The integration of nurse practitioners into primary health care: Rethinking the negotiation of complex dynamics (notice n° 578692)

détails MARC
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control field 20250121135537.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
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Personal name Rioux-Dubois, Annie
Relator term author
245 00 - TITLE STATEMENT
Title The integration of nurse practitioners into primary health care: Rethinking the negotiation of complex dynamics
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2021.<br/>
500 ## - GENERAL NOTE
General note 10
520 ## - SUMMARY, ETC.
Summary, etc. Background: The integration of nurse practitioners into primary healthcare settings is highly complex, yet it has not been extensively studied with regard to broader socioprofessional changes occurring in health care.Objective: This study sought to examine the integration and negotiation of the role of nurse practitioners in interprofessional primary healthcare settings.Method: A critical ethnography framed by actor-network theory and Foucault’s concepts of discourse and power was conducted in three different primary healthcare models in which semi-structured interviews (n=23 nurse practitioners), direct observation, and document analysis were performed.Results: Organizational aims, practice standards, nurse practitioners’ right to self-determination, collaborative dynamics with physicians, and patient management were identified as integration factors that produced greater instability, needs for negotiation, and professional, identity, and moral difficulties for nurse practitioners.Discussion: The findings from this study challenge the widespread perception that the role of nurse practitioners lacks clarity and enable a renewed understanding of their integration process in primary healthcare settings.
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Topical term or geographic name as entry element qualitative research
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Personal name Perron, Amélie
Relator term author
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Note Recherche en soins infirmiers | o 145 | 2 | 2021-07-01 | p. 38-52 | 0297-2964
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-recherche-en-soins-infirmiers-2021-2-page-38?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-recherche-en-soins-infirmiers-2021-2-page-38?lang=en&redirect-ssocas=7080</a>

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