Skill mix change between physicians, nurse practitioners, physician assistants, and nurses in nursing homes: A qualitative study.
Adult
Female
Focus Groups
/ methods
Health Personnel
/ psychology
Humans
Male
Middle Aged
Netherlands
Nurse Practitioners
/ trends
Nurses
/ trends
Nursing Homes
/ statistics & numerical data
Physician Assistants
/ trends
Physicians
/ trends
Primary Health Care
/ methods
Professional Role
Qualitative Research
nurse practitioner
nursing home
physician assistant
qualitative research
skill mix change
the Netherlands
Journal
Nursing & health sciences
ISSN: 1442-2018
Titre abrégé: Nurs Health Sci
Pays: Australia
ID NLM: 100891857
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
23
06
2018
revised:
09
01
2019
accepted:
20
01
2019
pubmed:
2
4
2019
medline:
24
3
2020
entrez:
2
4
2019
Statut:
ppublish
Résumé
Nursing home physicians face heavy workloads, because of the aging population and rising number of older adults with one or more chronic diseases. Skill mix change, in which professionals perform tasks previously reserved for physicians independently or under supervision, could be an answer to this challenge. The aim of this study was to describe how skill mix change in nursing homes is organized from four monodisciplinary perspectives and the interdisciplinary perspective, what influences it, and what its effects are. The study focused particularly on skill mix change through the substitution of nurse practitioners, physician assistants, or registered nurses for nursing home physicians. Five focus group interviews were conducted in the Netherlands. Variation in tasks and responsibilities was found. Despite this variation, stakeholders reported increased quality of health care, patient centeredness, and support for care teams. A clear vision on skill mix change, acceptance of nurse practitioners, physician assistants, and registered nurses, and a reduction of legal insecurity are needed that might maximize the added value of nurse practitioners, physician assistants, and registered nurses.
Identifiants
pubmed: 30932288
doi: 10.1111/nhs.12601
pmc: PMC6850111
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
282-290Subventions
Organisme : The Ministry of Health, Welfare, and Sport of the Netherlands
Informations de copyright
© 2019 The Authors Nursing & Health Sciences Published by John Wiley & Sons Australia, Ltd.
Références
J Nurs Care Qual. 2014 Jan-Mar;29(1):1-8
pubmed: 24275892
BMJ Open. 2017 Jun 8;7(6):e015134
pubmed: 28600370
Geriatr Nurs. 2011 Jan-Feb;32(1):7-17
pubmed: 21295715
J Am Geriatr Soc. 1998 May;46(5):610-4
pubmed: 9588375
J Adv Nurs. 2018 Jan;74(1):75-88
pubmed: 28702942
Int J Nurs Stud. 2015 Mar;52(3):727-43
pubmed: 25577306
Nurs Inq. 2013 Jun;20(2):111-20
pubmed: 22487323
Nurs Health Sci. 2013 Sep;15(3):398-405
pubmed: 23480423
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Cochrane Database Syst Rev. 2018 Jul 16;7:CD001271
pubmed: 30011347
Nurse Educ Today. 2004 Feb;24(2):105-12
pubmed: 14769454
J Am Med Dir Assoc. 2017 Sep 1;18(9):746-749
pubmed: 28668662
Health Serv Res. 2015 Dec;50(6):1772-86
pubmed: 26564816
J Adv Nurs. 2008 Apr;62(1):107-15
pubmed: 18352969
J Adv Nurs. 2017 Sep;73(9):2084-2102
pubmed: 28299815
J Am Acad Nurse Pract. 2009 Aug;21(8):444-53
pubmed: 19689441
Ann Intern Med. 2009 Mar 17;150(6):411-3
pubmed: 19293074
Pers Soc Psychol Bull. 2004 Feb;30(2):161-72
pubmed: 15030631
J Health Serv Res Policy. 2004 Jan;9 Suppl 1:28-38
pubmed: 15006226
Nurs Health Sci. 2018 Mar;20(1):39-45
pubmed: 29094449
Res Gerontol Nurs. 2008 Jul;1(3):177-85
pubmed: 20077962
Acad Med. 2015 Sep;90(9):1236-40
pubmed: 26200581
J Clin Nurs. 2015 May;24(9-10):1327-37
pubmed: 25523789
J Adv Nurs. 2004 Dec;48(5):530-40
pubmed: 15533091
Nurs Health Sci. 2019 Sep;21(3):282-290
pubmed: 30932288
Nurs Health Sci. 2018 Dec;20(4):431-437
pubmed: 29745001
Health Policy. 2014 Aug;117(2):151-69
pubmed: 24857559
BMC Fam Pract. 2018 May 2;19(1):51
pubmed: 29720099
J Am Med Dir Assoc. 2004 Jan-Feb;5(1):16-23
pubmed: 14706124