scholarly journals A mixed methods study of the work patterns of full-time nurse practitioners in nursing homes

2014 ◽  
Vol 24 (9-10) ◽  
pp. 1327-1337 ◽  
Author(s):  
Ruth Martin-Misener ◽  
Faith Donald ◽  
Abigail Wickson-Griffiths ◽  
Noori Akhtar-Danesh ◽  
Jenny Ploeg ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Nursing Homes ◽  
Nurse Practitioners ◽  
Mixed Methods Study ◽  
Full Time ◽  
Work Patterns

scholarly journals A mixed methods study of the work patterns of full-time nurse practitioners in Canadian nursing homes

2021 ◽  
Author(s):  
R. Martin-Misener ◽  
F. Donald ◽  
Abigail Wickson-Griffiths ◽  
Noori Akhtar-Danesh ◽  
J. Ploeg ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Nursing Homes ◽  
Case Studies ◽  
Nurse Practitioners ◽  
National Survey ◽  
Nurse Practitioner ◽  
Family Care ◽  
Full Time ◽  
Work Patterns ◽  
Practitioner Role

The aim of this study was to explore the integration of the nurse practitioner role in Canadian nursing homes to enable its full potential to be realised for resident and family care. The objective was to determine nurse practitioners' patterns of work activities. Nurse practitioners were introduced in Canadian nursing homes a decade ago on a pilot basis. In recent years, government and nursing home sector interest in the role has grown along with the need for data to inform planning efforts. The study used a sequential mixed methods design using a national survey followed by case studies. A national survey of nurse practitioners included demographic items and the EverCare Nurse Practitioner Role and Activity Scale. Following the survey, case studies were conducted in four nursing homes. Data were collected using individual and focus group interviews, document reviews and field notes. Twenty-three of a target population of 26 nurse practitioners responded to the survey, two-thirds of whom provided services in nursing homes with one site and the remainder in nursing homes with as many as four sites. On average, nurse practitioners performed activities in communicator, clinician, care manager/coordinator and coach/educator subscales at least three to four times per week and activities in the collaborator subscale once a week. Of the 43 activities, nurse practitioners performed daily, most were in the clinician and communicator subscales. Case study interviews involved 150 participants. Findings complemented those of the survey and identified additional leadership activities. Nurse practitioners undertake a range of primary health care and advanced practice activities which they adapt to meet the unique needs of nursing homes. Knowledge of work patterns enables nursing homes to implement the full range of nurse practitioner roles and activities to enhance resident and family care.

scholarly journals A mixed methods study of the work patterns of full-time nurse practitioners in Canadian nursing homes

2021 ◽  
Author(s):  
R. Martin-Misener ◽  
F. Donald ◽  
Abigail Wickson-Griffiths ◽  
Noori Akhtar-Danesh ◽  
J. Ploeg ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Nursing Homes ◽  
Case Studies ◽  
Nurse Practitioners ◽  
National Survey ◽  
Nurse Practitioner ◽  
Family Care ◽  
Full Time ◽  
Work Patterns ◽  
Practitioner Role

The aim of this study was to explore the integration of the nurse practitioner role in Canadian nursing homes to enable its full potential to be realised for resident and family care. The objective was to determine nurse practitioners' patterns of work activities. Nurse practitioners were introduced in Canadian nursing homes a decade ago on a pilot basis. In recent years, government and nursing home sector interest in the role has grown along with the need for data to inform planning efforts. The study used a sequential mixed methods design using a national survey followed by case studies. A national survey of nurse practitioners included demographic items and the EverCare Nurse Practitioner Role and Activity Scale. Following the survey, case studies were conducted in four nursing homes. Data were collected using individual and focus group interviews, document reviews and field notes. Twenty-three of a target population of 26 nurse practitioners responded to the survey, two-thirds of whom provided services in nursing homes with one site and the remainder in nursing homes with as many as four sites. On average, nurse practitioners performed activities in communicator, clinician, care manager/coordinator and coach/educator subscales at least three to four times per week and activities in the collaborator subscale once a week. Of the 43 activities, nurse practitioners performed daily, most were in the clinician and communicator subscales. Case study interviews involved 150 participants. Findings complemented those of the survey and identified additional leadership activities. Nurse practitioners undertake a range of primary health care and advanced practice activities which they adapt to meet the unique needs of nursing homes. Knowledge of work patterns enables nursing homes to implement the full range of nurse practitioner roles and activities to enhance resident and family care.

Growth of Physicians and Nurse Practitioners Practicing Full Time in Nursing Homes

2021 ◽  
Author(s):  
James S. Goodwin ◽  
Pooja Agrawal ◽  
Shuang Li ◽  
Mukaila Raji ◽  
Yong-Fang Kuo
Keyword(s):  
Nursing Homes ◽  
Nurse Practitioners ◽  
Full Time

scholarly journals Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e025614 ◽  
Author(s):  
Jonas Czwikla ◽  
Maike Schulz ◽  
Franziska Heinze ◽  
Thomas Kalwitzki ◽  
Daniel Gand ◽  
...  
Keyword(s):  
Nursing Home ◽  
Mixed Methods ◽  
Nursing Homes ◽  
Medical Care ◽  
Delphi Study ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Mixed Methods Study ◽  
Care Needs ◽  
Term Care

IntroductionNursing home residents typically have greater needs for medical care than community-dwelling elderly. However, restricted cognitive abilities and limited mobility may impede their access to general practitioners and medical specialists. The provision of medical care in nursing homes may therefore be inappropriate in some areas of medical care. The purpose of this mixed-methods study is to systematically assess, evaluate and explain met and unmet medical care needs in German nursing homes and to develop solutions where medical care is found to be inappropriate.Methods and analysisFirst, statutory health insurance claims data are analysed to identify differences in the utilisation of medical care between nursing home residents and community-dwelling elderly with and without need for long-term care. Second, the health status and medical care of 500 nursing home residents are assessed and evaluated to quantify met and unmet medical care needs. Third, qualitative expert interviews and case conferences and, fourth, quantitative analyses of linked data are used to provide structural, case-specific and generalisable explanations of inappropriate medical care among nursing home residents. Fifth, a modified Delphi study is employed to develop pilot projects aiming to improve medical care in nursing homes.Ethics and disseminationThis study was approved by the Ethics Committee of the University of Bremen on 23 November 2017. Research findings are disseminated through presentations at national and international conferences and publications in peer-reviewed scientific journals.Trial registration numberDRKS00012383.

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