Patient Preference and Perception of Care Provided by Advance Nurse Practitioners and Physicians in Outpatient Adult Congenital Clinics

Maul, Timothy M.; Zaidi, Ali; Kowalski, Vanessa; Hickey, Jenne; Schnug, Renee; Hindes, Morgan; Cook, Stephen C.

doi:10.1111/chd.12273

Cited by 12 publications

(20 citation statements)

References 17 publications

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“…This is consistent with the literature demonstrating that patients were very satisfied with NP health care services. [15,16,21,22,30,32,[34][35][36] Furthermore over 98% of participants would seek the services of a NP in the future. The findings also indicate that rapport building, accessibility, flexibility with scheduling and consistency of health care provider, contributed to patient satisfaction which corresponds with research findings.…”

Section: Discussionmentioning

confidence: 99%

“…[21] NP research and patient satisfaction is influenced by NPpatient communication, NP knowledge and access to care and overall, studies related to factors influencing patient satisfaction with NP-provided care found that patients are satisfied. [3,4,12,18,21,22] The literature generally reports that satisfaction with NP care leads to good health outcomes. [3,4] However, research specifically related to patient satisfaction with NP care within NL was absent.…”

Section: Literature Reviewsmentioning

confidence: 99%

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Patient satisfaction with nurse practitioner care in Newfoundland and Labrador

Emberley-Burke

Meadus

Twomey

2018

CNS

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Objective: The aim of the study was to determine the level of patient satisfaction with health care provided by Nurse Practitioners (NPs) in Newfoundland and Labrador (NL), in primary health care settings. Methods: This is a descriptive study. 155 adult patients (N = 155) were recruited from the four regional health authorities (RHAs) throughout NL who employed NPs in a primary health care setting. A 47-item questionnaire called the Nurse Practitioner Satisfaction Survey (NPSS) was given to patients after receiving care from a NP. Results: Over 93% of the participants agreed or strongly agreed with their degree of satisfaction of care provided by the NP. Patients who visited the NP one to five times in the past year reported higher levels of satisfaction. No significant differences based upon marital status, gender or ethnicity were found. Conclusions: Patient satisfaction was rated as high for care provided by NPs with over 98% of participants reporting they would seek the services of a NP in the future. The majority of the participants would recommend the NP to others seeking health care services. This study describes patient satisfaction with NP care and highlights NPs as valued providers of care in rural and urban primary health care settings. Identified narrative themes were timely access to care, NP knowledge, trust, and provider consistency. NPs should seek ways to ensure they work to their full scope of practice to meet the needs of the population and increase their presence in primary health care settings.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewsmentioning

confidence: 99%

Patient satisfaction with nurse practitioner care in Newfoundland and Labrador

Emberley-Burke

Meadus

Twomey

2018

CNS

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“…The lack of clarity about the role of APNs among patients is not a phenomenon unique to the study's context. In New Zealand and the USA, healthcare consumers also felt that they lacked clarity about APNs and suggested that greater clarity would be facilitative to enhancing the use of APNs (Halcomb, Peters, & Davies, 2013; Maul et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…They also shared how they were accustomed to seeking help from doctors for medical care and asserted their preferences for doctors. From the outset, the patients tend to exclusively regard doctors as more “ experienced ” and “ qualified ” than APNs (Maul et al, 2015). This mindset, evident in this study, might be contributed by Singapore's elitist and meritocratic culture (Goh, 2015).…”

Section: Discussionmentioning

confidence: 99%

Understanding the role of an advanced practice nurse through the perspectives of patients with cardiovascular disease: A qualitative study

