115 lines
3.1 KiB
YAML
115 lines
3.1 KiB
YAML
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abstract: 'Objectives
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To gain a consensus view of potential roles for Nurse Practitioners
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(NPs) in a rural Australian hospital and identify the barriers and
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enablers in their development and implementation.
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Design
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A three round Delphi study.
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Setting
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A rural hospital.
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Participants
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Twenty eight nurses, five doctors, four consumers, two health service
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managers, two allied health practitioners, one midwife, three community
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workers, two administrators and three others with hospital affiliation.
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Main Outcome Measures
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Consensus at 75\% level of agreement or greater, identifying service
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gaps which might benefit from NPs and the barriers and enablers
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impacting on the success of developing and implementing the role.
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Results
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Introduce mental health, aged and critical care NPs initially. Barriers
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and enablers identified as impacting on the development and
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implementation of the role were:
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Educational access for isolated rural nurses local cohort learning with
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employment contracts encompassing fee assistance and designated study
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time.
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Acceptance from doctors - supported role provided the proposed service
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is sustainable. Small teams of NPs would achieve this.
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Inappropriate Recruitment - NP role matching service need, not
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individual.
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Policy and Funding Constraints - clients are best served by NPs working
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across the care continuum. Co funding by acute and community providers
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could overcome the current constraints of commonwealth/state payment.
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Conclusion
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In developing and implementing NP roles at a rural health service the
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issues of access to tertiary education, creating a sustainable number of
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NP positions and financial cooperation from community and acute
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providers must be taken into account. Only then can nurses who wish to
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take on this NP role in a rural health service have the possibility of
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success.'
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affiliation: 'Haines, HM (Corresponding Author), Univ Melbourne, Sch Rural Hlth, Rural
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Hlth Acad Network, Wangaratta, Vic, Australia.
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Haines, Helen M., Univ Melbourne, Sch Rural Hlth, Rural Hlth Acad Network, Wangaratta,
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Vic, Australia.
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Critchley, Jennifer, Univ Melbourne, Sch Rural Hlth, Shepparton, Vic, Australia.'
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author: Haines, Helen M. and Critchley, Jennifer
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author-email: 'hhaines@unimelb.edu.au
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crj@unimelb.edu.au'
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author_list:
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- family: Haines
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given: Helen M.
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- family: Critchley
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given: Jennifer
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da: '2023-09-28'
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eissn: 1447-4328
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files: []
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issn: 0813-0531
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journal: AUSTRALIAN JOURNAL OF ADVANCED NURSING
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keywords: rural; Nurse Practitioners; Delphi study
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language: English
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month: SEP-NOV
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number: '1'
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number-of-cited-references: '27'
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orcid-numbers: Haines, Helen M/0000-0001-8655-4562
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pages: 30-36
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papis_id: 2fb1a4bd36f7eacc99a163af0ecea996
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ref: Haines2009developingnurse
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researcherid-numbers: Haines, Helen M/P-1598-2015
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times-cited: '10'
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title: Developing the Nurse Practitioner role in a rural Australian hospital - a Delphi
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study of practice opportunities, barriers and enablers
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type: Article
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unique-id: WOS:000270304400005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '5'
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volume: '27'
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web-of-science-categories: Nursing
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year: '2009'
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