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Policy Polit Nurs Pract. 2016 Nov;17(4):198-207. doi: 10.1177/1527154416675224. Epub 2016 Oct 24.

Complexities of Introducing Group Medical Visits With Nurse Practitioners in British Columbia.

Author information

1
1 School of Nursing, University of British Columbia, Port Moody, Canada.
2
2 School of Nursing and Centre for Health Services and Policy Research, University of British Columbia, Vancouver, Canada.
3
3 School of Nursing, University of British Columbia, Vancouver, Canada.
4
4 Department of Family Practice, University Boulevard, Vancouver, BC, Canada.

Abstract

In Canada, increasing numbers of people with chronic conditions have prompted calls for innovative approaches to delivering primary care. These approaches may include group medical visits (GMVs) and the introduction of nurse practitioners (NPs). We examined why NPs in the province of British Columbia were not using GMVs. This case study is part of a larger research project that examined the impact of GMVs with NPs for patients with chronic conditions. We completed open-ended interviews with seven NPs working in primary care. Interviews were audiotaped and transcribed. Data were analyzed using interpretive descriptive approaches. Three major themes emerged: (a) advantages of GMVs, (b) questioning the fit of GMVs in current practice contexts, and (c) navigating scope of practice and role constraints that affect NPs' ability to use GMVs. Power dynamics and hierarchies may influence NPs' ability to adapt to GMVs. Consideration of practice environments and structures that enable the NPs ability to diffuse and utilize health-care innovative care delivery methods is needed.

KEYWORDS:

advanced practice nursing; chronic disease management; group visits; innovation; primary care

PMID:
27777335
DOI:
10.1177/1527154416675224
[Indexed for MEDLINE]

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