Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review
sangster‐gormley e., martin‐misener r., downe‐wamboldt b. & dicenso a. (2011) Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review. Journal of Advanced Nursing67(6), 1178–1190. Aim. To review the literature about the Canadian experience w...
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| Veröffentlicht in: | Journal of advanced nursing 2011-06, Vol.67 (6), p.1178-1190 |
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| container_title | Journal of advanced nursing |
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| creator | Sangster-Gormley, Esther Martin-Misener, Ruth Downe-Wamboldt, Barbara DiCenso, Alba |
| description | sangster‐gormley e., martin‐misener r., downe‐wamboldt b. & dicenso a. (2011) Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review. Journal of Advanced Nursing67(6), 1178–1190.
Aim. To review the literature about the Canadian experience with nurse practitioner role implementation and identify influencing factors.
Background. Although nurse practitioners have been in existence for more than 40 years, their integration into healthcare systems has been challenging. While frameworks exist to guide implementation of these roles, clear identification of factors influencing role implementation may inform best practices. Given that Canada has witnessed considerable growth in nurse practitioner positions in the past decade, an exploration of its experience with role implementation is timely.
Data sources. A review of Canadian literature from 1997 to 2010 was conducted. Electronic databases including CINAHL, Cochrane Database of Systematic Reviews, Health Source: Nursing Academic Edition, Medline, Social Science Index, PubMed, Web of Science and PsychINFO and government and professional organization websites were searched.
Methods. An integrative review was performed guided by Whittemore and Knafl’s method.
Results. Ten published studies and two provincial reports were included. Numerous facilitators and barriers to implementation were identified and analysed for themes. Three concepts influencing implementation emerged: involvement, acceptance and intention. Involvement is defined as stakeholders actively participating in the early stages of implementation. Acceptance is recognition and willingness to work with nurse practitioner. Intention relates to how the role is defined.
Conclusion. This integrative review revealed three factors that influence nurse practitioner role implementation in Canada: involvement, acceptance and intention. Strategies to enhance these factors may inform best practice role implementation processes. |
| doi_str_mv | 10.1111/j.1365-2648.2010.05571.x |
| format | Article |
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Aim. To review the literature about the Canadian experience with nurse practitioner role implementation and identify influencing factors.
Background. Although nurse practitioners have been in existence for more than 40 years, their integration into healthcare systems has been challenging. While frameworks exist to guide implementation of these roles, clear identification of factors influencing role implementation may inform best practices. Given that Canada has witnessed considerable growth in nurse practitioner positions in the past decade, an exploration of its experience with role implementation is timely.
Data sources. A review of Canadian literature from 1997 to 2010 was conducted. Electronic databases including CINAHL, Cochrane Database of Systematic Reviews, Health Source: Nursing Academic Edition, Medline, Social Science Index, PubMed, Web of Science and PsychINFO and government and professional organization websites were searched.
Methods. An integrative review was performed guided by Whittemore and Knafl’s method.
Results. Ten published studies and two provincial reports were included. Numerous facilitators and barriers to implementation were identified and analysed for themes. Three concepts influencing implementation emerged: involvement, acceptance and intention. Involvement is defined as stakeholders actively participating in the early stages of implementation. Acceptance is recognition and willingness to work with nurse practitioner. Intention relates to how the role is defined.
Conclusion. This integrative review revealed three factors that influence nurse practitioner role implementation in Canada: involvement, acceptance and intention. Strategies to enhance these factors may inform best practice role implementation processes.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/j.1365-2648.2010.05571.x</identifier><identifier>PMID: 21261696</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject><![CDATA[Attitude of Health Personnel ; barriers ; Best practice ; Canada ; concept development ; Delivery of Health Care - organization & administration ; Education, Nursing, Graduate ; facilitators ; Health Care Reform - organization & administration ; Humans ; Integration ; integrative review ; Interprofessional Relations ; Job Description ; Long-Term Care - organization & administration ; nurse practitioner ; Nurse practitioners ; Nurse Practitioners - organization & administration ; Nurse Practitioners - trends ; Nurse's Role ; Nursing ; Nursing Administration Research ; Nursing care ; Organizational Innovation ; Patient Care Team - organization & administration ; Primary Health Care - organization & administration ; role implementation]]></subject><ispartof>Journal of advanced nursing, 2011-06, Vol.67 (6), p.1178-1190</ispartof><rights>2011 Blackwell Publishing Ltd</rights><rights>2011 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. Jun 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5151-ef567d0c05c2752e7ec599f1319a9ee225dfb70271e6ed1639e972c6023e3f1e3</citedby><cites>FETCH-LOGICAL-c5151-ef567d0c05c2752e7ec599f1319a9ee225dfb70271e6ed1639e972c6023e3f1e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2648.2010.05571.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2648.2010.05571.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>313,314,780,784,792,1417,27922,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21261696$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sangster-Gormley, Esther</creatorcontrib><creatorcontrib>Martin-Misener, Ruth</creatorcontrib><creatorcontrib>Downe-Wamboldt, Barbara</creatorcontrib><creatorcontrib>DiCenso, Alba</creatorcontrib><title>Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>sangster‐gormley e., martin‐misener r., downe‐wamboldt b. & dicenso a. (2011) Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review. Journal of Advanced Nursing67(6), 1178–1190.
