Boundary work and the introduction of acute care nurse practitioners in healthcare teams

Journal of Advanced Nursing

Volumn 68, Issue 7, 2012, Pages 1504-1515

  Kilpatrick, Kelley ^a   Lavoie Tremblay, Mélanie ^b   Ritchie, Judith A ^b,c   Lamothe, Lise ^d   Doran, Diane ^e  

^a UNIVERSITÉ DU QUÉBEC EN OUTAOUAIS   (Canada)

^b MCGILL UNIVERSITY   (Canada)

^c MCGILL UNIVERSITY HEALTH CENTRE   (Canada)

^d UNIVERSITÉ DE MONTRÉAL   (Canada)

^e UNIVERSITY OF TORONTO   (Canada)

Author keywords

Acute care nurse practitioner; Boundary work; Cardiology; Case study; Teamwork

Indexed keywords

ACUTE DISEASE; ARTICLE; CANADA; CLINICAL COMPETENCE; COOPERATION; CORONARY CARE UNIT; HEALTH PERSONNEL ATTITUDE; HEALTH SERVICES RESEARCH; HUMAN; LEGAL ASPECT; LICENSING; NURSE ATTITUDE; NURSE PRACTITIONER; NURSING; NURSING PRACTICE; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PUBLIC RELATIONS; QUALITATIVE RESEARCH;

ACUTE DISEASE; ATTITUDE OF HEALTH PERSONNEL; CANADA; CARDIOLOGY SERVICE, HOSPITAL; CLINICAL COMPETENCE; COOPERATIVE BEHAVIOR; HUMANS; INTERPROFESSIONAL RELATIONS; LICENSURE, NURSING; NURSE PRACTITIONERS; NURSE'S PRACTICE PATTERNS; NURSE'S ROLE; ORGANIZATIONAL CASE STUDIES; ORGANIZATIONAL INNOVATION; PATIENT CARE TEAM; QUALITATIVE RESEARCH;

EID: 84862667267     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2011.05895.x     Document Type: Article

References (64)

