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The integration of new nurse practitioners into care of older adults: A survey study

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  • Silje Havrevold Henni
  • Marit Kirkevold
  • Konstantinos Antypas
  • Christina Foss

Abstract

Aims and objectives To assess Norwegian advanced geriatric nurses’ (AGNs) use of their knowledge and skills, and factors that may influence AGNs’ opportunities to use their knowledge and skills to reach their full potential. Background Despite the need for nurses with advanced knowledge and skill in the care of older adults, the introduction of new advanced nursing roles has been challenging. Countries in the process of establishing advanced roles need to monitor and identify possible implementation issues. Design A cross‐sectional descriptive survey. Methods We invited the total population of AGNs in Norway (n = 26) and some of their colleagues (n = 465) to answer an online questionnaire. Twenty‐three (88.5%) of the AGNs and 195 (42.0%) of the invited colleagues completed and submitted the questionnaires. The data were analysed with descriptive statistics. STROBE guidelines were used in reporting this study. Results Of the AGNs, 16 (69.6%) used their knowledge and skills to their full potential when providing direct care. However, a minority used their knowledge and skills to their full potential when proving indirect care (n = 11, 47.8%), teaching/supervision (n = 11, 47.8%) and coordination (n = 5, 21.8%). A total of 47 (24.1%) colleagues experienced the AGNs’ scope of practice as completely clear, and 52 (26.6%) collaborated with the AGNs several times a week. Of the colleagues, 131 (67.2%) considered the AGNs’ role and scope of practice contributed positively to a high degree to health service for older adults. Conclusion The results indicate the need for greater focus on organisational adjustment for the AGNs to utilise their knowledge and skills to their full potential. Relevance to clinical practice There is a need for greater focus on organisational adjustment to integrate AGNs at the workplace, as complete integration may improve the AGNs’ use of their knowledge and skills.

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  • Silje Havrevold Henni & Marit Kirkevold & Konstantinos Antypas & Christina Foss, 2019. "The integration of new nurse practitioners into care of older adults: A survey study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2911-2923, August.
  • Handle: RePEc:wly:jocnur:v:28:y:2019:i:15-16:p:2911-2923
    DOI: 10.1111/jocn.14889
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    References listed on IDEAS

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    1. Michael Bentley & Melinda Minstrell & Hazel Bucher & Lisa Sproule & Andrew Robinson & Christine Stirling, 2015. "Aged care nurse practitioners working in general practice," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3745-3747, December.
    2. Ada J ter Maten‐Speksnijder & Jolanda Dwarswaard & Pauline L Meurs & AnneLoes van Staa, 2016. "Rhetoric or reality? What nurse practitioners do to provide self‐management support in outpatient clinics: an ethnographic study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3219-3228, November.
    3. Marie-Laure Delamaire & Gaétan Lafortune, 2010. "Nurses in Advanced Roles: A Description and Evaluation of Experiences in 12 Developed Countries," OECD Health Working Papers 54, OECD Publishing.
    4. Xufeng Qian & Louise B. Russell & Elmira Valiyeva & Jane E. Miller, 2011. "‘Quicker And Sicker’ Under Medicare'S Prospective Payment System For Hospitals: New Evidence On An Old Issue From A National Longitudinal Survey," Bulletin of Economic Research, Wiley Blackwell, vol. 63(1), pages 1-27, January.
    5. Claudia B. Maier & Linda H. Aiken & Reinhard Busse, 2017. "Nurses in advanced roles in primary care: Policy levers for implementation," OECD Health Working Papers 98, OECD Publishing.
    6. Ruth Martin‐Misener & Faith Donald & Abigail Wickson‐Griffiths & Noori Akhtar‐Danesh & Jenny Ploeg & Kevin Brazil & Sharon Kaasalainen & Carrie McAiney & Nancy Carter & Lori Schindel Martin & Esther S, 2015. "A mixed methods study of the work patterns of full‐time nurse practitioners in nursing homes," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(9-10), pages 1327-1337, May.
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