Integrating nurse practitioners into Canadian emergency departments: A qualitative study of barriers and recommendations

Canadian Journal of Emergency Medicine

Volumn 9, Issue 4, 2007, Pages 275-281

  Thrasher, Christine ^a   Purc Stephenson, Rebecca J ^a  

^a UNIVERSITY OF WINDSOR   (Canada)

Author keywords

Barriers; Emergency medicine; Facilitators; Implementation; Nurse practitioner

Indexed keywords

CANADA; EMERGENCY CARE; EMERGENCY WARD; GROUNDED THEORY; HUMAN; INTERVIEW; JOB CHARACTERISTICS; JOB PERFORMANCE; NURSE PRACTITIONER; NURSING PRACTICE; NURSING STAFF; PERSONNEL MANAGEMENT; PRACTICE GUIDELINE; PROGRAM DEVELOPMENT; QUALITATIVE RESEARCH; REIMBURSEMENT; REVIEW; WORK ENVIRONMENT;

EID: 34547742052     PISSN: 14818035     EISSN: 14818035     Source Type: Journal    
DOI: 10.1017/S1481803500015165     Document Type: Review

References (23)

1. Canadian Association of Emergency Physicians. Canadian Association of Emergency Physicians position statement on emergency department overcrowding. The Association. Available: www.caep.ca.
2. Ministry of Health and Long-Term Care. Hospital report 2005: emergency department care. Joint Initiative of the Ontario Hospital Association and the Government of Ontario. Toronto (ON): University of Toronto; 2005.
3. Trzeciak S, Rivers EP. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J 2003;20:402-5.
4. Vertesi, Les. Does the Canadian Emergency Department Triage and Acuity Scale identify non-urgent patients who can be triaged away from the emergency department? Can J Emerge Med 2004;6:337-42.
5. Brownell MD, Roos NP, Roos LL. Monitoring healthcare reform: a report care approach. Soc Sci Med 2001;52:657-70.
6. Suschnigg C. Reforming Ontario's primary healthcare system one step forward, two steps bad? Int J Health Serv 2001;31:91-103.
7. Pryor C. Balanced budget act enhances value of physician assistants, nurse practitioners. Health Care Strateg Manage 1999;17: 12-3.
8. Neades BL. Expanding the role of the nurse in the accident and emergency department. Postgrad Med J 1997;73:17-22.
9. Reay T, Golden-Biddle K, Germann, K. Challenges and leadership strategies for managers of nurse practitioners. Journal of Nursing Management 2003;11:396-403.
10. Van Soeren MH, Micevski V. Success indicators and barriers to acute nurse practitioner role implementation in four Ontario hospitals. AACN Clin Issues 2001;12:424-37.
11. Wilson-Barnett J. Advanced nursing practice: the impact for managers. J Nurs Manag 1998;6:127-8.
12. Tye CC, Ross F. Blurring boundaries: professional perspectives of the emergency nurse practitioner role in a major accident and emergency department. J Adv Nurs 2000;31:1089-96.
13. Ministry of Health and Long-Term Care. Report on the integration of primary healthcare nurse practitioners into the province of Ontario. Toronto (ON): The Ministry; 2003.
14. Wolf LD, Potter P, Sledge J, et al. Describing nurses' work: combining quantitative and qualitative analysis. Hum Factors 2006;48:5-14.
15. Neutens JJ, Rubinson L. Research techniques for the health sciences. 3rd ed. San Francisco (CA): Benjamin Cummings; 2002.
16. Glaser B. Basics of grounded theory analysis. Mill Valley (CA): Sociology Press; 1992.
17. Strauss AL. Qualitative analysis for social sciences. Cambridge (MA): Cambridge University Press; 1987.
18. Ministry of Health and Long Term Care. Expanded Services for Patients Act. Toronto (ON): The Ministry; 1998.
19. Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ 2002;324:819-23.
20. Hayden ML, Davies LR, Clore ER. Facilitators and inhibitors of the emergency nurse practitioner role. Nurs Res 1982;31:294-9.
21. Genet CA, Brennan P, Ibbotson-Wolff S, et al. Nurse practitioner in a teaching hospital. Nurse Pract 1995;20:47-52, 54.
22. Sakr M, Kendall R, Angus J, et al. Emergency nurse practitioners: a three-part study in clinical and cost effectiveness. Emerg Med J 2003;20:158-63.
23. Sakr M, Angus J, Perrin J, et al. Care of minor injuries by emergency nurse practitioners or junior doctors: a randomized, controlled trial. Lancet 1999;354:1321-6.