Psychiatric-Mental Health Nurse Practitioners in the Role of Coordinating Practitioners: A Survey Study

doi:10.29011/2688-9501.101243

Cited by 3 publications

(5 citation statements)

References 13 publications

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“…Observations. We developed an observation protocol based on: (1) general findings from a national online survey (Boeijen et al, 2021), (2) the national agreement on coordinating care (National Health Care Institute, 2020), and (3) an observation protocol used in multiple case studies from our research group (Lovink et al, 2019).…”

Section: Data Collectionmentioning

confidence: 99%

“…The PMHNP's CP role in the Netherlands is new and unique in the international context and literature. To explore how PMHNPs perform that role and what is needed to improve it, we conducted an explorative survey study among 381 PMHNPs working in mental health organizations, independent mental health practices, or substance abuse clinics in the Netherlands (Boeijen et al, 2021). That study found that about 90% of the PMHNPs performed the role of CP.…”

Section: Introductionmentioning

confidence: 99%

“…For example, caseloads varied immensely (from 1 to 320 patients), which greatly influenced the CP's tasks and responsibilities. Factors that were reported to affect role performance included the organization's vision of the position and competencies of PMHNPs; the autonomy and personal characteristics of the PMHNPs; and the actual experience and appreciation of other (mental) health care specialists working with a PMHNP (Boeijen et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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The psychiatric-mental health nurse practitioner as coordinating practitioner in the Netherlands: A multiple case study

Boeijen,

Sitvast,

Boonstra

et al. 2024

J Am Assoc Nurse Pract

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Background: Psychiatric-mental health nurse practitioners (PMHNPs) in the Netherlands have been allowed to perform the role of coordinating practitioner (CP) since 2018. This role is reserved for mental health care specialists who are trained and qualified at the master's degree level. Earlier studies have not addressed how PMHNPs perform that role and what mechanisms and contextual factors determine their performance. This understanding could help optimize their performance in this role and promote effective deployment of PMHNPs in mental health care. Purpose: To understand how PMHNPs perform this role and what mechanisms and contextual factors underlie that performance. Methodology: A multiple case study involving PMHNPs who work in various settings as CPs. Data were collected and analyzed using the realistic evaluation approach. Results: We identified four mechanisms related to the performance of PMHNPs in the role of CP: (1) autonomous performance; (2) unique expertise; (3) accessibility, availability, and professional involvement; and (4) additional roles. The extent to which these mechanisms are present is largely determined by organizational factors, team factors, and individual factors. Conclusions: Psychiatric-mental health nurse practitioners are seeking to identify and interpret the role of CP. This study helps to elucidate the mechanism of role performance by PMHNPs and what they should focus on to deliver effective and patient-centered mental health care. Implications: Policymakers, health care professionals, and educators should consider the mechanisms and contextual factors to facilitate and support PMHNPs' employment and training in the role of CP.

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Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The psychiatric-mental health nurse practitioner as coordinating practitioner in the Netherlands: A multiple case study

Boeijen,

Sitvast,

Boonstra

et al. 2024

J Am Assoc Nurse Pract

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“…Ook na de opleiding tot verpleegkundig specialist zal dit uitgangspunt van belang blijven. Immers verpleegkundig specialisten zullen in hun werk ook als innovator (wetenschap is één van de CanMedsrollen) actief zijn om op die manier beter in te spelen op de zorgbehoeften van hun patiënten [7]. Het kritisch realisme in de praktijk van innovatie(-onderzoek).…”

Section: Kritisch-realismeunclassified

Kritisch realisme en innovatie

Sitvast¹

2021

GGZV

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De rol van verpleegkundig specialisten in het realiseren van goede zorg impliceert een actieve inzet bij innovatie en onderzoek. Op deze rol worden verpleegkundig specialisten al tijdens hun opleiding voorbereid door het schrijven van hun master thesis. De kwaliteit van zorg roept de vraag op naar de aard van de kennis die daarvoor nodig is en ook hoe deze kennis tot stand komt. Na een filosofische beschouwing over de objectiviteit of de subjectiviteit van kennis wordt geponeerd dat het kritisch realisme een uitweg biedt uit deze discussie en bovendien een pragmatische benadering mogelijk maakt voor onderzoek ten behoeve van innovaties. Het kritisch realisme zullen we vertalen naar een praktisch model voor verpleegkundig specialisten die innovatie onderzoek doen. Het model zal geïllustreerd worden aan de hand van een praktijkvoorbeeld. Uiteindelijk zal de kritisch realistische onderzoekspraktijk recht doen aan de emancipatoire gedachte die in de gezondheidszorg en het kwaliteitsdenken sterk aanwezig is.

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“…In daily practice, nurse practitioners in general fulfill a broad range of roles-depending on the work setting, their clinical discipline, collaboration with the health care team, and the organizational policy regarding task allocation and professional development (ter Maten-Speksnijder et al, 2014). Since 2017, PMHNPs in the Netherlands act as coordinating practitioners to improve quality of psychiatric mental health care (Boeijen et al, 2021). The National Health Care Institute (2020) defines a coordinating practitioner as the first point of contact for patients who are responsible for the mainstay of the treatment and the coordination with other treating practitioners.…”

Section: Introductionmentioning

confidence: 99%

How patients with severe mental illness experience care provided by psychiatric mental health nurse practitioners

Dusseldorp

Groot

Vught

et al. 2023

J Am Assoc Nurse Pract

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Background:Previous studies in somatic health care revealed that patients find nurse practitioners reliable, helpful, and empathic and feel empowered, at peace, and in control when cared for by nurse practitioners (NPs). Only one study so far considered what value people with severe mental illness (SMI) attached to treatment by a psychiatric mental health nurse practitioner (PMHNP).Purpose:To explore what meaning people with SMI associate with the care provided by a PMHNP.Methodology:A qualitative study from a phenomenological perspective was conducted, in which 32 people with SMI were interviewed. Data were analyzed using Colaizzi's seven-step method and the metaphor identification procedure (MIP).Results:Eight fundamental themes emerged: (1) impact of the PMHNP on well-being, (2) feeling connected with, and (3) acknowledged by the PMHNP; (4) the PMHNP's care (not) needed; (5) perception of the PMHNP as a person; (6) shared decision-making; (7) PMHNP's expertise; and (8) flexibility of contact with the PMHNP. MIP analysis revealed six metaphors: PMHNP is a travel aid, means trust, is a combat unit, means hope, is an exhaust valve, and a helpdesk/encyclopedia.Conclusions:The interviewees highly appreciated the treatment and support by the PMHNP for the impact on their well-being. Thanks to the connection with and recognition by the PMHNP, they felt empowered, human, and understood. Challenged by the PMHNP, they focused on possibilities to strengthen self-confidence and self-acceptance.Implications:For further positioning of and education for PMHNPs, it is recommended to consider the meaning people with SMI associate with treatment and support by a PMHNP.

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Psychiatric-Mental Health Nurse Practitioners in the Role of Coordinating Practitioners: A Survey Study

Cited by 3 publications

References 13 publications

The psychiatric-mental health nurse practitioner as coordinating practitioner in the Netherlands: A multiple case study

The psychiatric-mental health nurse practitioner as coordinating practitioner in the Netherlands: A multiple case study

Kritisch realisme en innovatie

How patients with severe mental illness experience care provided by psychiatric mental health nurse practitioners

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