Physician perceptions of nurse practitioners: A replication study

Running, Alice; Hoffman, Lisa; Mercer, Victoria

doi:10.1111/j.1745-7599.2008.00339.x

Cited by 13 publications

(10 citation statements)

References 18 publications

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“…Consequently NPs rely on the support and willingness of MPs to work with them. There is evidence from a replication study undertaken in the US that NP-MP collaboration increased since the original survey 20 years earlier [30]. …”

Section: Discussionmentioning

confidence: 99%

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

et al. 2013

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BackgroundThis integrative review synthesises research studies that have investigated the perceptions of nurse practitioners and medical practitioners working in primary health care. The aggregation of evidence on barriers and facilitators to working collaboratively and experiences about the processes of collaboration is of value to understand success factors and factors that impede collaborative working relationships.MethodsAn integrative review, which used systematic review processes, was undertaken to summarise qualitative and quantitative studies published between 1990 and 2012. Databases searched were the Cochrane Library, the Joanna Briggs Institute Library, PubMed, Medline, CINAHL, Informit and ProQuest. Studies that met the inclusion criteria were assessed for quality. Study findings were extracted relating to a) barriers and facilitators to collaborative working and b) views and experiences about the process of collaboration. The findings were narratively synthesised, supported by tabulation.Results27 studies conducted in seven different countries met the inclusion criteria. Content analysis identified a number of barriers and facilitators of collaboration between nurse practitioners and medical practitioners. By means of data comparison five themes were developed in relation to perceptions and understanding of collaboration. Nurse practitioners and medical practitioners have differing views on the essentials of collaboration and on supervision and autonomous nurse practitioner practice. Medical practitioners who have a working experience with NPs express more positive attitudes towards collaboration. Both professional groups report concerns and negative experiences with collaborative practice but also value certain advantages of collaboration.ConclusionsThe review shows that working in collaboration is a slow progression. Exposure to working together helps to overcome professional hurdles, dispel concerns and provide clarity around roles and the meaning of collaboration of NPs and MPs. Guidelines on liability and better funding strategies are necessary to facilitate collaborative practice whether barriers lie in individual behaviours or in broader policies.

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Section: Discussionmentioning

confidence: 99%

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

et al. 2013

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“…These contributions are perceived incentives of physicians to work with NPs, and operationalise the impact of the NP paradigm to effective healthcare (Running et al . , Holleman et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…Physician respondents reported that NPs improved patient care in the areas of quality, satisfaction, accessibility, patient/family compliance and productivity. These contributions are perceived incentives of physicians to work with NPs, and operationalise the impact of the NP paradigm to effective healthcare (Running et al 2008, Holleman et al 2010. The majority of the collaborating physician participants had not previously worked with NPs yet, their characterisation of the NPs was positive.…”

Section: Discussionmentioning

confidence: 99%

Nurse practitioner job satisfaction: looking for successful outcomes

Pasarón

2013

Journal of Clinical Nursing

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Stakeholders in healthcare milieus need to be fully engaged in the redesign of the American healthcare system heeding the recommendations of the Institute of Medicine to provide safer health systems to the public. By doing this, issues related to frustration by nurse practitioners related to job satisfaction will be addressed. The need for cooperation, participation, collaboration and instrumental communication are essential in the delivery of safe, quality patient care. A better understanding of intrinsic professional rewards needs to be learned by nurse practitioners who want to seek professional satisfaction and engage in the survival and growth of the profession. Nurse practitioners armed with this translational information have viable agenda items that can be negotiated into extrinsic rewards.

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“…According to the respondents in Marsden's study, the right to prescribe medication is of great importance for the further development of the professional APN role. In a study by Running et al ., 5 GPs perceive the APN function as an important addition to the health‐care team.…”

Section: Introductionmentioning

confidence: 99%

Advanced practice nurses: A new resource for Swedish primary health‐care teams

Altersved

Zetterlund

Lindblad

et al. 2011

Int J of Nursing Practice

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Advanced practice nurses: A new resource for Swedish primary health-care teamsThis study is associated with the first evaluation of the four first advanced practice nurses (APNs), part of a primary health-care team in Sweden. The aim is to describe health-care teams' experiences of the new APN role and investigate what opportunities and barriers to the role exist. Eighty-one respondents answered a 14-question questionnaire with a Likert scale and one open-ended question. The Kruskal-Wallis test was used to investigate differences between professional groups' answers. The qualitative material was analysed using deductive content analysis. Though mostly positive experiences of the role were found, differences did exist between the professional groups. APNs are considered a resource in that access to care, cooperation and patient flow increased. Barriers include APNs' limited autonomy and inability to prescribe medication. To further develop the role, the right to prescribe medication and strategic leadership within the Swedish health-care system, policy and legislation are needed.

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Physician perceptions of nurse practitioners: A replication study

Abstract: These findings imply that collaboration between physicians and NPs is maturing as NPs move into more arenas in health care.

Cited by 13 publications

References 18 publications

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

Nurse practitioner job satisfaction: looking for successful outcomes

Advanced practice nurses: A new resource for Swedish primary health‐care teams

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