Conceptual framework of acute care nurse practitioner role enactment, boundary work, and perceptions of team effectiveness

Kilpatrick, Kelley; Lavoie‐Tremblay, Mélanie; Lamothe, Lise; Ritchie, Judith A.; Doran, Diane

doi:10.1111/j.1365-2648.2012.06046.x

Cited by 40 publications

(43 citation statements)

References 76 publications

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“…We could not come to a consensus on adopting or adapting one of these models for the framework. Each model had strengths, but in relation to the framework's objectives were limited by their focus on a specific role (Kilpatrick, Lavoie‐Tremblay, Lamothe, Ritchie, & Doran, ; Sidani & Irvine, ), aspect of care (Mitchell, Ferketich, Jennings, & American Academy of Nursing Expert Panel on Quality Health Care, ), or quality improvement (National Council for Nursing and Midwifery, ); and the lack of complexity (Byers & Brunell, ).…”

Section: Resultsmentioning

confidence: 99%

Framework for Evaluating the Impact of Advanced Practice Nursing Roles

Bryant‐Lukosius

Spichiger

Martin

et al. 2016

J of Nursing Scholarship

153

130

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Section: Resultsmentioning

confidence: 99%

Framework for Evaluating the Impact of Advanced Practice Nursing Roles

Bryant‐Lukosius

Spichiger

Martin

et al. 2016

J of Nursing Scholarship

153

130

View full text Add to dashboard Cite

show abstract

“…This study provides in‐depth descriptions from the perspective of providers and adds to our understanding of the multilevel influences and the interrelated nature of processes within teams (Sidani & Doran , Kilpatrick et al . ,b). The study findings support the processes identified by Kilpatrick et al .…”

Section: Discussionmentioning

confidence: 99%

“…As proposed by Yin (), a conceptual framework was developed to support all the phases of the case study (Kilpatrick et al . ). The digital recordings of the interviews were transcribed and read several times ‘to obtain a sense of the whole’ (Graneheim & Lundman p. 108).…”

Section: Methodsmentioning

confidence: 97%

How do nurse practitioners in acute care affect perceptions of team effectiveness?

Kilpatrick

2013

Journal of Clinical Nursing

Self Cite

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“…We acknowledge that some scholars conceptualize ''enactment'' as a term relating to the mode in which various role components are carried out. 12 …”

Section: Ré Sumémentioning

confidence: 99%

Understanding Physiotherapists' Roles in Ontario Primary Health Care Teams

Dufour

Lucy

Brown

2014

Physiotherapy Canada

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Purpose: To understand physiotherapists' roles and how they are enacted within Ontario primary health care (PHC) teams. Methods: Following a pragmatic grounded theory approach, 12 physiotherapists practising within Ontario PHC teams participated in 18 semi-structured in-depth in-person interviews. All interviews were audiotaped and transcribed verbatim, then entered into NVIVO-8. Coding followed three progressive analytic stages and was iterative in nature, guided by grounded theory. An explanatory scheme was developed. Results: Physiotherapists negotiate their place within the PHC teams through five interrelated roles: (1) manager; (2) evaluator; (3) collaborator; (4) educator; and (5) advocate. These five roles are influenced by three contextual layers:(1) inter-professional team; (2) community and population served; and (3) organizational structure and funding. Canada's PHC mandate (access, teams, information, and healthy living) frame the contexts that influence role enactment. Conclusions: To fulfill the PHC mandate, physiotherapists carry out multiple roles that are based on a broad holistic perspective of health, within the context of a collaborative inter-professional team and the community, through an evidenced-informed approach to care. There appear to be multiple ways of successfully integrating physiotherapists within PHC teams, provided that role enactment is context sensitive and congruent with the mandate of PHC.Key Words: inter-professional teams; primary health care. RÉ SUMÉObjectif : Comprendre les rô les des physiothé rapeutes et comment ils sont appliqué s au sein des é quipes de fournisseurs de soins de santé primaires en Ontario. Mé thodes : Suivant une mé thode thé orique à base empirique pratique, 12 physiothé rapeutes pratiquant dans des é quipes de soins de santé primaires de l'Ontario ont participé à 18 entrevues personnelles dé taillé es semi-structuré es. Toutes les entrevues ont é té enregistré es, transcrites verbatim et entré es ensuite dans NVIVO-8. Le codage a suivi trois stades analytiques progressifs et é tait de nature ré pé titive, guidé par une thé orie à base empirique. On a cré é un systè me explicatif. Ré sultats : Les physiothé rapeutes né gocient leur place au sein des é quipes de soins de santé primaires en jouant cinq rô les interdé pendants : (1) gestionnaire; (2) é valuateur; (3) collaborateur; (4) é ducateur; (5) repré sentant. Ces cinq rô les subissent l'influence de trois strates contextuelles : (1) é quipe interprofessionnelle; (2) communauté et population desservies; (3) structure organisationnelle et financement. Le mandat du Canada au niveau des soins de santé primaires (accè s, é quipe, information et vie saine) circonscrit les contextes qui agissent sur les rô les joué s. Conclusions : Pour s'acquitter du mandat relatif aux soins de santé primaires, les physiothé rapeutes jouent de multiples rô les qui reposent sur une perspective holistique gé né rale de la santé dans le contexte d'une é quipe interprofessionnelle basé e sur la collaboration et de...

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Conceptual framework of acute care nurse practitioner role enactment, boundary work, and perceptions of team effectiveness

Abstract: The new framework can guide decision-making and research related to the structures, processes, and outcomes of nurse practitioner roles in healthcare teams.

Cited by 40 publications

References 76 publications

Framework for Evaluating the Impact of Advanced Practice Nursing Roles

Framework for Evaluating the Impact of Advanced Practice Nursing Roles

How do nurse practitioners in acute care affect perceptions of team effectiveness?

Understanding Physiotherapists' Roles in Ontario Primary Health Care Teams

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