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

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dc.contributor.authorContandriopoulos, Damien
dc.contributor.authorBrousselle, Astrid
dc.contributor.authorDubois, Carl-Ardy
dc.contributor.authorPerroux, Mélanie
dc.contributor.authorBeaulieu, Marie-Dominique
dc.contributor.authorBrault, Isabelle
dc.contributor.authorKilpatrick, Kelley
dc.contributor.authorD’Amour, Danielle
dc.contributor.authorSansgter-Gormley, Esther
dc.date.accessioned2015-06-12T17:24:50Z
dc.date.available2015-06-12T17:24:50Z
dc.date.copyright2015en_US
dc.date.issued2015-02-27
dc.descriptionBioMed Centralen_US
dc.description.abstractBackground: 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.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis 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.identifier.citationContandriopoulos 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) 15:78en_US
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-015-0731-5
dc.identifier.urihttp://www.biomedcentral.com/1472-6963/15/78
dc.identifier.urihttp://hdl.handle.net/1828/6259
dc.language.isoenen_US
dc.publisherBMC Health Services Researchen_US
dc.rightsAttribution-NonCommercial-NoDerivs 2.5 Canada*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectCollaborationen_US
dc.subjectDelivery of health careen_US
dc.subjectIntegrating processen_US
dc.subjectLogic evaluationen_US
dc.subjectNurse practitionersen_US
dc.subjectPractice modelen_US
dc.subjectPrimary health careen_US
dc.subjectRole definitionen_US
dc.subjectTeam supporten_US
dc.titleA process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysisen_US
dc.typeArticleen_US

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