Patient Experiences of Primary Care Provided by Nurse Practitioners in New Brunswick, Canada

Rickards, Tracey; Hamilton, Sharon

doi:10.1016/j.nurpra.2019.12.027

Cited by 11 publications

(6 citation statements)

References 26 publications

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“…While providing a comprehensive overview of patient experiences across several countries, changes in patients’ perceptions could not be captured. Another study measuring patients’ experience after receiving care from a nurse practitioner reported a perceived improvement in accessibility to health care providers [ 32 ]. The added value of using a longitudinal design is that it allowed us to measure the impact of IPCTs on the care experience over time.…”

Section: Discussionmentioning

confidence: 99%

Rethinking Primary Care Delivery Models: Can Integrated Primary Care Teams Improve Care Experience?

Duhoux¹,

Dufour²,

Sasseville³

et al. 2022

Int J Integr Care

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Background: Integrated Primary Care Teams (IPCTs) have four key characteristics (intensive interdisciplinary practice; advanced nursing practice with an expanded role; group practice; increased proximity and availability) aimed at strengthening primary care in Quebec, Canada. The purpose of this paper is to examine the care experience over time of patients who have an IPCT as their primary source of care. Methods: We used a quasi-experimental longitudinal design based on a pre-and-post administered survey at a 2-year interval without a control group. We measured patient-reported accessibility, continuity, comprehensiveness, responsiveness and outcomes of care. Results: Results showed that patients who were newly registered with an IPCT had a significant increase in reported care experience, whereas patients who have been registered with an IPCT for 2 years prior to the first round of data collection had already high reported care experience that was maintained over time. Moreover, linear regression models showed statistically significant different increases in the dimensions of care experience by site and patients’ characteristics. Conclusions: Our results suggest that the IPCT model is tailored to the needs of its target populations, resulting in improved Patient Reported Experience Measures. These results imply that broader implementation of innovative and flexible community-based care models should be considered by policymakers.

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Section: Discussionmentioning

confidence: 99%

Rethinking Primary Care Delivery Models: Can Integrated Primary Care Teams Improve Care Experience?

Duhoux¹,

Dufour²,

Sasseville³

et al. 2022

Int J Integr Care

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“…This shows that NPs are unable to assess and deal with unmet healthcare needs. In NPP, meeting an individual’s needs is a vital component of patient‐centered care (Lein & Wills, 2007; Rickards & Hamilton, 2020). Furthermore, the principle of patient‐centered care is that individuals could be the final arbiters in deciding what type of treatment and care they want to receive (IOM, 2001).…”

Section: Discussionmentioning

confidence: 99%

The Gaps of Healthcare Service Quality in Nurse Practitioner Practice and Its Associated Factors From the Patients’ Perspective

Lin

Siao

Tung³

et al. 2021

J of Nursing Scholarship

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Purpose This study investigates the expectations, perceptions, and gaps of the healthcare service quality (HSQ) from the patients’ perspective, and explores the significant demographic and clinical factors associated with the HSQ in nurse practitioner practice (NPP). Design A cross‐sectional design was carried out, with convenience sampling performed under the NPP in Taiwan, from June to November 2016. Methods The Nurse Practitioner Healthcare Service Quality Scale was used to assess the expectations, perceptions, and gaps of the HSQ. The demographics, clinical characteristics, and symptom severity of patients were collected, and the Importance‐Performance Analysis was applied to identify the priority of ranking items for the improvement of nurse practitioners (NPs). The Generalized Estimating Equation was used to explore the factors associated with the HSQ in NPP. Findings A total of 200 patients completed the questionnaires. The results revealed that the patients had overall high expectations (M = 6.35, SD = 0.46), moderate perceptions (M = 4.21, SD = 0.95), and a mild HSQ gap (M = ‐2.14, SD = 0.69), with statistically significant differences (p < .001). In NPP, the largest gap in the HSQ dimensions was reliable responsiveness, followed by empathy, assurance, and tangibility. Patients with greater symptom severity and a longer in‐hospital stay were associated with larger HSQ gaps; however, patients who were transferred from the emergency department had smaller gaps than those in the outpatient department. Conclusions The patients’ expectations were not fully satisfied in the NPP, especially for the dimensions of reliable responsiveness and empathy. The patients’ symptom severity was a significant factor related to the gaps in the HSQ. The awareness of unmet needs, from the patients’ perspective, could guide the convergence of a rational policy to promote healthcare delivery in the NPP. Clinical Relevance The managers of NPP need to pay attention to increasing NPs’ reliable responsiveness and empathy, by setting the appropriate scope of practice, regulating the NP‐to‐patient ratio, applying for certification programs in prescribing training, and cultivating patient‐centered care with shared decision making. In addition, building up the knowledge and competency of symptom management is also suggested for NP training.

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“…Several studies have identified barriers or factors that impede the implantation of the NP role across Canada [17][18][19][20][21]. The most common barrier noted in these studies relates to role clarity.…”

Section: Barriers To Implementationmentioning

confidence: 99%

“…They noted that this may also have contributed to tension between NPs and other team members, particularly physicians [18]. As Rickards and Hamilton [19] note, a lack of role clarity can lead to confusion among patients and other team members, hindering collaboration and effective implementation of the role. Role confusion is understandable.…”

Section: Barriers To Implementationmentioning

confidence: 99%

Starting Somewhere: Advanced Practice Nursing in Canada

Balcom¹

2023

New Research in Nursing - Education and Practice

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Many countries are capitalizing on nurses with advanced degrees or practice experience to increase patients’ access to healthcare. In Canada, there are two advanced practice nursing roles – nurse practitioners (NPs) and clinical nurse specialists (CNS). While both NPs and CNSs are knowledgeable nursing leaders who make important contributions to the healthcare system, only NPs have a protected title and are separately licensed from registered nurses (RNs). In this chapter, the author explores how entry-level-competencies (ELCs) are essential to the separate licensure of NPs. The author also argues how ELCs may increase NPs’ role recognition and effective use in the Canadian healthcare system.

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Patient Experiences of Primary Care Provided by Nurse Practitioners in New Brunswick, Canada

Cited by 11 publications

References 26 publications

Rethinking Primary Care Delivery Models: Can Integrated Primary Care Teams Improve Care Experience?

Rethinking Primary Care Delivery Models: Can Integrated Primary Care Teams Improve Care Experience?

The Gaps of Healthcare Service Quality in Nurse Practitioner Practice and Its Associated Factors From the Patients’ Perspective

Starting Somewhere: Advanced Practice Nursing in Canada

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