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Integration of nurse practitioners i...

Thrasher, Christine.

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Integration of nurse practitioners into emergency departments: A mixed methods approach.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Integration of nurse practitioners into emergency departments: A mixed methods approach./
Author:	Thrasher, Christine.
Description:	231 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-10, Section: B, page: 5326.
Contained By:	Dissertation Abstracts International66-10B.
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR07941
ISBN:	9780494079416

Integration of nurse practitioners into emergency departments: A mixed methods approach.
Thrasher, Christine.

Integration of nurse practitioners into emergency departments: A mixed methods approach. - 231 p.

Source: Dissertation Abstracts International, Volume: 66-10, Section: B, page: 5326.

Thesis (Ph.D.)--McMaster University (Canada), 2005.

The objectives of this research were to identify the facilitators and barriers to the integration of nurse practitioners (NPs) into Emergency Departments (EDs) and to measure patient satisfaction with NP care in the ED.

ISBN: 9780494079416Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Integration of nurse practitioners into emergency departments: A mixed methods approach.
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245 1 0 $a Integration of nurse practitioners into emergency departments: A mixed methods approach.
300 $a 231 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-10, Section: B, page: 5326.
502 $a Thesis (Ph.D.)--McMaster University (Canada), 2005.
520 $a The objectives of this research were to identify the facilitators and barriers to the integration of nurse practitioners (NPs) into Emergency Departments (EDs) and to measure patient satisfaction with NP care in the ED.
520 $a The first of the two studies used a sequential mixed methods approach. In Phase I, we conducted 24 semi-structured interviews of ED administrators, NPs, physicians (MDs), and staff nurses (RNs) in 6 EDs in Ontario. Content analysis revealed six key facilitators for NP integration: ED demands, support for NP role, ED culture, NP skills, awareness and communication, and regulatory and funding issues. Barriers to NP integration in the ED included: failure to undertake a needs assessment to inform the NP role delineation, recruitment issues, lack of role clarity, and reimbursement and regulatory issues. In Phase II, these facilitators and barriers were incorporated into a self-administered 79-item questionnaire. ED staff including ED administrators, NPs, MDs, and RNs from 18 hospitals across Ontario completed the questionnaire. Principal components analysis revealed five major factors related to the integration of the NP role into EDs: role clarity, perceived ED needs, support for the NP role, recruitment and retention, and openness to the NP role.
520 $a In the second study, a 13-item patient satisfaction instrument was developed. Factor analysis identified 3 factors: attentiveness, comprehensiveness, and role clarity. Scores on the 3 factors indicated a high level of patient satisfaction with NP care. Patients with higher incomes and those who had been examined by the NP were more satisfied with the attentiveness of the NP.
520 $a The findings of this research inform the facilitators and barriers to the integration of the NP role into EDs, demonstrate that patients are satisfied with NP care in the ED, and identify the factors that influence this patient satisfaction. The results can be used to guide policy makers and health care professionals in the integration of NPs in EDs.
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