The nurse practitioner–client therapeutic encounter: an integrative review of interaction in aged and primary care settings

Bentley, Michael; Stirling, CM; Robinson, Andrew; Minstrell, Melinda

doi:10.1111/jan.12929

Cited by 25 publications

(32 citation statements)

References 49 publications

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“…Care from NPs has been demonstrated to alleviate waiting times in areas such as the ED and this is seen as preferential to patients (Dill et al, 2013;Fry et al, 2011;Griffin & McDevitt, 2016;Jennings et al, 2015;Tinkler, Sharma, Pal, Susu-Mago, & Stano, 2017). It is reported in the literature that NPs take longer in consultations in primary and aged care settings, which may in turn increase patient satisfaction with care but have a negative effect on improving waiting times (Bentley, Stirling, & Robinson Minstrell, 2016). Other evidence suggests it is the patients' perception of having more time and not being rushed rather than the consultation length being longer (Frost, Currie, Cruickshank, & Northam, 2018).…”

Section: Consumer Choicementioning

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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Section: Consumer Choicementioning

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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“…The nurse-patient relationship is central to nursing care delivery (Wiechula et al, 2016) and recent research investigating nurse-patient interaction has been conducted in a wide range of settings including but not limited to mental health (Cleary, Hunt, Horsfall, & Deacon, 2012), critical and hospital care (Cardona-Morrell et al, 2016;Happ et al, 2011), aged and primary care settings (Bentley, Stirling, Robinson, & Minstrell, 2016;Haugan, Moksnes, & Løhre, 2016) and stepdown care (Haugan, 2014). While the importance of the nurse-patient relationship is recognised, interaction within this relationship is often influenced and mediated by a range of individual, environmental and organisational factors (Bolster & Manias, 2010;Jangland, Larsson, & Gunningberg, 2011;Numminen, Leino-Kilpi, Isoaho, & Meretoja, 2015;Pazargadi, Fereidooni Moghadam, Fallahi Khoshknab, Alijani Renani, & Molazem, 2015).…”

Section: Introductionmentioning

confidence: 99%

Views of recent Singapore nursing graduates: factors influencing nurse–patient interaction in hospital settings

2016

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“…A paper exploring the nurse–practitioner–client therapeutic encounter (Bentley et al . ) groups their discussion under the three headings of ‘expertise and context’, ‘affirming exchanges’, and ‘client engagement’. In reading through the vast amount of literature that recognizes what happens between the practitioner and the client ‘matters’, there are many common threads.…”

Section: Introductionmentioning

confidence: 99%

Do professional boundaries limit trust?

Smythe

Hennessy

Abbott

et al. 2017

Int J Mental Health Nurs

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The present study uses stories of mental health support workers talking about their relationship with clients to wonder about how trust might be limited by the professional boundaries of nursing. The writing arose out of an appreciative inquiry study looking at the role of mental health support workers. Participants talked about how they worked with their clients. As researchers, we were struck by the depth of trust that was built between worker and client. We have brought a phenomenological lens to wonder about the nature of trust, as shown in the data. The original research sought to identify what was working well for mental health support workers. The present study brings a phenomenological interpretive approach to four stories from the discovery phase of the study, with our thinking informed by Heidegger and van Manen. Interviews were conducted with 26 mental health support workers and six stakeholders in 2012-2103. For this paper, we drew from those transcripts stories of three mental health support workers and one stakeholder. Through a process of talking together, writing, and rewriting, we wondered about the meaning within these stories, with a strong focus on how trust was enacted. We saw that mental health support workers in this study, by not carrying the boundaries of being 'professional', seemed free to grow a stronger relationship of trust which was therapeutic. We ask: Is it time to rethink how professional boundaries limit the level of trust achieved with clients to the detriment of impactful care?

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The nurse practitioner–client therapeutic encounter: an integrative review of interaction in aged and primary care settings

Abstract: Affirming interactions are a key feature of successful therapeutic encounters when time and context do not allow or warrant the full repertoire of patient-centred communication.

Cited by 25 publications

References 49 publications

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

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

Views of recent Singapore nursing graduates: factors influencing nurse–patient interaction in hospital settings

Do professional boundaries limit trust?

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