Nurse Practitioner Role Implementation in Ontario Public Health Units

被引:19
作者
de Guzman, Angela [1 ]
Ciliska, Donna [2 ]
DiCenso, Alba [2 ,3 ]
机构
[1] Toronto Publ Hlth, Healthy Families, Etobicoke Civ Ctr, Toronto, ON M9C 2Y2, Canada
[2] McMaster Univ, Sch Nursing, Hamilton, ON, Canada
[3] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada
来源
CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE | 2010年 / 101卷 / 04期
关键词
Nurse practitioners; public health; primary health care; role implementation; job satisfaction; CARE;
D O I
10.1007/BF03405292
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: To identify the barriers and facilitators associated with the implementation of the nurse practitioner (NP) role in Ontario's public health units (PHUs), the NPs' job satisfaction, and the relationship between NP job satisfaction and practice dimensions. Methods: This descriptive study involved a postal survey of all NPs (N=29) working in Ontario PHUs. Results: Twenty-eight (96.5%) NPs completed the survey. The facilitators to role implementation most often identified by the NPs were management support, the NPs' knowledge of the PHU programs, and access to PHU programs for their clients. The barriers most often cited were being the only NP working in the PHU, inadequate salary, and lack of coverage when the NP was away. When working with community physicians, the most common facilitators were the trust shown by physicians when making shared decisions and physician respect for the NP. The most common barriers were the unwillingness of specialist physicians to accept referrals from the NP and physicians' lack of understanding of the role. Overall, the NPs were satisfied with working in the PHU, satisfied with their collaborative relationship with physicians and minimally satisfied with their salaries. Conclusion: NPs have recently been introduced in PHUs in Ontario. A number of factors have facilitated role integration. At the same time, a number of barriers to their role implementation have been identified and if addressed, can contribute to the optimal utilization of this role in PHUs.
引用
收藏
页码:309 / 313
页数:5
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