Resident and family perceptions of the nurse practitioner role in long term care settings: a qualitative descriptive study

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• 作者：Jenny Ploeg (11) (12)
  Sharon Kaasalainen (11)
  Carrie McAiney (13) (14)
  Ruth Martin-Misener (11) (15)
  Faith Donald (11) (12)
  Abigail Wickson-Griffiths (11)
  Nancy Carter (11) (11)
  Esther Sangster-Gormley (13)
  Lori Schindel Martin (12)
  Kevin Brazil (14)
  Alan Taniguchi (15)
  
• 关键词：Nurse practitioner ; Long term care ; Qualitative descriptive ; Perceptions ; Residents ; Family members ; Person ; centred care
• 刊名：BMC Nursing
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：12
• 期：1
• 全文大小：213 KB
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  47. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6955/12/24/prepub
  
• 作者单位：Jenny Ploeg (11) (12)
  Sharon Kaasalainen (11)
  Carrie McAiney (13) (14)
  Ruth Martin-Misener (11) (15)
  Faith Donald (11) (12)
  Abigail Wickson-Griffiths (11)
  Nancy Carter (11) (11)
  Esther Sangster-Gormley (13)
  Lori Schindel Martin (12)
  Kevin Brazil (14)
  Alan Taniguchi (15)
  
  11. Canadian Centre for Advanced Practice Nursing Research, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada
  12. Daphne Cockwell School of Nursing, Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada
  13. University of Victoria School of Nursing, 3800 Finnerty Road, PO Box 1700 STN CSC, Victoria, BC, V8W 2Y2, Canada
  14. School of Nursing and Midwifery, Queen鈥檚 University Belfast, 97 Lisburn Road, Belfast, BT9 7BL, Northern Ireland
  15. Department of Family Medicine, McMaster University, McMaster Innovation Park 175 Longwood Road South, Suite 201A, Hamilton, ON, L8P 0A1, Canada
  
• ISSN：1472-6955

文摘

Background Research evidence supports the positive impact on resident outcomes of nurse practitioners (NPs) working in long term care (LTC) homes. There are few studies that report the perceptions of residents and family members about the role of the NP in these settings. The purpose of this study was to explore the perceptions of residents and family members regarding the role of the NP in LTC homes. Methods The study applied a qualitative descriptive approach. In-depth individual and focus group interviews were conducted with 35 residents and family members from four LTC settings that employed a NP. Conventional content analysis was used to identify themes and sub-themes. Results Two major themes were identified: NPs were seen as providing resident and family-centred care and as providing enhanced quality of care. NPs established caring relationships with residents and families, providing both informational and emotional support, as well as facilitating their participation in decision making. Residents and families perceived the NP as improving availability and timeliness of care and helping to prevent unnecessary hospitalization. Conclusions The perceptions of residents and family members of the NP role in LTC are consistent with the concepts of person-centred and relationship-centred care. The relationships NPs develop with residents and families are a central means through which enhanced quality of care occurs. Given the limited use of NPs in LTC settings, there is an opportunity for health care policy and decision makers to address service inadequacies through strategic deployment of NPs in LTC settings. NPs can use their expert knowledge and skill to assist residents and families to make informed choices regarding their health care and maintain a positive care experience.