1. Abbott A. (1995) Things of boundaries. Social Research62, 857-882.
2. Allen D. (1997) The nursing-medical boundary: a negotiated order?Sociology of Health and Illness19(4), 498-520.
3. Autar R. (1996) The scope of professional practice in specialist practice. British Journal of Nursing5, 984-990.
4. Ball J. (2006) The Results of a Survey of Nurse Practitioners Conducted on the Behalf of the RCN NPA. Retrieved from on 1 June 2011.
5. Baranek P.M. (2005) A Review of Scopes of Practice of Health Professions in Canada: A Balancing Act. Health Council of Canada. Retrieved from on 5 May 2009.
6. Bonner A. & Walker A. (2004) Nephrology nursing: blurring the boundaries: the reality of expert practice. Journal of Clinical Nursing13, 210-218.
7. Bowling A. (2002) Research Methods in Health: Investigating Health and Health Services, 2nd edn. Open University Press, Philadelphia.
8. Canadian Institute for Health Information (2010) Regulated Nurses: Canadian Trends, 2004 to 2008 - Updated February 2010. Retrieved from on 15 November 2010.
9. D'Amour D., Morin D., Dubois C.-A., Lavoie-Tremblay M., Dallaire C. & Cyr G. (2007) Évaluation de l'Implantation du Programme d'Intéressement au Titre d'Infirmière Praticienne Spécialisée. Retrieved from on 9 August 2007.
10. Davies E. & Fox-Young S. (2002) Validating a scope of practice decision-making framework. International Journal of Nursing Studies39, 85-93.
11. Denis J.-L., Lamothe L., Langley A. & Valette A. (1999) The struggle to redefine boundaries in health care systems. In Restructuring the Professional Organization: Accounting, Health Care and Law (Brock D., Powell M. & Hinnings C.R., eds), Routledge, New York, pp. 105-130.
12. Denis J.-L., Lamothe L. & Langley A. (2001) The dynamics of collective leadership and strategic change in pluralistic organizations. The Academy of Management Journal44, 809-837.
13. DiCenso A., Bryant-Lukosius D., Bourgeault I., Martin-Misener R., Donald F., Abelson J., Kaasalainen S., Kilpatrick K., Kioke S., Carter N. & Harbman P. (2010) Clinical Nurse Specialists and Nurse Practitioners in Canada: A Decision Support Synthesis. Retrieved from on 1 June 2011.
14. Eisenhardt K.M. (1989) Building theories from case study research. The Academy of Management Review14, 532-550.
15. Ferlie E., Fitzgerald L., Wood M. & Hawkins C. (2005) The nonspread of innovations: the mediating role of professionals. Academy of Management Journal48(1), 117-134.
16. Fisher J., Steggall M.J. & Cox C.L. (2006) Developing the A&E nurse practitioner role. Emergency Nurse13(10), 26-31.
17. Friedson E. (1983) The reorganization of the professions by regulation. Law and Human Behavior7(2/3), 279-290.
18. Fry M. (2011) Literature review of the impact of nurse practitioners in critical care services. Nursing in Critical Care16(2), 58-66.
19. Gangeness J.E. & Yurkovich E. (2006) Revisiting case study as a nursing research design. Nurse Researcher13(4), 7-18.
20. Gieryn T.F. (1983) Boundary-work and the demarcation of science from non-science: strains and interests in professional ideologies of scientists. American Sociological Review48, 781-795.
21. Graneheim U.H. & Lundman B. (2004) Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today24, 105-112.
22. Griffin M. & Melby V. (2006) Developing an advanced practice in emergency care: attitudes of doctors and nurses. Journal of Advanced Nursing56, 292-301.
23. Guest G., Bunce A. & Johnson L. (2006) How many interviews are enough? An experiment with data saturation. Field Methods18, 59-82.
24. Gulliver P., Peck E. & Towell D. (2002) Balancing professional and team boundaries in mental health services: pursuing the holy grail at Somerset. Journal of Interprofessional Care16, 359-370.
25. Hanley-Maxwell C., Al Hano I. & Skivington M. (2007) Qualitative research in rehabilitation counseling. Rehabilitation Counseling Bulletin50, 99-110.
26. Hoffman L.A., Happ M.B., Scharfenberg C., DiVirgilio-Thomas D. & Tasota F.J. (2004) Perceptions of physicians, nurses, and respiratory therapists about the role of the acute care nurse practitioner. American Journal of Critical Care13, 480-488.
27. Hurlock-Chorostecki C., van Soeren M. & Goodwin S. (2008) The acute care nurse practitioner in Ontario: a workforce study. Nursing Leadership21(4), 100-116.
28. International Council of Nurses (2009) Nursing Matters: Nurse Practitioners/Advanced Practice Nurse: Definition and Characteristics. Retrieved from on 1 June 2011.
29. Jones M.L. (2005) Role development and effective practice in specialist and advanced practice roles in acute hospital settings: systematic review and meta-synthesis. Journal of Advanced Nursing49, 191-209.
30. Kahn K.B. & McDonough E.F. (1997) An empirical study of the relationships among co-location, integration, performance, and satisfaction. Journal of Product Innovation Management14, 161-178.
31. Keeney S., Hasson F., McKenna H. & Gillen P. (2005) Nurses', midwives' and patients' perceptions of trained health care assistants. Journal of Advanced Nursing50, 345-355.
32. Kleinpell R.M. (2005) Acute care nurse practitioner practice: results of a 5-year longitudinal study. American Journal of Critical Care14, 211-219.
