International practice settings, interventions and outcomes of nurse practitioners in geriatric care: A scoping review

Chavez, Krista S.; Dwyer, Andrew A.; Ramelet, Anne‐Sylvie

doi:10.1016/j.ijnurstu.2017.09.010

Cited by 63 publications

(71 citation statements)

References 112 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is a growing interest in the implementation of the role of ANPs (Casey, O’Connor, Cashin, et al, ; Casey, O’Connor, Nicholson, et al, ; Chavez et al, ; O'Connor et al, ; Woo, Lee, & Tam, ). There is a growing interest in the development and implementation of the role of ANPs and AMPs (Chavez, Dwyer, & Ramelet, ; O'Connor et al, ; Woo et al, ). Franks and Howarth () found that similar roles were enabled by the high public priority, legislative, policy support and support from organisational leaders and managers.…”

Section: Discussionmentioning

confidence: 99%

Enablers and challenges to advanced nursing and midwifery practice roles

et al. 2018

View full text Add to dashboard Cite

There is international recognition of the need for workforce planning to meet the diverse population health needs and the move to person-centred as opposed to service-centred models of health care against the background of a largely physician-led health service model. Bryant-Lukosius, DiCenso, Brown, and Pinelli (2004) suggest that the difference between phrases such as "advanced practice nursing" and "advanced nursing practice" relates to whether one is referring to what nurses do, i.e. "advanced nursing practice", or referring to the level at which the roles are constructed, i.e. "advanced practice nursing". Evidence of nurses' and midwives' experiences in role expansion indicates that many embrace role expansion and that they function effectively in expanded roles; however, nurses and midwives may experience scope of practice as either enabling or restricting . As advanced practice is a level of practice rather than a specific role (Ryley & Middleton, 2016), one strategy to develop a more efficient Abstract Aim: To describe the enablers and challenges to the development and implementation of advanced nursing and midwifery practice roles in Ireland. Background:Leadership strategies need to be put in place to enhance the development and implementation of advanced nursing and midwifery practice roles. Method:A descriptive qualitative approach using semi-structured interviews with key stakeholders (n = 15) was undertaken with nurses and midwives working in specialist and advanced practice roles and participants from other areas such as legislative, regulatory, policy, pharmacy, medicine and education. Results: Participant's perspectives on the enablers and challenges to enacting specialist and advanced practice roles resulted in the generation of three themes: organisational factors; collegial, interprofessional and interpersonal support; and role clarity, economic and regulatory contexts. Conclusion: Addressing organisational factors, encouraging collegial and interprofessional support and establishing role clarity contribute to the effective development and implementation of the role of advanced practitioners.Implications for nursing and midwifery management: Managers of nursing services need to provide leadership in developing strategies to enhance the enablers and overcome the challenges to advanced practice role development in their own organisation. K E Y W O R D Sadvanced practice, barriers and challenges, midwifery, nursing

show abstract

Section: Discussionmentioning

confidence: 99%

Enablers and challenges to advanced nursing and midwifery practice roles

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Registered nurses are healthcare leaders and hold the greatest accountability for the care of residents in RACFs; as a result, they play a vital role in promoting nurse‐led interventions in the advancement of resident well‐being (Chavez, Dwyer, & Ramelet, ; Kiljunen, Välimäki, Kankkunen, & Partanen, ). Nurse‐led interventions are defined as those where nurses are the principal leading personnel in developing and delivering the intervention, and nurses use their professional expertise to tailor the intervention (Richardson & Cunliffe, ).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of nurse‐led interventions for preventing urinary tract infections in older adults in residential aged care facilities: A systematic review

Grealish

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and Objectives: To explore the effectiveness of nurse-led interventions to prevent urinary tract infections in older adults living in residential aged care facilities. Background: While most empirical studies focus on the treatment of urinary tract infections, few studies have examined the effectiveness of nurse-led interventions in preventing urinary tract infections. Design: Systematic review. Methods: Eight electronic databases were searched for relevant studies published between 2008-2018. The inclusion criteria were as follows: (a) a focus on older adults, (b) evaluation of nurse-led interventions, focusing on prevention of urinary tract infection, (c) implemented in residential aged care facilities, and (d) outcomes reportedas incidence or prevalence of urinary tract infection. The selected papers were critically appraised using the Mixed Methods Appraisal Tool. The data were analysed with narrative synthesis, and findings were reported following the PRISMA guidelines.

show abstract

“…International reviews have evaluated the effectiveness of care given to residents (patients in LTC) by primary healthcare nurse practitioners (NPs). These reviews showed that NPs in LTC improve the quality of care delivered to residents and increase knowledge of healthcare team members (Chavez, Dwyer, & Ramelet, 2018;Donald et al, 2013;Morilla-Herrera et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Implementing primary healthcare nurse practitioners in long‐term care teams: A qualitative descriptive study

Kilpatrick

Jabbour

Tchouaket

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim To identify the conditions needed to implement nurse practitioners (NP) in long‐term care (LTC) in Québec, Canada. Design A qualitative descriptive study was undertaken. Methods Semi‐structured interviews (N = 91) and socio‐demographic questionnaires were completed with providers and managers from May 2016–March 2017. Nurse practitioner activity logs were compiled at three sites. Content analysis was used. Results All sites initially implemented a shared care model but not all sites successfully implemented a consultative model. The progression was influenced by physicians’ level of comfort in moving towards a consultative model. Weekly meetings with physicians and nurse managers and an office for NPs located near healthcare teams facilitated communication and improved implementation. Half‐time NP positions facilitated recruitment. Improvements were noted in timely care for residents, family involvement and quality of documentation of the healthcare team. Regulatory restrictions on prescribing medications used frequently in LTC and daily physician presence at some sites limited implementation. Conclusion The project fostered an understanding of the conditions needed to successfully implement NPs in LTC. An examination of the perspective of residents and families is needed.

show abstract

International practice settings, interventions and outcomes of nurse practitioners in geriatric care: A scoping review

Cited by 63 publications

References 112 publications

Enablers and challenges to advanced nursing and midwifery practice roles

Enablers and challenges to advanced nursing and midwifery practice roles

The effectiveness of nurse‐led interventions for preventing urinary tract infections in older adults in residential aged care facilities: A systematic review

Implementing primary healthcare nurse practitioners in long‐term care teams: A qualitative descriptive study

Contact Info

Product

Resources

About