Jordanian perspectives on advanced nursing practice: an ethnography

Zahran, Zainab; Curtis, Penny; Lloyd-Jones, M; Blackett, Tony

doi:10.1111/j.1466-7657.2011.00943.x

Cited by 13 publications

(21 citation statements)

References 16 publications

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“…The most established APN roles are found in high income countries such as the United States, Canada, United Kingdom and Australia 25 . In the last decade there has been further expansion of APN roles, especially in high income countries in Europe, Africa, Asia and the Middle East 29 - 32 . There are few reports of APN role development in low and middle income countries.…”

Section: Methodsmentioning

confidence: 99%

Advanced Practice Nursing: A Strategy for Achieving Universal Health Coverage and Universal Access to Health

Bryant‐Lukosius

Valaitis

Martin-Misener

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:to examine advanced practice nursing (APN) roles internationally to inform role development in Latin America and the Caribbean to support universal health coverage and universal access to health. Method:we examined literature related to APN roles, their global deployment, and APN effectiveness in relation to universal health coverage and access to health. Results:given evidence of their effectiveness in many countries, APN roles are ideally suited as part of a primary health care workforce strategy in Latin America to enhance universal health coverage and access to health. Brazil, Chile, Colombia, and Mexico are well positioned to build this workforce. Role implementation barriers include lack of role clarity, legislation/regulation, education, funding, and physician resistance. Strong nursing leadership to align APN roles with policy priorities, and to work in partnership with primary care providers and policy makers is needed for successful role implementation. Conclusions:given the diversity of contexts across nations, it is important to systematically assess country and population health needs to introduce the most appropriate complement and mix of APN roles and inform implementation. Successful APN role introduction in Latin America and the Caribbean could provide a roadmap for similar roles in other low/middle income countries.

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Section: Methodsmentioning

confidence: 99%

Advanced Practice Nursing: A Strategy for Achieving Universal Health Coverage and Universal Access to Health

Bryant‐Lukosius

Valaitis

Martin-Misener

et al. 2017

Rev. Latino-Am. Enfermagem

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“…Thematic analysis was chosen as data analysis method because of its flexibility in terms of theoretical framework as well as research question [25]. Numerous other studies in the field of nursing have already used thematic analysis for ethnographic data [30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Advanced Practice Nurses in Primary Care in Switzerland: An Analysis of Interprofessional Collaboration

Josi¹,

Bianchi²,

Brandt

2019

Preprint

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Background: The increase in the number of chronically ill patients due to ageing is calling existing models of primary care (PC) into question. New care models have recently been implemented in Swiss PC and involve interprofessional teams. This paper aimed to investigate the practice of interprofessional collaboration between advanced practice nurses, registered nurses, and medical practice assistants within new models of PC in Switzerland using the National Interprofessional Competency Framework. Methods: An ethnographic design comprising semi-structured interviews and non-participant observations was conducted. Sixteen interviews were conducted with care providers at their PC practice. Interviewees included four advanced practice nurses, two registered nurses, six medical practice assistants, and four general practitioners. Nine other health professionals were subsequently observed in their practice. Interviews and observations were conducted by the first author from February to April 2019. Results: Our analysis of interview and observational data confirmed that role clarification, team functioning, collaborative leadership, interprofessional conflict resolution, patient-centered care, and interprofessional communication have a significant influence on the interprofessional collaboration among health professionals in Swiss PC. Among these domains, role clarification and team functioning were the most frequently raised issues. Both were found to have the potential to negatively influence and, therefore, hinder efficient interprofessional collaboration within PC. Conclusion: From the analysis, it emerged that role clarification is crucial for effective interprofessional collaboration within new care delivery models in the Swiss PC context. Our study results may inform international health policymakers and practitioners about six important domains of interprofessional care when implementing new care models. Practical experience with new models of care involving advanced practice nurses and medical practice assistants may also influence the regulation of the scope of practice of these health professionals in Switzerland.

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“…Thematic analysis was chosen as data analysis method because of its flexibility in terms of theoretical framework as well as research question 33. Numerous other studies in the field of nursing have already used thematic analysis for ethnographic data 37–39…”

Section: Methodsmentioning

confidence: 99%

Advanced practice nurses, registered nurses and medical practice assistants in new care models in Swiss primary care: a focused ethnography of their professional roles

Josi¹,

Bianchi

2019

BMJ Open

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ObjectivesWe aimed to analyse roles and tasks of advanced practice nurses (APNs), registered nurses (RNs) without advanced practice education and medical practice assistants (MPAs) with regard to chronic care in Swiss primary care (PC). The objective of this study was to explore the potential of new care models, involving these health professionals, which could meet changing future healthcare needs.DesignAn ethnographic design comprising semi-structured interviews and non-participant observations was conducted.SettingHealth professionals who worked in 10 primary care practices in the German-speaking part of Switzerland were included in the study.ParticipantsIn total, 16 interviews were conducted with four APNs, six MPAs, two RNs and four general practitioners (GPs). Nine of the health professionals were subsequently observed in their primary care practice.ResultsAPNs and MPAs were both involved in chronic care in the PC practice. While APNs cared for older, multimorbid patients with more complex needs, MPAs were involved in counselling of younger patients with chronic disease such as type 2 diabetes. Additionally, APNs were involved in many home visits and visits in elderly peoples — and nursing homes. APNs worked with a high degree of autonomy while MPAs had worked mostly in delegation. Task division between GPs and APNs or MPAs was not clear in every case yet.ConclusionsAPNs and MPAs have a high potential to contribute to optimal care in new care models, which address needs of the elderly population. The experience from our sample may inform international health policymakers and practitioners about the tasks and responsibilities those health professionals can take over in PC when implementing new models of care. The practical experience with new models of care involving APNs and MPAs may also influence the future regulation with regard to the scope of practice of these health professionals in Switzerland.

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Jordanian perspectives on advanced nursing practice: an ethnography

Abstract: Paralleling the lack of consistency in understanding of advanced nursing practice in the broader literature, participants described a number of different elements of advanced practice that are relevant to the specific context of contemporary Jordanian nursing.

Cited by 13 publications

References 16 publications

Advanced Practice Nursing: A Strategy for Achieving Universal Health Coverage and Universal Access to Health

Advanced Practice Nursing: A Strategy for Achieving Universal Health Coverage and Universal Access to Health

Advanced Practice Nurses in Primary Care in Switzerland: An Analysis of Interprofessional Collaboration

Advanced practice nurses, registered nurses and medical practice assistants in new care models in Swiss primary care: a focused ethnography of their professional roles

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