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Role Clarification Processes for Better Integration of Nurse Practitioners into Primary Healthcare Teams: A Multiple-Case Study

Author

Listed:
  • Isabelle Brault
  • Kelley Kilpatrick
  • Danielle D’Amour
  • Damien Contandriopoulos
  • Véronique Chouinard
  • Carl-Ardy Dubois
  • Mélanie Perroux
  • Marie-Dominique Beaulieu

Abstract

Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to outline processes for clarifying professional roles when a new role is introduced into clinical teams, that of the primary healthcare nurse practitioner (PHCNP). To support our empirical analysis we used the Canadian National Interprofessional Competency Framework, which defines the essential components for role clarification among professionals. A qualitative multiple-case study was conducted on six cases in which the PHCNP role was introduced into primary care teams. Data collection included 34 semistructured interviews with key informants involved in the implementation of the PHCNP role. Our results revealed that the best performing primary care teams were those that used a variety of organizational and individual strategies to carry out role clarification processes. From this study, we conclude that role clarification is both an organizational process to be developed and a competency that each member of the primary care team must mobilize to ensure effective interprofessional collaboration.

Suggested Citation

  • Isabelle Brault & Kelley Kilpatrick & Danielle D’Amour & Damien Contandriopoulos & Véronique Chouinard & Carl-Ardy Dubois & Mélanie Perroux & Marie-Dominique Beaulieu, 2014. "Role Clarification Processes for Better Integration of Nurse Practitioners into Primary Healthcare Teams: A Multiple-Case Study," Nursing Research and Practice, Hindawi, vol. 2014, pages 1-9, December.
  • Handle: RePEc:hin:jnlnrp:170514
    DOI: 10.1155/2014/170514
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    References listed on IDEAS

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    2. Hyde, Abbey & Howlett, Etaoine & Brady, Dympna & Drennan, Jonathan, 2005. "The focus group method: Insights from focus group interviews on sexual health with adolescents," Social Science & Medicine, Elsevier, vol. 61(12), pages 2588-2599, December.
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    1. Milad Mirbabaie & Stefan Stieglitz & Nicholas R. J. Frick, 2021. "Hybrid intelligence in hospitals: towards a research agenda for collaboration," Electronic Markets, Springer;IIM University of St. Gallen, vol. 31(2), pages 365-387, June.
    2. Debra Kerr & Sharyn Milnes & Jette Ammentorp & Claire McKie & Trisha Dunning & Joan Ostaszkiewicz & Maiken Wolderslund & Peter Martin, 2020. "Challenges for nurses when communicating with people who have life‐limiting illness and their families: A focus group study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(3-4), pages 416-428, February.
    3. Andrea Iriarte‐Roteta & Olga Lopez‐Dicastillo & Agurtzane Mujika & Cayetana Ruiz‐Zaldibar & Naia Hernantes & Elena Bermejo‐Martins & María J. Pumar‐Méndez, 2020. "Nurses’ role in health promotion and prevention: A critical interpretive synthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 3937-3949, November.
    4. Elyne De Baetselier & Bart Van Rompaey & Nienke E. Dijkstra & Carolien G. Sino & Kevin Akerman & Luis M. Batalha & Maria I. D. Fernandez & Izabela Filov & Vigdis A. Grøndahl & Jana Heczkova & Ann Kari, 2021. "The NUPHAC-EU Framework for Nurses’ Role in Interprofessional Pharmaceutical Care: Cross-Sectional Evaluation in Europe," IJERPH, MDPI, vol. 18(15), pages 1-26, July.
    5. Elizabeth Kusi‐Appiah & Sherry Dahlke & Sarah Stahlke, 2018. "Nursing care providers’ perceptions on their role contributions in patient care: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(21-22), pages 3830-3845, November.

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