Reframing professional boundaries in healthcare: A systematic review of facilitators and barriers to task reallocation from the domain of medicine to the nursing domain

Highlights • We systematically review task reallocation from cure (physicians) to care (NPs). • Thematic analysis identified four categories of facilitators and barriers. • Addressing facilitators and barriers to task reallocation is a dynamic process. • Task reallocation to NPs requires reframing o...

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Veröffentlicht in:	Health policy (Amsterdam) 2014-08, Vol.117 (2), p.151-169
Hauptverfasser:	Niezen, Maartje G.H, Mathijssen, Jolanda J.P
Format:	Artikel
Sprache:	eng
Schlagworte:	Advanced Practice Nursing Biological and medical sciences Clinical Competence Delegation, Professional Health administration Health participants Health Policy Humans Internal Medicine Medical sciences Medicine - organization & administration Miscellaneous Nurse Practitioners Nursing - organization & administration Organisational innovation Physician-Nurse Relations Professional delegation Professional Role - psychology Public health. Hygiene Public health. Hygiene-occupational medicine Systematic review Task Performance and Analysis
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Beschreibung
Zusammenfassung:	Highlights • We systematically review task reallocation from cure (physicians) to care (NPs). • Thematic analysis identified four categories of facilitators and barriers. • Addressing facilitators and barriers to task reallocation is a dynamic process. • Task reallocation to NPs requires reframing of professional boundaries. • Professionalism should be reframed at the multiple layers of the healthcare system.
ISSN:	0168-8510 1872-6054
DOI:	10.1016/j.healthpol.2014.04.016