Perspectives of Quebec Primary Health Care Nurse Practitioners on Their Role and Challenges in Chronic Disease Management: A Qualitative Study.
Advanced practice
chronic illness
nurse practitioners
primary care
qualitative approaches
self-management
Journal
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres
ISSN: 1705-7051
Titre abrégé: Can J Nurs Res
Pays: United States
ID NLM: 8910581
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
pubmed:
19
9
2019
medline:
26
10
2021
entrez:
19
9
2019
Statut:
ppublish
Résumé
Primary health care nurse practitioners (PHCNPs) can play a key role in chronic disease management. However, little is known about the challenges they face. The study aimed to describe PHCNPs' perspectives on their role for patients with chronic health conditions, the barriers they face, and facilitating factors. A qualitative descriptive exploratory study was conducted with 24 PHCNPs in the Canadian province of Quebec. PHCNPs believe that they are in an optimal position to address the needs of patients with chronic health conditions, especially in providing self-management support. However, PHCNPs reported feeling pressured to practice according to a biomedical model and to constantly defend their role in chronic disease management. They feel that they are frequently being diverted from their role to compensate for the lack of family doctors. PHCNPs made concrete recommendations to optimize their autonomous practice and quality of care: promoting strong interprofessional communication skills, genuine mentoring relationships between PHCNPs and partner physicians, managers upholding the full scope of PHCNPs' practice, and a more flexible legislative framework. The original conception of PHCNPs as health professionals with unique characteristics is at stake. The factors that should be targeted to support the autonomy of PHCNPs were identified.
Sections du résumé
BACKGROUND
BACKGROUND
Primary health care nurse practitioners (PHCNPs) can play a key role in chronic disease management. However, little is known about the challenges they face.
PURPOSE
OBJECTIVE
The study aimed to describe PHCNPs' perspectives on their role for patients with chronic health conditions, the barriers they face, and facilitating factors.
METHODS
METHODS
A qualitative descriptive exploratory study was conducted with 24 PHCNPs in the Canadian province of Quebec.
RESULTS
RESULTS
PHCNPs believe that they are in an optimal position to address the needs of patients with chronic health conditions, especially in providing self-management support. However, PHCNPs reported feeling pressured to practice according to a biomedical model and to constantly defend their role in chronic disease management. They feel that they are frequently being diverted from their role to compensate for the lack of family doctors. PHCNPs made concrete recommendations to optimize their autonomous practice and quality of care: promoting strong interprofessional communication skills, genuine mentoring relationships between PHCNPs and partner physicians, managers upholding the full scope of PHCNPs' practice, and a more flexible legislative framework.
CONCLUSIONS
CONCLUSIONS
The original conception of PHCNPs as health professionals with unique characteristics is at stake. The factors that should be targeted to support the autonomy of PHCNPs were identified.
Identifiants
pubmed: 31530000
doi: 10.1177/0844562119862735
doi:
Types de publication
Journal Article
Langues
eng