IDEAS home Printed from https://ideas.repec.org/a/wly/nuhsci/v21y2019i3p282-290.html
   My bibliography  Save this article

Skill mix change between physicians, nurse practitioners, physician assistants, and nurses in nursing homes: A qualitative study

Author

Listed:
  • Marleen H. Lovink
  • Anneke (J.A.H.) van Vught
  • Anke Persoon
  • Raymond T.C.M. Koopmans
  • Miranda G.H. Laurant
  • Lisette Schoonhoven

Abstract

Nursing home physicians face heavy workloads, because of the aging population and rising number of older adults with one or more chronic diseases. Skill mix change, in which professionals perform tasks previously reserved for physicians independently or under supervision, could be an answer to this challenge. The aim of this study was to describe how skill mix change in nursing homes is organized from four monodisciplinary perspectives and the interdisciplinary perspective, what influences it, and what its effects are. The study focused particularly on skill mix change through the substitution of nurse practitioners, physician assistants, or registered nurses for nursing home physicians. Five focus group interviews were conducted in the Netherlands. Variation in tasks and responsibilities was found. Despite this variation, stakeholders reported increased quality of health care, patient centeredness, and support for care teams. A clear vision on skill mix change, acceptance of nurse practitioners, physician assistants, and registered nurses, and a reduction of legal insecurity are needed that might maximize the added value of nurse practitioners, physician assistants, and registered nurses.

