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Open Access A Framework to Assess Nurse Practitioner Role Integration in Primary Health Care Cadre de travail pour évaluer l'intégration du rôle de l'infirmière praticienne dans les soins de santé primaires

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Abstract:

In the Canadian province of British Columbia, the nurse practitioner (NP) role was formally introduced in 2005. A participatory action research study was undertaken with NPs to examine how collaboration advances NP role integration in primary health care (PHC). The authors report on the study, in which the meaning of NP role integration was explored. The study uncovered 5 dimensions of NP role integration: autonomy, recognition, inclusion, contribution, and alliance. These dimensions, along with sample indicators, informed development of the NP Role Integration in PHC Framework. The significance of collaboration for advancing NP role integration is discussed; NP role integration is linked to the politics of PHC reform and the promise of holistic health promoting care for clients and communities. The framework has utility for policy leaders, decision-makers, and researchers in addressing barriers to role integration, supporting role evaluation, and securing and safeguarding the NP role.

French
Dans la province canadienne de la Colombie-Britannique, le rôle d'infirmière praticienne (IP) est officiellement entré en vigueur en 2005. Une recherche-action participative (RAP) a été menée auprès d'IP pour déterminer comment la collaboration fait progresser l'intégration du rôle des IP dans les soins de santé primaires. Les auteurs présentent les résultats de cette recherche, qui explore la signification de l'intégration du rôle des IP. L'étude a porté sur cinq aspects de cette intégration : l'autonomie, la reconnaissance, l'inclusion, la contribution et l'alliance. Ces aspects, jumelés à d'autres indicateurs, ont informé une démarche soutenant l'intégration du rôle des IP dans le cadre des soins de santé primaires. L'importance de la collaboration pour faciliter la progression de l'intégration du rôle des IP a fait l'objet d'une discussion. L'intégration du rôle des IP est liée aux politiques de la réforme des soins de santé primaires et à la promesse d'une approche holistique de la santé promouvant des soins pour la clientèle et la collectivité. Le cadre de travail peut aider les concepteurs de politiques, les décideurs et les chercheurs à cerner les obstacles freinant l'intégration du rôle des IP, à soutenir un processus de mise en place et d'évaluation d'un tel rôle, et d'en assurer la continuité.

Keywords: COLLABORATION; NURSE PRACTITIONER; PARTICIPATORY ACTION RESEARCH; ROLE INTEGRATION

Document Type: Research Article

Publication date: March 1, 2011

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