Provision of Resident-Centered Care by Nurse Practitioners in Saskatchewan Long-Term Care Facilities: Qualitative Findings From a Mixed Methods Study.

Campbell, Theresa Diane; Bayly, Melanie; Peacock, Shelley

With their education and skill set, nurse practitioners (NPs) are ideally situated to provide primary care to long-term care (LTC) residents, and this is a timely development as physician presence in LTC has been decreasing. A sequential follow-up explanatory mixed methods design was used for the current study, which focused on the interviews that followed the initial survey. The sample included seven NPs who work with LTC residents in urban and rural settings in a western Canadian province. The interviews provided an opportunity for in-depth discussion regarding survey results. Interpretive description guided the data analysis. NPs provide timely access to primary care, address medication reconciliation, decrease transfers to hospitals, and take part in collaborative practice. NPs promote the health care goals of LTC residents. Departments of health would benefit from the inclusion of a wider range of health providers, including NPs, to provide timely access to quality care in LTC facilities. [With their education and skill set, nurse practitioners (NPs) are ideally situated to provide primary care to long-term care (LTC) residents, and this is a timely development as physician presence in LTC has been decreasing. A sequential follow-up explanatory mixed methods design was used for the current study, which focused on the interviews that followed the initial survey. The sample included seven NPs who work with LTC residents in urban and rural settings in a western Canadian province. The interviews provided an opportunity for in-depth discussion regarding survey results. Interpretive description guided the data analysis. NPs provide timely access to primary care, address medication reconciliation, decrease transfers to hospitals, and take part in collaborative practice. NPs promote the health care goals of LTC residents. Departments of health would benefit from the inclusion of a wider range of health providers, including NPs, to provide timely access to quality care in LTC facilities. [Research in Gerontological Nursing, 13(2), 73–81.]

CANADA; HEALTH services accessibility; LONG-term health care; RESEARCH methodology; MEDICAL quality control; METROPOLITAN areas; NURSE practitioners; NURSES; NURSES' attitudes; NURSING; NURSING care facilities; QUESTIONNAIRES; RURAL conditions; QUALITATIVE research; JUDGMENT sampling; OCCUPATIONAL roles; THEMATIC analysis; PATIENT-centered care; DESCRIPTIVE statistics; INDEPENDENT variables

Research in Gerontological Nursing, 2020, Vol 13, Issue 2, p73

1940-4921

Academic Journal

10.3928/19404921-20191022-02