Suggested Citation

  • Marleen H. Lovink & Anneke (J.A.H.) van Vught & Anke Persoon & Raymond T.C.M. Koopmans & Miranda G.H. Laurant & Lisette Schoonhoven, 2019. "Skill mix change between physicians, nurse practitioners, physician assistants, and nurses in nursing homes: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(3), pages 282-290, September.
    • Handle: RePEc:wly:nuhsci:v:21:y:2019:i:3:p:282-290
    DOI: 10.1111/nhs.12601
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/nhs.12601
    Download Restriction: no
    File URL: https://libkey.io/10.1111/nhs.12601?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    2. Niezen, Maartje G.H. & Mathijssen, Jolanda J.P., 2014. "Reframing professional boundaries in healthcare: A systematic review of facilitators and barriers to task reallocation from the domain of medicine to the nursing domain," Health Policy, Elsevier, vol. 117(2), pages 151-169.
    3. Marja Härkänen & Alwiena Blignaut & Katri Vehviläinen‐Julkunen, 2018. "Focus group discussions of registered nurses’ perceptions of challenges in the medication administration process," Nursing & Health Sciences, John Wiley & Sons, vol. 20(4), pages 431-437, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kathleen Abrahamson & Rebekah Fox & Aimee Roundtree & Kristen Farris, 2020. "Nursing assistants' perceptions of their role in the resident experience," Nursing & Health Sciences, John Wiley & Sons, vol. 22(1), pages 72-81, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sapanna Laysiriroj & Walter Wehrmeyer, 2020. "Intergenerational differences of CSR activities in family-run businesses in eastern Thailand," Asian Journal of Sustainability and Social Responsibility, Springer, vol. 5(1), pages 1-15, December.
    2. Maider Belintxon & Nisha Dogra & Paula McGee & Maria Jesus Pumar‐Mendez & Olga Lopez‐Dicastillo, 2020. "Encounters between children's nurses and culturally diverse parents in primary health care," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 273-282, June.
    3. Kenzie Latham-Mintus & Brittney Ortiz & Ashley Irby & Jack Turman, 2024. "Supporting the Development of Grassroots Maternal and Childhood Health Leaders through a Public-Health-Informed Training Program," IJERPH, MDPI, vol. 21(4), pages 1-16, April.
    4. Emmanuel Songsore & Michael Buzzelli, 2016. "Ontario’s Experience of Wind Energy Development as Seen through the Lens of Human Health and Environmental Justice," IJERPH, MDPI, vol. 13(7), pages 1-18, July.
    5. Ana Cristina Lindsay & Sherrie F. Wallington & Faith D. Lees & Mary L. Greaney, 2018. "Exploring How the Home Environment Influences Eating and Physical Activity Habits of Low-Income, Latino Children of Predominantly Immigrant Families: A Qualitative Study," IJERPH, MDPI, vol. 15(5), pages 1-13, May.
    6. David P. Ashmore & Roselle Thoreau & Corina Kwami & Nicola Christie & Nicholas A. Tyler, 2020. "Using thematic analysis to explore symbolism in transport choice across national cultures," Transportation, Springer, vol. 47(2), pages 607-640, April.
    7. Satu Elo & Maria Kääriäinen & Outi Kanste & Tarja Pölkki & Kati Utriainen & Helvi Kyngäs, 2014. "Qualitative Content Analysis," SAGE Open, , vol. 4(1), pages 21582440145, February.
    8. Borch, Kristian & Munk, Anders K. & Dahlgaard, Vibeke, 2020. "Mapping wind-power controversies on social media: Facebook as a powerful mobilizer of local resistance," Energy Policy, Elsevier, vol. 138(C).
    9. Naci Akdemir & Serkan Yenal, 2021. "How Phishers Exploit the Coronavirus Pandemic: A Content Analysis of COVID-19 Themed Phishing Emails," SAGE Open, , vol. 11(3), pages 21582440211, July.
    10. Caro Wolfner & Corilyn Ott & Kalani Upshaw & Angela Stowe & Lisa Schwiebert & Robin Gaines Lanzi, 2023. "Coping Strategies and Help-Seeking Behaviors of College Students and Postdoctoral Fellows with Disabilities or Pre-Existing Conditions during COVID-19," Disabilities, MDPI, vol. 3(1), pages 1-25, February.
    11. Christopher Mulwanda & Vincent R. Nyirenda & Ngawo Namukonde, 2024. "Traditional ecological knowledge, perceptions and practices on insect pollinator conservation: A case of the smallholder farmers in Murundu ward of Mufulira mining district of Zambia," Journal of Environmental Studies and Sciences, Springer;Association of Environmental Studies and Sciences, vol. 14(1), pages 24-35, March.
    12. Chiara Oppi & Cristina Campanale & Lino Cinquini, 2021. "Il problema dell?ambiguit? nei sistemi di misurazione della performance nel settore pubblico: un?analisi della letteratura internazionale," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2021(2), pages 11-38.
    13. Oznur Korukcu & Ruveyde Aydın & Jane Conway & Kamile Kukulu, 2018. "Motherhood in the shade of migration: A qualitative study of the experience of Syrian refugee mothers living in Turkey," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 46-53, March.
    14. Elke Loots & Josée Leys & Shara Proost & Manuel Morrens & Inge Glazemakers & Tinne Dilles & Bart Van Rompaey, 2022. "Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    15. Anna Rogozinska-Pawelczyk, 2022. "The Manager as an Organisation Agent during the Fourth Industrial Revolution," European Research Studies Journal, European Research Studies Journal, vol. 0(2), pages 509-529.
    16. Nijamdeen, Thanne Walawwe Gedera Fathima Mafaziya & Peruzzo, Sofia & Kodikara, Kodikara Arachchilage Sunanda & Ratsimbazafy, Hajaniaina Andrianavalonarivo & Nijamdeen, Thenne Walawe Gedhara Fathima As, 2024. "Stakeholder perceptions in mangrove management in the Jaffna Peninsula, Sri Lanka," Forest Policy and Economics, Elsevier, vol. 164(C).
    17. Issah Justice Musah-Surugu & Albert Ahenkan & Justcie Nyigmah Bawole, 2019. "Too weak to lead: motivation, agenda setting and constraints of local government to implement decentralized climate change adaptation policy in Ghana," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 21(2), pages 587-607, April.
    18. Rebecca A. Johnson & David L. Albright & James R. Marzolf & Jessica L. Bibbo & Hayley D. Yaglom & Sandra M. Crowder & Gretchen M. Carlisle & Karen Grindler & Nathan Harms & Amy Willard & Marita Wassma, 2021. "Experiences of Military Veterans in a Therapeutic Horseback Riding Program," Clinical Nursing Research, , vol. 30(7), pages 923-933, September.
    19. Chen Zhang & Kevin Fiscella & Yu Liu, 2022. "Exploring the Role of Provider–Patient Communication in Women’s Sexual Health and Pre-Exposure Prophylaxis Care in the Primary Care Settings in New York State of the United States," IJERPH, MDPI, vol. 19(13), pages 1-15, July.
    20. Juliet Aweko & Jeroen De Man & Pilvikki Absetz & Claes-Göran Östenson & Stefan Swartling Peterson & Helle Mölsted Alvesson & Meena Daivadanam, 2018. "Patient and Provider Dilemmas of Type 2 Diabetes Self-Management: A Qualitative Study in Socioeconomically Disadvantaged Communities in Stockholm," IJERPH, MDPI, vol. 15(9), pages 1-18, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:nuhsci:v:21:y:2019:i:3:p:282-290. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1442-2018 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.