Factors influencing nurse practitioner panel size in team-based primary care: a qualitative case study.

Background: Lack of access to health care is a worldwide public health crisis. In primary care it has led to increases in the implementation of nurse practitioners and heightened interest in their patient panel capacity. The aim of this study was to examine factors influencing nurse practitioner patient panel size in team-based primary care in Ontario, Canada.

Practice Patterns of Nurse Practitioners in a Multi-Site Academic Healthcare Setting.

Objective: The objective of this paper is to describe the day-to-day activities, known as practice patterns, of nurse practitioners (NPs) across a four-site academic healthcare network in Ontario, which comprises acute, primary, rehabilitation and complex continuing care.

Background: Information regarding NP practice patterns is available from other jurisdictions and practice settings, but information specific to large, urban and multi-site organizations is available to a lesser extent. This information can inform and support leaders' decisions about NP roles and responsibilities.

Nurse Practitioner Activities in Ontario Family Health Teams: Comparing Three Different Data Sources.

Background: Despite the increase in nurse practitioners (NPs) working in primary healthcare, little standardized data are available to understand NP activities at the system level. The Nurse Practitioner Access Reporting system (NPAR), a pilot project underway at 40 family health teams in Ontario, involves NPs recording and submitting standardized codes. The codes are intended to reflect NPs' clinical activities, using an existing physician claim system.

Implementing primary healthcare nurse practitioners in long-term care teams: A qualitative descriptive study.

Aim: To identify the conditions needed to implement nurse practitioners (NP) in long-term care (LTC) in Québec, Canada.

Design: A qualitative descriptive study was undertaken.

Methods: Semi-structured interviews (N = 91) and socio-demographic questionnaires were completed with providers and managers from May 2016-March 2017.

Engaging street-involved youth using an evidence-based intervention: A preliminary report of findings.

Problem: Street-involved youth experience many barriers to accessing health and social services. There is a literature gap in the literature regarding evidence-based interventions to facilitate engagement with street-involved youth.

Methods: A qualitative descriptive study of preliminary findings from a large mixed-methods study was undertaken to assess the impact of a resilience-based motivational intervention.

Economic evaluation of nurse practitioner and clinical nurse specialist roles: A methodological review.

Background: Advanced practice nurses (e.g., nurse practitioners and clinical nurse specialists) have been introduced internationally to increase access to high quality care and to tackle increasing health care expenditures.

Advanced Practice Nursing: A Strategy for Achieving Universal Health Coverage and Universal Access to Health.

Objective:: to examine advanced practice nursing (APN) roles internationally to inform role development in Latin America and the Caribbean to support universal health coverage and universal access to health.

Method:: we examined literature related to APN roles, their global deployment, and APN effectiveness in relation to universal health coverage and access to health.

Results:: given evidence of their effectiveness in many countries, APN roles are ideally suited as part of a primary health care workforce strategy in Latin America to enhance universal health coverage and access to health.

Perspectives of Nurse Practitioner-Physician Collaboration among Nurse Practitioners in Canadian Long-Term Care Homes: A National Survey.

Nurse practitioners (NPs) can play an important role in providing primary care to residents in long-term care (LTC) homes. However, relatively little is known about the day-to-day collaboration between NPs and physicians (MDs) in LTC, or factors that may influence this collaboration. Survey data from NPs in Canadian LTC homes were used to explore these issues.

Partners in research: building academic-practice partnerships to educate and mentor advanced practice nurses.

Rationale: Clinical practice is the primary focus of advanced practice nursing (APN) roles. However, with unprecedented needs for health care reform and quality improvement (QI), health care administrators are seeking new ways to utilize all dimensions of APN expertise, especially related to research and evidence-based practice. International studies reveal research as the most underdeveloped and underutilized aspect of these roles.

An Assessment of How Nurse Practitioners Create Access to Primary Care in Canadian Residential Long-Term Care Settings.

The aim of this paper is to explore the role and activities of nurse practitioners (NPs) working in long-term care (LTC) to understand concepts of access to primary care for residents. Utilizing the "FIT" framework developed by Penchanksy and Thomas, we used a directed content analysis method to analyze data from a pan-Canadian study of NPs in LTC. Individual and focus group interviews were conducted at four sites in western, central and eastern regions of Canada with 143 participants, including NPs, RNs, regulated and unregulated nursing staff, allied health professionals, physicians, administrators and directors and residents and family members.

Nurse practitioner caseload in primary health care: Scoping review.

Objectives: To identify recommendations for determining patient panel/caseload size for nurse practitioners in community-based primary health care settings.

Design: Scoping review of the international published and grey literature.

Data Sources: The search included electronic databases, international professional and governmental websites, contact with experts, and hand searches of reference lists.

The effectiveness of a nurse practitioner-led pain management team in long-term care: A mixed methods study.

Background: Considering the high rates of pain as well as its under-management in long-term care (LTC) settings, research is needed to explore innovations in pain management that take into account limited resource realities. It has been suggested that nurse practitioners, working within an inter-professional model, could potentially address the under-management of pain in LTC.