Aim. To review the literature about the Canadian experience with nurse practitioner role implementation and identify influencing factors.
Background. Although nurse practitioners have been in existence for more than 40 years, their integration into healthcare systems has been challenging. While frameworks exist to guide implementation of these roles, clear identification of factors influencing role implementation may inform best practices. Given that Canada has witnessed considerable growth in nurse practitioner positions in the past decade, an exploration of its experience with role implementation is timely.
Data sources. A review of Canadian literature from 1997 to 2010 was conducted. Electronic databases including CINAHL, Cochrane Database of Systematic Reviews, Health Source: Nursing Academic Edition, Medline, Social Science Index, PubMed, Web of Science and PsychINFO and government and professional organization websites were searched.
Methods. An integrative review was performed guided by Whittemore and Knafl’s method.
Results. Ten published studies and two provincial reports were included. Numerous facilitators and barriers to implementation were identified and analysed for themes. Three concepts influencing implementation emerged: involvement, acceptance and intention. Involvement is defined as stakeholders actively participating in the early stages of implementation. Acceptance is recognition and willingness to work with nurse practitioner. Intention relates to how the role is defined.
Conclusion. This integrative review revealed three factors that influence nurse practitioner role implementation in Canada: involvement, acceptance and intention. Strategies to enhance these factors may inform best practice role implementation processes.</description><subject>Attitude of Health Personnel</subject><subject>barriers</subject><subject>Best practice</subject><subject>Canada</subject><subject>concept development</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Education, Nursing, Graduate</subject><subject>facilitators</subject><subject>Health Care Reform - organization & administration</subject><subject>Humans</subject><subject>Integration</subject><subject>integrative review</subject><subject>Interprofessional Relations</subject><subject>Job Description</subject><subject>Long-Term Care - organization & administration</subject><subject>nurse practitioner</subject><subject>Nurse practitioners</subject><subject>Nurse Practitioners - organization & administration</subject><subject>Nurse Practitioners - trends</subject><subject>Nurse's Role</subject><subject>Nursing</subject><subject>Nursing Administration Research</subject><subject>Nursing care</subject><subject>Organizational Innovation</subject><subject>Patient Care Team - organization & administration</subject><subject>Primary Health Care - organization & administration</subject><subject>role implementation</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkU1vEzEQhi0EoiHwF5DFhdOm_ojtGIlDG9EPVLUHUvVoud7ZymHXG-zdNv332CTkwIX6MtbM877SzIsQpmRG8ztezyiXomJyvpgxkrtECEVn21dochi8RhPCia7YnLAj9C6lNSGUM8beoiNGmaRSywnqzqwb-piwbRpwgw8POIwxAd7EPPCD7wNEHPsWsO82LXQQBlu62Ae8tMHW3oY97AAnGIpH-oJtIQZ4iJl-BBzh0cPTe_SmsW2CD_s6Rbdn31bLi-rq5vxyeXJVOUEFraARUtXEEeGYEgwUOKF1QznVVgMwJurmXhGmKEioqeQatGJOEsaBNxT4FH3e-W5i_2uENJjOJwdtawP0YzKLRdk-C_9PSkkEUflyU_TpH3LdjzHkNQokpNBzlaHFDnKxTylCYzbRdzY-G0pMic6sTUnIlIRMic78ic5ss_Tj3n-876A-CP9mlYGvO-DJt_D8YmPz_eS6_LK-2ul9GmB70Nv400jFlTB31-dmNZc_LlaMmFP-GwmjtxA</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Sangster-Gormley, Esther</creator><creator>Martin-Misener, Ruth</creator><creator>Downe-Wamboldt, Barbara</creator><creator>DiCenso, Alba</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201106</creationdate><title>Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review</title><author>Sangster-Gormley, Esther ; Martin-Misener, Ruth ; Downe-Wamboldt, Barbara ; DiCenso, Alba</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5151-ef567d0c05c2752e7ec599f1319a9ee225dfb70271e6ed1639e972c6023e3f1e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Attitude of Health Personnel</topic><topic>barriers</topic><topic>Best practice</topic><topic>Canada</topic><topic>concept development</topic><topic>Delivery of Health Care - organization & administration</topic><topic>Education, Nursing, Graduate</topic><topic>facilitators</topic><topic>Health Care Reform - organization & administration</topic><topic>Humans</topic><topic>Integration</topic><topic>integrative review</topic><topic>Interprofessional Relations</topic><topic>Job Description</topic><topic>Long-Term Care - organization & administration</topic><topic>nurse practitioner</topic><topic>Nurse practitioners</topic><topic>Nurse Practitioners - organization & administration</topic><topic>Nurse Practitioners - trends</topic><topic>Nurse's Role</topic><topic>Nursing</topic><topic>Nursing Administration Research</topic><topic>Nursing care</topic><topic>Organizational Innovation</topic><topic>Patient Care Team - organization & administration</topic><topic>Primary Health Care - organization & administration</topic><topic>role implementation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sangster-Gormley, Esther</creatorcontrib><creatorcontrib>Martin-Misener, Ruth</creatorcontrib><creatorcontrib>Downe-Wamboldt, Barbara</creatorcontrib><creatorcontrib>DiCenso, Alba</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sangster-Gormley, Esther</au><au>Martin-Misener, Ruth</au><au>Downe-Wamboldt, Barbara</au><au>DiCenso, Alba</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2011-06</date><risdate>2011</risdate><volume>67</volume><issue>6</issue><spage>1178</spage><epage>1190</epage><pages>1178-1190</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>sangster‐gormley e., martin‐misener r., downe‐wamboldt b. & dicenso a. (2011) Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review. Journal of Advanced Nursing67(6), 1178–1190.
Aim. To review the literature about the Canadian experience with nurse practitioner role implementation and identify influencing factors.
Background. Although nurse practitioners have been in existence for more than 40 years, their integration into healthcare systems has been challenging. While frameworks exist to guide implementation of these roles, clear identification of factors influencing role implementation may inform best practices. Given that Canada has witnessed considerable growth in nurse practitioner positions in the past decade, an exploration of its experience with role implementation is timely.
Data sources. A review of Canadian literature from 1997 to 2010 was conducted. Electronic databases including CINAHL, Cochrane Database of Systematic Reviews, Health Source: Nursing Academic Edition, Medline, Social Science Index, PubMed, Web of Science and PsychINFO and government and professional organization websites were searched.
Methods. An integrative review was performed guided by Whittemore and Knafl’s method.
Results. Ten published studies and two provincial reports were included. Numerous facilitators and barriers to implementation were identified and analysed for themes. Three concepts influencing implementation emerged: involvement, acceptance and intention. Involvement is defined as stakeholders actively participating in the early stages of implementation. Acceptance is recognition and willingness to work with nurse practitioner. Intention relates to how the role is defined.
Conclusion. This integrative review revealed three factors that influence nurse practitioner role implementation in Canada: involvement, acceptance and intention. Strategies to enhance these factors may inform best practice role implementation processes.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21261696</pmid><doi>10.1111/j.1365-2648.2010.05571.x</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of advanced nursing, 2011-06, Vol.67 (6), p.1178-1190 |
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| subjects | Attitude of Health Personnel barriers Best practice Canada concept development Delivery of Health Care - organization & administration Education, Nursing, Graduate facilitators Health Care Reform - organization & administration Humans Integration integrative review Interprofessional Relations Job Description Long-Term Care - organization & administration nurse practitioner Nurse practitioners Nurse Practitioners - organization & administration Nurse Practitioners - trends Nurse's Role Nursing Nursing Administration Research Nursing care Organizational Innovation Patient Care Team - organization & administration Primary Health Care - organization & administration role implementation |
| title | Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review |
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