Defining the role of primary health care nurse practitioners in rural Nova Scotia

Canadian Journal of Nursing Research

Volumn 42, Issue 2, 2010, Pages 30-47

  Martin Misener, Ruth ^a   Reilly, Sandra M ^b   Vollman, Ardene Robinson ^b  

^a DALHOUSIE UNIVERSITY   (Canada)

^b UNIVERSITY OF CALGARY   (Canada)

Author keywords

Nurse practitioners; Primary health care; Professional role; Rural health services

Indexed keywords

ADVANCED PRACTICE NURSING; ARTICLE; BOARD OF TRUSTEES; CANADA; CHI SQUARE DISTRIBUTION; FEMALE; HEALTH PERSONNEL ATTITUDE; HEALTH SERVICE; HUMAN; MALE; MASS COMMUNICATION; MODEL; NURSE ATTITUDE; NURSE PRACTITIONER; NURSING EVALUATION RESEARCH; NURSING METHODOLOGY RESEARCH; ORGANIZATION AND MANAGEMENT; PRIMARY HEALTH CARE; PROFESSIONAL PRACTICE; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; QUESTIONNAIRE; RURAL HEALTH CARE;

ADVANCED PRACTICE NURSING; ATTITUDE OF HEALTH PERSONNEL; CHI-SQUARE DISTRIBUTION; DIFFUSION OF INNOVATION; FEMALE; GOVERNING BOARD; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; MALE; MODELS, NURSING; NOVA SCOTIA; NURSE PRACTITIONERS; NURSE'S ROLE; NURSING EVALUATION RESEARCH; NURSING METHODOLOGY RESEARCH; PRIMARY HEALTH CARE; PROFESSIONAL AUTONOMY; QUALITATIVE RESEARCH; QUESTIONNAIRES; RURAL HEALTH SERVICES;

EID: 77953858395     PISSN: 08445621     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (47)

