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A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis

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dc.contributor.author Contandriopoulos, Damien
dc.contributor.author Brousselle, Astrid
dc.contributor.author Dubois, Carl-Ardy
dc.contributor.author Perroux, Mélanie
dc.contributor.author Beaulieu, Marie-Dominique
dc.contributor.author Brault, Isabelle
dc.contributor.author Kilpatrick, Kelley
dc.contributor.author D’Amour, Danielle
dc.contributor.author Sansgter-Gormley, Esther
dc.date.accessioned 2015-06-12T17:24:50Z
dc.date.available 2015-06-12T17:24:50Z
dc.date.copyright 2015 en_US
dc.date.issued 2015-02-27
dc.identifier.citation Contandriopoulos et al.: A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis. BMC Health Services Research (2015) 15:78 en_US
dc.identifier.uri http://dx.doi.org/10.1186/s12913-015-0731-5
dc.identifier.uri http://www.biomedcentral.com/1472-6963/15/78
dc.identifier.uri http://hdl.handle.net/1828/6259
dc.description BioMed Central en_US
dc.description.abstract Background: Integrating Nurse Practitioners into primary care teams is a process that involves significant challenges. To be successful, nurse practitioner integration into primary care teams requires, among other things, a redefinition of professional boundaries, in particular those of medicine and nursing, a coherent model of inter- and intra- professional collaboration, and team-based work processes that make the best use of the subsidiarity principle. There have been numerous studies on nurse practitioner integration, and the literature provides a comprehensive list of barriers to, and facilitators of, integration. However, this literature is much less prolific in discussing the operational level implications of those barriers and facilitators and in offering practical recommendations. Methods: In the context of a large-scale research project on the introduction of nurse practitioners in Quebec (Canada) we relied on a logic-analysis approach based, on the one hand on a realist review of the literature and, on the other hand, on qualitative case-studies in 6 primary healthcare teams in rural and urban area of Quebec. Results: Five core themes that need to be taken into account when integrating nurse practitioners into primary care teams were identified. Those themes are: planning, role definition, practice model, collaboration, and team support. The present paper has two objectives: to present the methods used to develop the themes, and to discuss an integrative model of nurse practitioner integration support centered around these themes. Conclusion: It concludes with a discussion of how this framework contributes to existing knowledge and some ideas for future avenues of study. en_US
dc.description.sponsorship This research was supported by a joint Canadian Institutes for Health Research (CIHR) and Ministry of Health and Social Services of Québec grant (Grant number: 238537). D. Contandriopoulos, A. Brousselle, C.-A. Dubois and K. Kilpatrick also receive salary awards from the fonds de recherche du québec–Santé (FRQ-S). en_US
dc.language.iso en en_US
dc.publisher BMC Health Services Research en_US
dc.rights Attribution-NonCommercial-NoDerivs 2.5 Canada *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/2.5/ca/ *
dc.subject Collaboration en_US
dc.subject Delivery of health care en_US
dc.subject Integrating process en_US
dc.subject Logic evaluation en_US
dc.subject Nurse practitioners en_US
dc.subject Practice model en_US
dc.subject Primary health care en_US
dc.subject Role definition en_US
dc.subject Team support en_US
dc.title A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis en_US
dc.type Article en_US
dc.description.scholarlevel Faculty en_US
dc.description.reviewstatus Reviewed en_US


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