Nurse practitioners’ perception of temporary full practice authority during a COVID-19 surge: A qualitative study

O’Reilly-Jacob, Monica; Perloff, Jennifer; Sherafat-Kazemzadeh, Roya; Flanagan, Jane

doi:10.1016/j.ijnurstu.2021.104141

Cited by 21 publications

(37 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In these studies, nurses and NPs also reported increased satisfaction with virtual visits and remote patient monitoring 33,34 . They explained that they could deliver care appropriately through telehealth modalities, even during the pandemic 27,33 .…”

Section: Resultsmentioning

confidence: 95%

“…All the studies were published in English in peer-reviewed clinical journals between 2020 and 2022. Two of these studies were in the preprint status at the time of this review 25,34 . The 23 studies were based in nine countries: the United States (n = 14), Australia (n = 2), and Canada, France, Ireland, New Zealand, Singapore, Spain, and Switzerland (all n = 1).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Nurse-Led Telehealth Interventions During COVID-19

Joo¹

2022

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

Since the outbreak of COVID-19, telehealth expanded rapidly and was adopted as a substitute for in-person patient and nurse visits. However, no studies have mapped nurse-led telehealth interventions during the pandemic. This study aimed to identify and summarize the strengths and weaknesses of nurse-led telehealth interventions for community-dwelling outpatients during the COVID-19 pandemic. This study used a scoping review methodology and was guided by the Preferred Reporting Items for Systematic Reviews and Meta-analyses Scoping Review Extension. Five electronic databases were searched to find studies published in English peer-reviewed publications between January 2020 and February 2022. A total of 490 articles were retrieved, of which 23 empirical studies were selected based on the inclusion/exclusion criteria. Primary studies from nine countries with a variety of research designs were included. Four strengths and three weaknesses of nurse-led telehealth interventions for patients during COVID-19 were identified. For telehealth services to provide effective, efficient, and quality patient care, future research and nursing practice need to overcome the identified weaknesses of current nurse-led telehealth interventions. More rigorous evidence-based research and updated and standardized guidelines for nurses' telehealth services will help improve the quality of patient care. Nurse managers, leaders, and policymakers can use the findings of this scoping review to refine the current telehealth services system.

show abstract

Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Nurse-Led Telehealth Interventions During COVID-19

Joo¹

2022

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

show abstract

“…In close collaboration with LTC home staff, NPs provided comprehensive care to residents including timely advance care planning and goals of care discussions; palliative and end-of-life care; as well as facilitated virtual visits with physician specialists ( Diez-Sampedro et al, 2020 ; McGilton et al., 2021 ; Vellani et al, 2021 ). Thus, the regulatory changes enacted during the pandemic expanded the practice authority of NPs, and testified anew to their capacity to function as exemplary independent clinicians who are effective in promoting interdisciplinary collaboration and ensuring high quality care for LTC home residents ( O’Reilly-Jacob et al., 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Nurse Practitioners Navigating the Consequences of Directives, Policies, and Recommendations Related to the COVID-19 Pandemic in Long-Term Care Homes

et al. 2022

View full text Add to dashboard Cite

Objectives New models for the workforce are required in long-term care (LTC) homes, as was made evident during the Coronavirus Disease 2019 (COVID-19) pandemic. Nurse Practitioner (NP)-led models of care represent an effective solution. This study explored NPs’ roles in supporting LTC homes as changes in directives, policies, and recommendations related to COVID-19 were introduced. Design Qualitative exploratory study. Context Thirteen NPs working in LTC homes in Ontario, Canada. Methods Semi-structured interviews were conducted in March/April 2021. A five-step inductive thematic analysis was applied. Findings Analysis generated four themes: leading the COVID-19 vaccine rollout; promoting staff wellbeing related to COVID-19 fatigue; addressing complexities of new admissions; and negotiating evolving collaborative relationships. Conclusions Nurse practitioners were instrumental in supporting LTC homes through COVID-19 regulatory changes producing unintended consequences. The NPs’ leadership in transforming care is equally essential in LTC homes as in other established healthcare settings, such as primary and acute care.

show abstract

“…6 As a result of these combined forces and the recent expansion of roles and scope of practice (SOP) during the pandemic, APRNs experienced a surge in FPA via state practice waivers allowing for unprecedented expansion and increased control over practice. 7 FPA validates and optimizes APRN knowledge, skills, and abilities, improving patient access and streamlining care while decreasing costs, protecting patient choice, and improving outcomes. 2 Historically, legislative activities addressing FPA span more than 3 decades with implementation varying greatly between states.…”

mentioning

confidence: 97%