVE:To examine the relationship of patients' demogr...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2015.06.003
更新日期:2015-10-01 00:00:00
abstract::Lymphoma patients who require high dose chemotherapy are 'rescued' by reinfusion of stem cells to repopulate their bone marrow and minimise the risk of fatal infections or haemorrhage. This review evaluated the evidence for the use of stem cells derived from the peripheral blood to speed the engraftment of neutrophil ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2005.01.007
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Oral care of intubated patients is essential to the prevention of infection and patient discomfort. However, barriers to oral access and delivery of oral care have received little attention. OBJECTIVE:To determine prevalence and predictors of oral access difficulty. DESIGN:A prospective, observational, mul...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2017.12.009
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Institutionalized elderly continue to have the need for sexual expression and intimacy. Nurses often display negative responses when they are confronted with the sexual behavior of residents. They feel ashamed and do not know how to react. This generates feelings of discomfort, resulting in the denial of res...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2011.05.013
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Intravenous antibiotics are the cornerstone of treatment for patients with cystic fibrosis (CF). Midlines are a type of vascular access device (VAD) used exclusively in one treatment facility within Australia, most other centres use peripherally inserted central catheters (PICCs). OBJECTIVE:To ascertain the...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.09.002
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Evidence-based practice is considered a foundation for the provision of quality care and one way to integrate scientific knowledge into clinical problem-solving. Despite the extensive amount of research that has been conducted to evaluate evidence-based practice implementation and research utilization, these...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2017.09.006
更新日期:2018-01-01 00:00:00