2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Objectives
|
|
|
|
|
|
|
|
|
|
To gain a consensus view of potential roles for Nurse Practitioners
|
|
|
|
|
|
|
|
|
|
(NPs) in a rural Australian hospital and identify the barriers and
|
|
|
|
|
|
|
|
|
|
enablers in their development and implementation.
|
|
|
|
|
|
|
|
|
|
Design
|
|
|
|
|
|
|
|
|
|
A three round Delphi study.
|
|
|
|
|
|
|
|
|
|
Setting
|
|
|
|
|
|
|
|
|
|
A rural hospital.
|
|
|
|
|
|
|
|
|
|
Participants
|
|
|
|
|
|
|
|
|
|
Twenty eight nurses, five doctors, four consumers, two health service
|
|
|
|
|
|
|
|
|
|
managers, two allied health practitioners, one midwife, three community
|
|
|
|
|
|
|
|
|
|
workers, two administrators and three others with hospital affiliation.
|
|
|
|
|
|
|
|
|
|
Main Outcome Measures
|
|
|
|
|
|
|
|
|
|
Consensus at 75\% level of agreement or greater, identifying service
|
|
|
|
|
|
|
|
|
|
gaps which might benefit from NPs and the barriers and enablers
|
|
|
|
|
|
|
|
|
|
impacting on the success of developing and implementing the role.
|
|
|
|
|
|
|
|
|
|
Results
|
|
|
|
|
|
|
|
|
|
Introduce mental health, aged and critical care NPs initially. Barriers
|
|
|
|
|
|
|
|
|
|
and enablers identified as impacting on the development and
|
|
|
|
|
|
|
|
|
|
implementation of the role were:
|
|
|
|
|
|
|
|
|
|
Educational access for isolated rural nurses local cohort learning with
|
|
|
|
|
|
|
|
|
|
employment contracts encompassing fee assistance and designated study
|
|
|
|
|
|
|
|
|
|
time.
|
|
|
|
|
|
|
|
|
|
Acceptance from doctors - supported role provided the proposed service
|
|
|
|
|
|
|
|
|
|
is sustainable. Small teams of NPs would achieve this.
|
|
|
|
|
|
|
|
|
|
Inappropriate Recruitment - NP role matching service need, not
|
|
|
|
|
|
|
|
|
|
individual.
|
|
|
|
|
|
|
|
|
|
Policy and Funding Constraints - clients are best served by NPs working
|
|
|
|
|
|
|
|
|
|
across the care continuum. Co funding by acute and community providers
|
|
|
|
|
|
|
|
|
|
could overcome the current constraints of commonwealth/state payment.
|
|
|
|
|
|
|
|
|
|
Conclusion
|
|
|
|
|
|
|
|
|
|
In developing and implementing NP roles at a rural health service the
|
|
|
|
|
|
|
|
|
|
issues of access to tertiary education, creating a sustainable number of
|
|
|
|
|
|
|
|
|
|
NP positions and financial cooperation from community and acute
|
|
|
|
|
|
|
|
|
|
providers must be taken into account. Only then can nurses who wish to
|
|
|
|
|
|
|
|
|
|
take on this NP role in a rural health service have the possibility of
|
|
|
|
|
|
|
|
|
|
success.'
|
|
|
|
|
affiliation: 'Haines, HM (Corresponding Author), Univ Melbourne, Sch Rural Hlth, Rural
|
|
|
|
|
Hlth Acad Network, Wangaratta, Vic, Australia.
|
|
|
|
|
|
|
|
|
|
Haines, Helen M., Univ Melbourne, Sch Rural Hlth, Rural Hlth Acad Network, Wangaratta,
|
|
|
|
|
Vic, Australia.
|
|
|
|
|
|
|
|
|
|
Critchley, Jennifer, Univ Melbourne, Sch Rural Hlth, Shepparton, Vic, Australia.'
|
|
|
|
|
author: Haines, Helen M. and Critchley, Jennifer
|
|
|
|
|
author-email: 'hhaines@unimelb.edu.au
|
|
|
|
|
|
|
|
|
|
crj@unimelb.edu.au'
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Haines
|
|
|
|
|
given: Helen M.
|
|
|
|
|
- family: Critchley
|
|
|
|
|
given: Jennifer
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
eissn: 1447-4328
|
|
|
|
|
files: []
|
|
|
|
|
issn: 0813-0531
|
|
|
|
|
journal: AUSTRALIAN JOURNAL OF ADVANCED NURSING
|
|
|
|
|
keywords: rural; Nurse Practitioners; Delphi study
|
|
|
|
|
language: English
|
|
|
|
|
month: SEP-NOV
|
|
|
|
|
number: '1'
|
|
|
|
|
number-of-cited-references: '27'
|
|
|
|
|
orcid-numbers: Haines, Helen M/0000-0001-8655-4562
|
|
|
|
|
pages: 30-36
|
|
|
|
|
papis_id: 2fb1a4bd36f7eacc99a163af0ecea996
|
|
|
|
|
ref: Haines2009developingnurse
|
|
|
|
|
researcherid-numbers: Haines, Helen M/P-1598-2015
|
|
|
|
|
times-cited: '10'
|
|
|
|
|
title: Developing the Nurse Practitioner role in a rural Australian hospital - a Delphi
|
|
|
|
|
study of practice opportunities, barriers and enablers
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000270304400005
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '5'
|
|
|
|
|
volume: '27'
|
|
|
|
|
web-of-science-categories: Nursing
|
|
|
|
|
year: '2009'
|
