Practice Patterns of Nurse Practitioners in a Multi-Site Academic Healthcare Setting.


Journal

Nursing leadership (Toronto, Ont.)
ISSN: 1910-622X
Titre abrégé: Nurs Leadersh (Tor Ont)
Pays: Canada
ID NLM: 101470760

Informations de publication

Date de publication:
Sep 2021
Historique:
entrez: 26 10 2021
pubmed: 27 10 2021
medline: 28 10 2021
Statut: ppublish

Résumé

The objective of this paper is to describe the day-to-day activities, known as practice patterns, of nurse practitioners (NPs) across a four-site academic healthcare network in Ontario, which comprises acute, primary, rehabilitation and complex continuing care. Information regarding NP practice patterns is available from other jurisdictions and practice settings, but information specific to large, urban and multi-site organizations is available to a lesser extent. This information can inform and support leaders' decisions about NP roles and responsibilities. A cross-sectional online survey was sent to the 125 NPs employed in this healthcare network. Respondents (n = 45) were primarily experienced, graduate-prepared NPs, who work with specialized populations and support the education of healthcare professional trainees. The majority of these NPs' activities focused on direct and indirect care, with fewer activities centred on leadership/administration, education, research and personal breaks. Clinical care activities varied among NPs and were contextual to the population and program. While direct and indirect care are vital components of NP practice, the overwhelming emphasis on these components indicates that the organization and the healthcare system are losing opportunities to capitalize on advanced nursing practice knowledge and skills in the domains of leadership, research and education.

Sections du résumé

OBJECTIVE OBJECTIVE
The objective of this paper is to describe the day-to-day activities, known as practice patterns, of nurse practitioners (NPs) across a four-site academic healthcare network in Ontario, which comprises acute, primary, rehabilitation and complex continuing care.
BACKGROUND BACKGROUND
Information regarding NP practice patterns is available from other jurisdictions and practice settings, but information specific to large, urban and multi-site organizations is available to a lesser extent. This information can inform and support leaders' decisions about NP roles and responsibilities.
METHOD METHODS
A cross-sectional online survey was sent to the 125 NPs employed in this healthcare network.
RESULTS RESULTS
Respondents (n = 45) were primarily experienced, graduate-prepared NPs, who work with specialized populations and support the education of healthcare professional trainees. The majority of these NPs' activities focused on direct and indirect care, with fewer activities centred on leadership/administration, education, research and personal breaks. Clinical care activities varied among NPs and were contextual to the population and program.
CONCLUSION CONCLUSIONS
While direct and indirect care are vital components of NP practice, the overwhelming emphasis on these components indicates that the organization and the healthcare system are losing opportunities to capitalize on advanced nursing practice knowledge and skills in the domains of leadership, research and education.

Identifiants

pubmed: 34698015
pii: cjnl.2021.26592
doi: 10.12927/cjnl.2021.26592
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

63-73

Informations de copyright

Copyright © 2021 Longwoods Publishing.

Auteurs

Barbara Bailey (B)

NP-Adult, Nurse Practitioner, Toronto Adult Congenital Heart Disease Program, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network, Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON.

Faith Donald (F)

Professor, Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON.

Marijana Zubrinic (M)

Nurse Practitioner, Thoracic Surgery, Toronto General Hospital, Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON.

Kelly McNabb (K)

NP-Adult, Nurse Practitioner, Heart Failure, Kingston Health Sciences Centre, Kingston, ON.

Helen Kelly (H)

Clinical Research Manager, Academic Affairs -, Research and Innovation, Collaborative Academic Practice, University Health Network, Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Associate Member, Yeates School of Graduate Studies, Ryerson University, Toronto, ON.

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