1. Advisory Committee on Health Human Resources & Centre for Nursing Studies in collaboration with the Institute for the Advancement of Public Policy. (2001). Final report. The nature of the extended/expanded nursing role in Canada. Retrieved January 12, 2009, from http://www.cns.nf.ca/research/ finalreport.htm.
2. Bryant-Lukosius, D., & DiCenso, A. (2004). A framework for the introduction and evaluation of advanced practice nursing roles. Journal of Advanced Nursing, 48(5), 530-540. (Pubitemid 39540313)
3. Canadian Institute for Health Information. (2003). Health care in Canada 2003. Ottawa: Author.
4. Canadian Institute for Health Information. (2004). Health indicators 2004. Ottawa: Author. Retrieved December 21, 2005, from http://secure.cihi.ca/ cihiweb/dispPage.jsp?cw-page=AR-152-E&cw-topic=152.
5. Canadian Institute for Health Information. (2005). Geographic distribution of physicians in Canada: Beyond how many and where. Ottawa: Author. Retrieved February 28, 2010, from http://secure.cihi.ca/cihiweb/products/ Geographic-Distribution-of-Physicians-FINAL-e.pdf.
6. Canadian Nurse Practitioner Initiative. 2006. Nurse practitioners: The time is now. A solution to improving access and reducing wait times in Canada. Ottawa: Canadian Nurse Practitioner Initiative, Canadian Nurses Association. Retrieved August 12, 2009, from http://206.191.29.104/documents/pdf/Nurse- Practitioners-The-Time-is-Now-e.pdf.
7. College of Registered Nurses of Nova Scotia. (2004). Guidelines for the development and approval of collaborative practice agreements: Primary health care nurse practitioner. Halifax: Author. Retrieved November 4, 2005, from www.crnns.ca/default.asp?id=190&sfield=Content.Id&mn=414.70.81. 412&search=1484.
8. College of Registered Nurses of Nova Scotia. (2009). Guidelines for collaborative practice teams and employers of nurse practitioners. Halifax: Author. Retrieved May 6, 2009, from http://www.crnns.ca/documents/ GuidelinesforCollaborative PracticeTeams-%20RevAug-18-09.pdf.
9. Cresswell, J. W., Fetters, M. D., & Ivankova, N. V. (2004). Designing a mixed methods study in primary care. Annals of Family Medicine, 2(1), 7-12.
10. DesMeules, M., Pong, R., Lagacé, C., Heng, D., Manuel, D., Pitblado, R., et al. (2006). How healthy are rural Canadians? An assessment of their health status and health determinants. Ottawa: Canadian Institute for Health Information. Retrieved February 28, 2010, from http://secure.cihi.ca/ cihiweb/products/rural-canadians-2006-report-e.pdf.
11. DiCenso, A., Paech, G., & IBM Corporation. (2003). Report on the integration of primary health care nurse practitioners into the province of Ontario. Toronto: Ministry of Health and Long-Term Care. Retrieved January 12, 2009, from http://www.health.gov.on.ca/englih/public/pub/ministry-reports/ nurseprac03/nurseprac03-mn.html.
12. du Plessis, V., Beshiri, R., Bollman, R. D., & Clemenson, H. (2002). Definitions of rural. Catalogue #21-601-MIE. Ottawa: Statistics Canada. Retrieved December 31, 2005, from http://www.statcan.ca:8096/bsolc/english/ bsolc?catno=21-601-M2002061.
13. Edwards, P., Roberts, I., Clarke, M., DiGuiseppi, C., Pratap, S., Wentz, R., et al. (2002). Increasing response rates to postal questionnaires: Systematic review. British Medical Journal, 324(7347), 1183-1185.
14. Erzberger, C., & Kelle, U. (2003). Making inferences in mixed methods: The rules of integration. In A. Tashakkori & C. Teddlie (Eds.), Handbook of mixed methods in social and behavioral research (pp. 457-448). Thousand Oaks, CA: Sage.
15. Goss Gilroy Management Consultants Inc. (2001). Report on the evaluation of implementation of the role of nurse practitioner-primary health care in Newfoundland and Labrador. St. John's: Author.
16. Graham, L., Sketris, I., Burge, F., & Edwards, L. (2006). Ideas at work. The effect of a primary care intervention on management of patients with diabetes and hypertension: A pre-post intervention chart audit. Healthcare Quarterly, 9(2), 62-71.
17. Haines, J. (1993). The nurse practitioner: A discussion paper. Ottawa: Canadian Nurses Association.
18. Hayward, K., & Colman, R. (2003). The tides of change: Addressing inequity and chronic disease in Atlantic Canada. Halifax: Population and Public Health Branch, Health Canada. Retrieved September 19, 2005, from http://www.phac-aspc.gc.ca/canada/regions/adantic/Publications/Tides-of-change/ tides-change-2003-e.pdf.
19. Health Canada. (1992). Health issues in rural Canada. Ottawa: Author. Retrieved February 28, 2010, from http://dsp-psd.pwgsc.gc.ca/Collection-R/Lo PBdP/BP/bp325-e.htm.
20. Health Force Ontario. (2007). Health human resources toolkit. Toronto: Author.