33. Kleinpell R.M., Ely W. & Grabenkort R. (2008) Nurse practitioners and physician assistants in the intensive care unit: an evidence-based review. Critical Care Medicine36, 2888-2897.
34. Kruger R.A. & Casey M.A. (2000) Focus Groups: A Practical Guide for Applied Research, 3rd edn. Sage, Thousand Oaks.
35. Lamont M. & Molnar V. (2002) The study of boundaries in the social sciences. Annual Review of Sociology28, 167-195.
36. Lamothe L. (2007) Le rôle des professionnels dans la structuration des réseaux: une source d'innovation. In Le Système Sociosanitaire du Québec: Gouvernance, Régulation et Participation (Fleury M.-J., Tremblay M., Nguyen H. & Bordeleau L., eds), Gaëtan Morin, Montreal, pp. 289-298.
37. Langley A. (1999) Strategies for theorizing from process data. The Academy of Management Review24, 691-710.
38. Marsden J. & Street C. (2004) A primary health care team's views of the nurse practitioner role in primary care. Primary Health Care Research and Development5, 17-27.
39. Martin P.D. & Hutchison S.A. (1999) Nurse practitioners and the problem of discounting. Journal of Advanced Nursing29(1), 9-17.
40. McDonnell A., Jones M.L. & Read S. (2000) Practical considerations in case study research: the relationship between methodology and process. Journal of Advanced Nursing32, 383-390.
41. McPherson K., Kersten P., George S., Lattimer V., Breton A., Ellis B., Kaur D. & Frampton G. (2006) A systematic review of evidence about extended roles for allied health professionals. Journal of Health Services Research & Policy11, 240-247.
42. Miles M.B. & Huberman A.M. (1994) Qualitative Data Analysis: An Expanded Sourcebook, 2nd edn. Sage, Thousand Oaks.
43. Munro N. & Taylor-Panek S. (2007) The nurse practitioner role: the communication link for cardiac surgery patients. Critical Care Nursing Clinics of North America19, 385-394.
44. Murchie P., Campbell N.C., Ritchie L.D. & Thain J. (2005) Running nurse-led secondary prevention clinics for coronary heart disease in primary care: qualitative study of health professionals' perspectives. British Journal of General Practice55, 522-528.
45. National Council of State Boards of Nursing (2009) Changes in Healthcare Professions' Scopes of Practice: Legislative Considerations. Retrieved from on 1 June 2011.
46. Oliver A.L. & Montgomery K. (2001) A system cybernetic approach to the dynamics of individual and organizational-level trust. Human Relations54, 1045-1063.
47. Onwuegbuzie A.J., Dickinson W.B., Leech N.L. & Zoran A.G. (2009) A qualitative framework for collecting and analyzing data in focus groups research. International Journal of Qualitative Studies8(3), 1-21.
48. Opie A. (1997) Effective team work in health care: a review of issues discussed in recent research literature. Health Care Analysis5, 62-73.
49. Pettigrew A.M. (1992) The character and significance of strategy process research. Strategy Management Research13, 5-16.
50. Rabiee F. (2004) Focus-group interview and data collection. Proceedings of the Nutrition Society63, 655-660.
51. Reay T., Golden-Biddle K. & Germann K. (2003) Challenges and leadership strategies for managers of nurse practitioners. Journal of Nursing Management11, 396-403.
52. Richter A.W., West M.A., Van Dick R. & Dawson J.F. (2006) Boundary spanners' identification, intergroup contact, and effective intergroup relations. Academy of Management Journal49, 1252-1269.
53. Safriet B.J. (2002) Closing the gap between can and may in health-care providers scopes of practice: a primer for policymakers. Yale Journal on Regulation19(2), 301-334.
54. Safriet B.J. (2011) Appendix H: federal options for maximizing the value of advanced practice nurses in providing quality, cost-effective care. In The Future of Nursing: Leading Change, Advancing Health. Institute of Medicine. pp. 443-475. Retrieved from on 30 June 2011.
55. Schneider S.C. (1987) Managing boundaries in organizations. Political Psychology8, 379-393.
56. Tong A., Sainsbury P. & Craig J. (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care19, 349-357.
57. Tye C.C. & Ross F.M. (2000) Blurring boundaries: professional perspectives of the emergency nurse practitioner in a major accident and emergency department. Journal of Advanced Nursing31, 1089-1096.
58. Vallis J. & Tierney A. (19992000) Issues in case study analysis. Nurse Researcher7(2), 19-35.
59. Van de Ven A.H. (1992) Suggestions for studying strategy process: a research note. Strategic Management Journal13, 169-188.
60. Willard C. & Luker K. (2007) Working with the team: strategies employed by hospital cancer nurse specialists to implement their role. Journal of Clinical Nursing16, 716-724.
61. Wright B., Lockyer J., Fidler H. & Hormeister M. (2007) Roles and responsibilities of family physicians on geriatric health care teams: health care team members' perspectives. Canadian Family Physician53, 1954-1955. 1954:e.1-e.6.
62. Yan A. & Louis M.R. (1999) The migration of organizational functions to the work unit level: buffering, spanning and bringing up the boundaries. Human Relations52, 25-47.
63. Yauch C.A. & Steudel H.J. (2003) Complementary use of qualitative and quantitative cultural assessment methods. Organizational Research Methods6, 465-481.
64. Yin R.K. (2009) Case Study Research Design and Methods, 4th edn. Sage, Thousand Oaks.