Introducing advanced practice nurses / nurse practitioners in health care systems: a framework for reflection and analysis

What are the motivating and hindering factors for health professionals to undertake new roles in hospitals? A study among physicians, nurses and managers looking at breast cancer and acute myocardial infarction care in nine countries

“…Several drivers triggering skill-mix changes have been suggested in the literature [8][9][10][11]. A systematic literature review identified four categories of facilitators and/or barriers to task re-allocation, focusing on the medical and nursing professions: the knowledge and skills available, professional boundaries at the interface between the medical and nursing profession, as well as organisational and institutional environment [11].…”

The effect of physician-nurse substitution in primary care in chronic diseases: a systematic review

“…These changes have provided plenty of opportunities to create innovative staffmix models [6]. It has long been suggested that nurses should perform greater roles and be granted full practice [7]. Indeed, nurses already provide an increasingly important contribution in primary care and although decreasing in number, they are still one of the largest groups of qualified healthcare professionals and they are also less expensive than physicians.…”

Dynamics and processes influencing role integration of advanced practice nurses and nurse navigators in oncology teams

“…who had also practical and theoretical knowledge and expertise with the integration of different expert nurses (ONN/APN) in oncology and in other specialization domains. An interview guide was developed based on literature regarding implementation of specialized, expert nurses (De Geest et al, 2008, Jokiniemi et al, 2015, Jokiniemi et al, 2012, Kilpatrick et al, 2013, Sangster-Gormley et al, 2011 and on input from the research team. Each interview started with an open question "How did you experience the development and integration of your role as an ONN/APN?"…”