21. Health Services Restructuring Commission. (1999). Primary health care strategy: Advice and recommendations to the Honourable Elizabeth Witmer, Minister of Health. Retrieved February 23, 2009, from http://www.health.gov.on. ca/hsrc/phase2/rr-phc-final.doc.
22. Hidiroglou, M. A., Drew, J. D., & Gray, G. B. (1993). A framework for measuring and reducing nonresponse in surveys. Survey Methodology, 19(1), 81-92.
23. Holcomb, L. O. (2000). A Delphi survey to identify activities of nurse practitioners in primary care. Clinical Excellence for Nurse Practitioners: International Journal o/NPACE, 4(3), 163-172.
24. Hutchison, B. (2008). A long time coming: Primary healthcare renewal in Canada. Healthcare Papers, 8(2), 10-24.
25. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
26. MacDonald, J., & Katz, A. (2002). Physicians' perceptions of nurse practitioners. Canadian Nurse, 98(7), 28-31.
27. Martin, C., & Hogg, W. (2004). How family physicians are funded in Canada. Medical Journal of Australia, 181, 111-112.
28. McMillan, S. C., Heusinkveld, K. B., & Spray, J. (1995). Advanced practice in oncology nursing: A role delineation study. Oncology Nursing Forum, 22(1), 41-50.
29. Meagher-Stewart, D., & Aston, M. (2004). Fostering citizen participation and collaborative practice: Tapping the wisdom and voices of public health nurses in Nova Scotia. Halifax: Dalhousie University School of Nursing.
30. Mitchell, A., Patterson, C., Pinelli, J., & Baumann, A. (1995, June). Assessment of the need for nurse practitioners in Ontario. Working paper series 95-7. Hamilton: Quality of Nursing Worklife Research Unit, McMaster University/University of Toronto.
31. Nova Scotia Department of Finance. (2003). 2001 census of Canada Nova Scotia perspective: Education and earnings. Halifax: Author. Retrieved December 21, 2005, from http://www.gov.ns.ca/finance/publish/CENSUS/Release7.pdf.
32. Nova Scotia Department of Health. (1996). Report of the Nurse Clinician Working Group. Halifax: Author.
33. Nova Scotia Department of Health. (2004). Strengthening primary care in Nova Scotia: Summary of the evaluation results. Halifax: Author.
34. Ott, R. L. (1993). An introduction to statistical methods and data analysis (4th ed.). Belmont, CA: Duxbury.
35. Pahlke, A., Lord, S., & Christiansen-Ruffman, L. (2001). Women's health and wellbeing in six Nova Scotia fishing communities. Canadian Research Institute for the Advancement of Women and Nova Scotia Women's FishNet. Retrieved December 21, 2005, from http://www.acewh.dal.ca/eng/reports/Fishnet %20Finalreport.pdf.
36. Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage.
37. Poulin, C., & Wilbur, B. (2002). Nova Scotia student drug use 2002: Technical report. Halifax: Province of Nova Scotia. Retrieved December 21, 2005, from http://www.gov.ns.ca/health/downloads/2002-NSDrugTechnical.pdf.
38. Reveley, S. (2001). Perceptions of the effects on professional role boundaries when introducing a nurse practitioner into general practice. Primary Health Care Research and Development, 2, 88-97.
39. Romanow, R. J. (2002). Building on values: The future of health care in Canada. Ottawa: Privy Council. Retrieved January 5, 2005, from www.hc-sc.gc.ca/english/pdf/care/romanow-e.pdf.
40. Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing and Health, 23(4), 334-340.
41. Sidani, S., Irvine, D., & DiCenso, A. (2000). Implementation of the primary care nurse practitioner role in Ontario. Canadian Journal of Nursing Leadership, 13(3), 13-19.
42. Spitzer. W. O. (1984). The nurse practitioner revisited: Slow death of a good idea. New England Journal of Medicine, 310(16), 1049-1051.
43. Spitzer. W. O., Kergin, D. J., Yoshida, M. A., Russell, W. A., Hackett, B. C., & Goldsmith, C. H. (1975). Nurse practitioners in primary care: The Southern Ontario Randomized Trial. Health Care Dimensions, Spring, 105-119.
44. Spitzer. W O., Sackett, D. L., Sibley, J. C., Roberts, R. S., Gent, M., Kergin, D. J., et al. (1974). The Burlington Randomized Trial of the Nurse Practitioner. New England Journal of Medicine, 290(5), 251-256.
45. Teddlie, C., & Tashakkori, C. (2003). Major issues and controversies in the use of mixed methods in the social and behavioral sciences. In A. Tashakkori & C. Teddlie (Eds.), Handbook of mixed methods in social and behavioral research (pp. 3-50). Thousand Oaks, CA: Sage.
46. Todd, C., MacKay, M., Howlett, M., & Lawson, B. (2005). The role of family practice/primary health care nurses in Nova Scotia. Retrieved December 21, 2005, from http://www.cbdha.nshealth.ca/bulletinboard/files5016/Family%20 Practice%20Nurse%20Project%20Report%202005.pdf.
47. Way, D., Jones, L., Baskerville, B., & Busing, N. (2001). Primary health care services provided by nurse practitioners and family physicians in shared practice. Canadian Medical Association Journal, 165(9), 1210-1214.