Outcomes associated with nurse practitioners in collaborative practice with general practitioners in rural settings in Canada: a mixed methods study

摘要: The formalized nurse practitioner (NP) role in British Columbia is relatively new with most roles implemented primary care. majority of care delivered by physicians using the fee-for-service model. There a shortage general practitioners associated difficulties recruitment and retention, particularly rural remote locations. uptake NP has been slow due to challenges understanding extent its contributions. This study aims identify outcomes collaborative practice. Three case studies where NPs were embedded into practices undertaken determine at practitioner, practice, community, health services levels. Interviews, documents, before after data, analyzed changes practise, access, acute service utilization. results showed that affected how was delivered, through additional time afforded each patient visit, development team approach interprofessional collaboration, change style practise from solo group which resulted improved physician job satisfaction. Patient access practice increased availability appointments staff experienced workplace relationships At community level, for harder-to-serve populations linkages developed between their community. Acute statistically significant decrease emergency use admissions hospital (P = 0.000). presence colleagues’ desire remain current work environment. identified diversity needs can be addressed role. Namely, importance enhance benefits, especially model; value NP’s community; acceptance clinical competence colleagues; generated level terms organizational effectiveness provision; substantiated impact improving reducing