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Open Access Critical Analysis of the Evolution of a Canadian Nurse Practitioner Role Analyse critique de l'évolution du rôle de l'infirmière praticienne au Canada

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The purpose of this paper is to critically analyze the evolution of a nurse practitioner (NP) role in Canada using the province of Ontario as an example. Two theoretical models are used to highlight the historical development of this role and provide direction for further NP role development. The evolution of the NP role encompasses 2 critical phases: initiation and discontinuation (early 1970s to mid-1980s) and establishment and impasse (early 1990s to the present). Current barriers to the full integration of NPs within primary health care include the lack of a workable and stable funding plan for NPs, restrictions on scope of practice, work-related tensions between physicians and NPs, and lack of public and professional awareness of the role. Nurses can address these barriers through advocacy, lobbying, and public education.

Cet article propose une analyse critique de l'évolution du rôle de l'infirmière praticienne (IP) au Canada, en prenant pour exemple la province de l'Ontario. Il repose sur deux modèles théoriques choisis dans le but de mettre en évidence son développement historique et de dégager des pistes pour l'avenir. L'évolution du rôle d'IP comporte deux stades essentiels : le lancement et l'interruption (du début des années 1970 au milieu des années 1980); l'établissement et l'impasse (début des années 1990 à aujourd'hui). Parmi les obstacles actuels à la pleine intégration des IP en soins primaires, on souligne l'absence de plan de financement réaliste et stable, les contraintes limitant l'étendue de la sphère d'exercice, les tensions professionnelles entre médecins et IP et la piètre connaissance qu'ont le public et les professionnels du rôle en question. Pour surmonter ces obstacles, les infirmières praticiennes devront plaider leur cause, exercer des pressions et sensibiliser la population.

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Document Type: Research Article

Publication date: 2005-12-01

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