Exploration of the concept of collaboration within the context of nurse practitioner-physician collaborative practice

Bridges, Sharon

doi:10.1002/2327-6924.12043

Cited by 22 publications

(18 citation statements)

References 29 publications

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“…"Teamwork," however, is defined as a group of people working interdependently to achieve a common goal 9 and "collaboration" is defined as 2 clinicians consulting with each other and working concurrently by sharing knowledge and expertise to achieve optimal patient care. 15 Evidence is clear about the benefits of team-based and collaborative care, 16 yet researchers have concluded that evidence is lacking about comanagement approaches to care. 17 Team-based care and collaborative care with nurse practitioners often involve a hierarchy with team members aligned in a vertical organizational structure based on profession or role.…”

Section: Similar Termsmentioning

confidence: 99%

Nurse Practitioner–Physician Comanagement: A Theoretical Model to Alleviate Primary Care Strain

Norful

Jacq

Carlino³

et al. 2018

Ann Fam Med

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PURPOSE Various models of care delivery have been investigated to meet the increasing demands in primary care. One proposed model is comanagement of patients by more than 1 primary care clinician. Comanagement has been investigated in acute care with surgical teams and in outpatient settings with primary care physicians and specialists. Because nurse practitioners are increasingly managing patient care as independent clinicians, our study objective was to propose a model of nurse practitioner-physician comanagement. METHODSWe conducted a literature search using the following key words: comanagement; primary care; nurse practitioner OR advanced practice nurse. From 156 studies, we extracted information about nurse practitioner-physician comanagement antecedents, attributes, and consequences. A systematic review of the findings helped determine effects of nurse practitioner-physician comanagement on patient care. Then, we performed 26 interviews with nurse practitioners and physicians to obtain their perspectives on nurse practitioner-physician comanagement. Results were compiled to create our conceptual nurse practitioner-physician comanagement model. RESULTSOur model of nurse practitioner-physician comanagement has 3 elements: effective communication; mutual respect and trust; and clinical alignment/ shared philosophy of care. Interviews indicated that successful comanagement can alleviate individual workload, prevent burnout, improve patient care quality, and lead to increased patient access to care. Legal and organizational barriers, however, inhibit the ability of nurse practitioners to practice autonomously or with equal care management resources as primary care physicians.CONCLUSIONS Future research should focus on developing instruments to measure and further assess nurse practitioner-physician comanagement in the primary care practice setting. Ann Fam Med 2018;16:250-256. https://doi.org/10.1370/afm.2230. INTRODUCTIONW ith imminent staffing shortages in the health care profession and an increase in the volume of patients seeking primary care services, patient loads are increasing rapidly, thus making it difficult for a single primary care professional to manage all patient care needs effectively and efficiently.1-4 Therefore, policy makers are calling for new primary care delivery models to meet the increased demands for care, especially due to patients with multiple comorbidities requiring more complex primary care visits. Different models of care delivery have been proposed, including team-based care, yet these models often have variability in task allocation and professional roles.5 Identifying innovative models of care delivery is increasingly important to meet these demands in primary care.One proposed care delivery model includes having more than 1 primary care professional comanaging the same patient and sharing the workload responsibilities or care management tasks. Researchers have explored comanagement of patients by 2 physicians in primary care, 6 and by a physician and a nonphysician ...

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Section: Similar Termsmentioning

confidence: 99%

Nurse Practitioner–Physician Comanagement: A Theoretical Model to Alleviate Primary Care Strain

Norful

Jacq

Carlino³

et al. 2018

Ann Fam Med

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“…The NP and physician share knowledge, clinical expertise, decision making, and problem solving. In addition, the NP and physician can consult each other and share their plan of care to achieve good patient care outcomes (Bailey, Jones, & Way, ; Bridges, ). Most states, including Alabama, Georgia, Connecticut, New York, and Pennsylvania, require physician collaboration in NP practice (Buppert, ; Guido, ).…”

Section: Supervision Collaboration and Protocolmentioning

confidence: 99%

A giant leap in the development of nurse practitioners in Taiwan

Chiu

Tsay

Tung

2016

Journal of the American Association of Nurse Practitioners

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Background and purpose The purpose of the article is to clarify and describe nurse practitioner (NP) scope‐of‐practice regulations, including the process of establishing the regulations, and the concepts of supervision, collaboration, and protocol as well as to illustrate the positive impact of NPs in Taiwan. Methods A literature review was conducted to understand physician involvement, NP scope of practice, and written practice protocol. A simultaneous review of authoritative regulations, related to local statutes and regulations in the United States, was conducted. Conclusions After the Legislative Yuan approved an amendment of NP scope of practice on August 5, 2014, NPs can practice legally, with statute protection. These scope‐of‐practice regulations, developed by the Ministry of Health and Welfare, and the concept of physician supervision and written practice protocol represent a significant advance for NPs in Taiwan. Implications for practice We believe that establishing NP scope‐of‐practice regulations can result in the optimal development of this new role and improve quality of care. By sharing our milestones, from statute to regulations of the NP scope of practice, other countries that are in the process of developing the NP role can draw on our experience to establish their local regulations.

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“…Collaborative practice is complex and multifaceted (Bridges 2014). Interventions to improve collaborative practice and provide clear information about roles can facilitate collaboration and ultimately improve patient care (Schadewaldt 2013).…”

Section: Introductionmentioning

confidence: 99%

Perspectives of Nurse Practitioner–Physician Collaboration among Nurse Practitioners in Canadian Long-Term Care Homes: A National Survey

McAiney¹,

Ploeg²,

Wickson-Griffiths³

et al. 2017

cjnl

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Nurse practitioners (NPs) can play an important role in providing primary care to residents in long-term care (LTC) homes. However, relatively little is known about the day-to-day collaboration between NPs and physicians (MDs) in LTC, or factors that may influence this collaboration. Survey data from NPs in Canadian LTC homes were used to explore these issues. Thirty-seven of the 45 (82%) identified LTC NPs across Canada completed the survey. NPs worked with an average of 3.4 MDs, ranging from 1-26 MDs. The most common reasons for collaborating included managing acute and chronic conditions, and updating MDs on resident status changes. Satisfaction with NP-MD collaboration was high, and did not significantly differ among NPs working full versus part time, NPs working in a single versus multiple homes, or NPs with more versus less experience. By understanding the nature of NP-MD collaboration, we can identify ways of supporting and enhancing collaboration between these professionals.

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Exploration of the concept of collaboration within the context of nurse practitioner-physician collaborative practice

Cited by 22 publications

References 29 publications

Nurse Practitioner–Physician Comanagement: A Theoretical Model to Alleviate Primary Care Strain

Nurse Practitioner–Physician Comanagement: A Theoretical Model to Alleviate Primary Care Strain

A giant leap in the development of nurse practitioners in Taiwan

Perspectives of Nurse Practitioner–Physician Collaboration among Nurse Practitioners in Canadian Long-Term Care Homes: A National Survey

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