Objective: Over the past decade, the role of nurse practitioners (NPs) in long-term care home (LTCH) settings has significantly expanded. Despite this trend, gaps have been identified in the description of collaborative practices between NPs and physicians in the LTCH sector. This study aimed to characterize the elements of collaboration between NPs and physicians in LTCH settings by applying the "Structured Collaborative Practice Core Model."

Design: A secondary analysis of a scoping review that focuses on literature where NPs and physicians collaboratively provided care in LTCH settings.

Methods: The initial scoping review followed the Joanna Briggs Institute methodology and PRISMA-ScR guidelines and included 60 peer-reviewed articles. Data relevant to the 7 core elements of the Structured Collaborative Practice Core Model-responsibility and accountability, coordination, communication, cooperation, assertiveness, autonomy, and mutual trust and respect-were extracted and analyzed. We included articles that described at least 1 element in the analysis.

Results: Twenty-nine articles were included in the secondary analysis. The analysis revealed that coordination (n = 25) and communication (n = 23) were the most frequently reported elements. Coordination was often highlighted through descriptions of care delivery organization and decision-making processes, where NPs provided continuous oversight and referred complex cases to physicians. Effective communication pathways, such as joint rounding and face-to-face meetings, were essential for successful collaboration. In contrast, assertiveness (n = 3) was the least frequently discussed element.

Conclusion And Implications: Applying the Structured Collaborative Practice Core Model to the existing literature on NP and physician collaboration in LTCH settings underscores the importance of effective coordination and communication. Future work needs to investigate the historical and hierarchical dynamics influencing the relationship. Understanding these elements will inform strategies to optimize collaborative efforts, ultimately improving patient care outcomes in LTCH settings. The unique dynamics of NP and physician care models need to be considered.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jamda.2024.105418DOI Listing

Publication Analysis

Top Keywords

ltch settings
16
secondary analysis
12
scoping review
12
nps physicians
12
collaborative practice
12
practice core
12
physician collaboration
8
long-term care
8
analysis scoping
8
care ltch
8

Similar Publications

Objective: Over the past decade, the role of nurse practitioners (NPs) in long-term care home (LTCH) settings has significantly expanded. Despite this trend, gaps have been identified in the description of collaborative practices between NPs and physicians in the LTCH sector. This study aimed to characterize the elements of collaboration between NPs and physicians in LTCH settings by applying the "Structured Collaborative Practice Core Model.

View Article and Find Full Text PDF

Background: Geriatric rehabilitation is a multidisciplinary intervention that promotes functional recovery in older adults. Our objective was to assess the efficacy of geriatric rehabilitation in inpatient and geriatric day hospital settings.

Methods: We searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, PsycINFO, PEDro and AgeLine from inception to September 30, 2022 for randomized controlled trials (RCTs) including older adults (age ≥ 65 years) undergoing geriatric rehabilitation (inpatient or day hospital) with a usual care comparator group.

View Article and Find Full Text PDF

General Purpose: To provide information on the association between risk factors and the development of new or worsened stage 2 to 4 pressure injuries (PIs) in patients in long-term care hospitals (LTCHs), inpatient rehabilitation facilities (IRFs), and skilled nursing facilities (SNFs).

Target Audience: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.

Learning Objectives/outcomes: After participating in this educational activity, the participant will:1.

View Article and Find Full Text PDF

Importance: More than 70 000 Medicare beneficiaries receive care in long-term acute care hospitals (LTCHs) annually for prolonged acute illness. However, little is known about long-term functional and cognitive outcomes of middle-aged and older adults after hospitalization in an LTCH.

Objective: To describe survival, functional, and cognitive status after LTCH hospitalization and to identify factors associated with an adverse outcome.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!