Woo

Koh

Zhou

et al. 2020

Journal of Clinical Nursing

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Aims and objectives:To explore patients' understanding of the role of an advanced practice nurse (APN). Background:The increasing prevalence of multimorbidities among people living with cardiovascular disease (CVD) has increased the complexity of their clinical care.Implementing the role of APNs in new models of care has been shown to improve outcomes in the CVD population. However, the CVD population's understanding of and experiences with the APN role have not been examined in Singapore.Methods: An exploratory descriptive qualitative design using semi-structured face-to-face individual interviews was undertaken (November 2017-March 2018).Fourteen participants were purposively sampled from an outpatient clinic in one of Singapore's national heart centres. Thematic analysis was undertaken. The COREQ guidelines were adhered to. Findings:The multi-ethnic sample included ten males and four females. Two main themes were identified: (1) APNs play a complementary role to doctors and (2) the acceptance of the APN role takes time. Each theme was supported by three subthemes to further elucidate the role and acceptance of APNs. Conclusion:A lack of understanding of the role of APNs is present, thereby causing the less than optimal patient acceptance of APNs. As patients with CVD experience improvements to their health through APN-led services, they may gain confidence in APNs' skills and knowledge.Relevance to clinical practice: When introducing new roles, fully explaining these roles to the target population is pertinent as it will be facilitative to patient engagement and optimisations of care. The findings support the call for APNs to explain the value and essence of advanced practice nursing more effectively. There should be a greater emphasis on teaching APNs to introduce and explain the role of APNs S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section. How to cite this article: Woo B, Koh K, Zhou W, Wei Lim T, Lopez V, Tam W. Understanding the role of an advanced practice nurse through the perspectives of patients with cardiovascular disease: A qualitative study. J Clin Nurs.

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“…However, in contrast, our research identified that unwillingness to consider care by a NP in some situations was grounded in a belief that NPs did not possess the knowledge and qualifications to offer appropriate care and to refer on when required. These contrasting findings suggest there remains a large proportion of the general public who are unsure as to what constitutes the NP scope of practice (Allnutt et al, ; Barratt & Thomas, ; Maul et al, ). Without this understanding, expansion and ubiquity of the NP in the provision of health care remains limited.…”

Section: Discussionmentioning

confidence: 99%

Reasons for choosing or refusing care from a nurse practitioner: Results from a national population‐based survey

Craswell

Dwyer

2019

Journal of Advanced Nursing

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Aim To understand the public's willingness or lack thereof, to be seen and treated by a nurse practitioner (NP) as the first point of contact when accessing healthcare services. Design This cross‐sectional, population‐based survey study used computer assisted telephone interviewing to elicit public opinions on the topic. Methods Data were collected in July and August 2015 from calls randomly placed to Australian households. Survey questions were developed from previous surveys and pilot tested. Summative content analysis was used to analyse open‐ended responses. Results Most respondents were always, or in some situations, willing to receive care from a nurse practitioner. The main themes identified from those willing to be seen by a nurse practitioner in any situation were, (a) appropriately qualified nurse practitioners, (b) the knowledge and experience to refer on if necessary. Description of situations from those unwilling to be seen by a nurse practitioner related to concern about appropriate care in a life‐threatening condition. Conclusion Respondents unwilling to consider any care from a nurse practitioner or care in an emergency situation, reveal a lack of understanding of their role in the wider healthcare team. As the number of nurse practitioners increase, professional groups and community awareness programmes should be focused on explaining and promoting their essential role. Impact This study addresses the increasing healthcare requirements of ageing populations through understanding acceptance by society to the provision of care from health professionals other than medical practitioners. Most respondents were willing to be seen by a nurse practitioner for all or most of their healthcare needs. Lack of understanding of their scope of practice and role in the wider healthcare team, particularly in emergency situations, was reflected in responses. Those who would refuse care from a NP were in the minority. Appropriateness and acceptability of the roles of health professionals to provide quality care collaboration need consideration by policy makers.

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Patient Preference and Perception of Care Provided by Advance Nurse Practitioners and Physicians in Outpatient Adult Congenital Clinics

Cited by 12 publications

References 17 publications

Patient satisfaction with nurse practitioner care in Newfoundland and Labrador

Patient satisfaction with nurse practitioner care in Newfoundland and Labrador

Understanding the role of an advanced practice nurse through the perspectives of patients with cardiovascular disease: A qualitative study

Reasons for choosing or refusing care from a nurse practitioner: Results from a national population‐based survey

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