The Australian 'grey nomad' and aged care nurse practitioner models of practice: a case study analysis.

摘要: Introduction The Nurse Practitioner - Aged Care Models of Practice Initiative supported the roll-out a range nurse practitioner (NP) models practice, across Australia. One these was community-based clinic-located situated in remote tourist destination where there is no resident general practitioner. Services were delivered by NP to local population as well many seasonal tourists passing through region. These included growing number older people, whom had chronic health conditions such hypertension, diabetes and cardiac disease. Methods A case study approach taken test develop connections between theory nursing practice NP. This enabled development detailed explanation community-based, model, including model's associated enablers challenges. also further theoretical more generally. Results Enablers model sponsoring not-for-profit organisation, which provided pre-existing structures for clinical governance management, funding; collaborative agreements negotiated at systems level NP, other professionals, variety service providers. Challenges organisation's limited capacity back-fill leave professional entitlements obtaining recurrent funding sustain model. Also identified need organisation clearly explain role consumers services being delivered. Theoretically, analysis led inclusion an additional component model: influence context. important because it highlights way are affected conditions. Conclusions described this article provides rigorous exemplar organisations providing similar remote, rural or suitable locations.