TY  - BOOK
AU  - Rioux-Dubois,Annie
AU  -  Perron,Amélie
TI  - The integration of nurse practitioners into primary health care: Rethinking the negotiation of complex dynamics
PY  - 2021///.
							
N1  - 10
N2  - 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
UR  - https://shs.cairn.info/journal-recherche-en-soins-infirmiers-2021-2-page-38?lang=en&redirect-ssocas=7080
ER  -