Nurse Practitioner Activities in Ontario Family Health Teams: Comparing Three Different Data Sources.

Background: Despite the increase in nurse practitioners (NPs) working in primary healthcare, little standardized data are available to understand NP activities at the system level. The Nurse Practitioner Access Reporting system (NPAR), a pilot project underway at 40 family health teams in Ontario, i...

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Publicado en:Nursing Leadership (1910-622X) Vol. 33; no. 2; pp. 67 - 80
Autores principales: Rayner, Jennifer, Donald, Faith, Martin-Misener, Ruth, Glazier, Rick, Kopp, Alex
Formato: research tables/charts Journal Article
Publicado: Longwoods Publishing 2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2020
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      pub: Longwoods Publishing
      place: Toronto, Ontario
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        10.12927/cjnl.2020.26236
        144297447
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        atl: Nurse Practitioner Activities in Ontario Family Health Teams: Comparing Three Different Data Sources.
      aug:
        au:
          Rayner, Jennifer
          Donald, Faith
          Martin-Misener, Ruth
          Glazier, Rick
          Kopp, Alex
        affil: Director, Research and Evaluation Alliance for Healthier Communities, Toronto, ON
      sug:
        subj:
          Nurse Practitioners Legislation and Jurisprudence
          Family Services
          Documentation Evaluation
          Human
          Ontario
          Focus Groups
          Multimethod Studies
          Data Analysis Software
          Descriptive Statistics
          Interviews
          Nurse Practitioners Labor Supply
          Time Factors
          Data Management
          Documentation
          Record Review
          Funding Source
      ab: Background: Despite the increase in nurse practitioners (NPs) working in primary healthcare, little standardized data are available to understand NP activities at the system level. The Nurse Practitioner Access Reporting system (NPAR), a pilot project underway at 40 family health teams in Ontario, involves NPs recording and submitting standardized codes. The codes are intended to reflect NPs' clinical activities, using an existing physician claim system. The study compared how well data collected through NPAR reflect NPs' activities. Methods: The mixed-methods approach was used involving NPAR data, focus groups and time and motion data. Results: All data sources indicated that NPs spent the majority of their time on direct patient care. Qualitative data and time and motion data revealed gaps in NPAR data, for example, codes that fail to capture activities unique to the NP role. Conclusion: Analysis of NPAR, time and motion and qualitative data provided a distinctive opportunity to examine NP-reported activities and patient characteristics; however, NPAR data did not adequately describe the scope or breadth of activities of NPs practising in primary healthcare.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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