Objectives: This study evaluated the effectiveness of implementing a nurse practitioner-led, inter-professional pain management team in LTC in improving (a) pain-related resident outcomes; (b) clinical practice behaviours (e.

Arts-Based Learning: A New Approach to Nursing Education Using Andragogy.

Background: Learner-oriented strategies focusing on learning processes are needed to prepare nursing students for complex practice situations. An arts-based learning approach uses art to nurture cognitive and emotional learning. Knowles' theory of andragogy aims to develop the skill of learning and can inform the process of implementing arts-based learning.

Cost-effectiveness of a nurse practitioner-family physician model of care in a nursing home: controlled before and after study.

Aims: To examine the cost-effectiveness of a nurse practitioner-family physician model of care compared with family physician-only care in a Canadian nursing home.

Background: As demand for long-term care increases, alternative care models including nurse practitioners are being explored.

Design: Cost-effectiveness analysis using a controlled before-after design.

A Systematic Review of the Cost-Effectiveness of Clinical Nurse Specialists and Nurse Practitioners in Inpatient Roles.

The objective of this systematic review was to synthesize the evidence of the effectiveness and cost-effectiveness of clinical nurse specialists (CNSs) and nurse practitioners (NPs) working in alternative or complementary roles in inpatient settings. Those in alternative roles substitute for another provider and deliver similar services. Those in complementary roles deliver additional services to meet patient health needs.

Nurse practitioner interactions in acute and long-term care: an exploration of the role of knotworking in supporting interprofessional collaboration.

Background: Interprofessional care ensures high quality healthcare. Effective interprofessional collaboration is required to enable interprofessional care, although within the acute care  hospital setting interprofessional collaboration is considered suboptimal. The integration of nurse practitioner roles into the acute and long-term care settings is influencing enhanced care.

Engaging Street-Involved Youth in Dialectical Behaviour Therapy: A Secondary Analysis.

Objective: The objective of this secondary analysis was to identify factors associated with engagement of street-involved youth in a Dialectical Behavioural Therapy (DBT) intervention.

Methods: This was a cross-sectional correlational study. Youth were recruited from two agencies providing services to street-involved youth in Canada.

The clinical effectiveness and cost-effectiveness of clinical nurse specialist-led hospital to home transitional care: a systematic review.

Rationale, Aims And Objectives: Clinical nurse specialists (CNSs) are major providers of transitional care. This paper describes a systematic review of randomized controlled trials (RCTs) evaluating the clinical effectiveness and cost-effectiveness of CNS transitional care.

Methods: We searched 10 electronic databases, 1980 to July 2013, and hand-searched reference lists and key journals for RCTs that evaluated health system outcomes of CNS transitional care.

Cost-effectiveness of nurse practitioners in primary and specialised ambulatory care: systematic review.

Objective: To determine the cost-effectiveness of nurse practitioners delivering primary and specialised ambulatory care.

Design: A systematic review of randomised controlled trials reported since 1980.

Data Sources: 10 electronic bibliographic databases, handsearches, contact with authors, bibliographies and websites.

A survey of interprofessional activity of acute and long-term care employed nurse practitioners.

Purpose: To describe activities of interprofessional (IP) care, a key aspect of high-quality care, performed by nurse practitioners (NPs) employed in acute and long-term care institutions.

Data Sources: We developed and tested a new theory-driven process tool to quantify NP everyday activities of IP care. We then invited NPs in acute and long-term care to complete the IP self-assessment tool (IPSAT).

A mixed methods study of the work patterns of full-time nurse practitioners in nursing homes.

Aims And Objectives: The aim of this study was to explore the integration of the nurse practitioner role in Canadian nursing homes to enable its full potential to be realised for resident and family care. The objective was to determine nurse practitioners' patterns of work activities.

Background: Nurse practitioners were introduced in Canadian nursing homes a decade ago on a pilot basis.

Hospital to community transitional care by nurse practitioners: a systematic review of cost-effectiveness.

Objectives: To determine the cost-effectiveness of nurse practitioners delivering transitional care.

Design: Systematic review of randomised controlled trials.

Data Sources: Ten electronic databases, bibliographies, hand-searches, study authors, and websites.

Positioning clinical nurse specialists and nurse practitioners as change champions to implement a pain protocol in long-term care.

Pain management for older adults in long-term care (LTC) has been recognized as a problem internationally. The purpose of this study was to explore the role of a clinical nurse specialist (CNS) and nurse practitioner (NP) as change champions during the implementation of an evidence-based pain protocol in LTC. In this exploratory, multiple-case design study, we collected data from two LTC homes in Ontario, Canada.

A systematic review of the cost-effectiveness of nurse practitioners and clinical nurse specialists: what is the quality of the evidence?

Background. Improved quality of care and control of healthcare costs are important factors influencing decisions to implement nurse practitioner (NP) and clinical nurse specialist (CNS) roles. Objective.