Filipino Nurses' Experiences in a Collaborative Advanced Practice Model: A Critical Incidents Study.

The advanced practice nursing role has been found to be a potential solution in low and middle-income countries where access to primary care physicians is limited. In the Philippines, this advanced role has yet to be enacted, hindering the full potential of nurses as primary care providers. Hence, t...

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Publicado en:Pacific Rim International Journal of Nursing Research Vol. 27; no. 4; pp. 767 - 781
Autores principales: Duller, Sarla F., Tejero, Lourdes Marie S., Tating, Dan Louie Renz P.
Formato: research tables/charts Journal Article
Publicado: Thailand Nursing & Midwifery Council Oct-Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct-Dec2023
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      pub: Thailand Nursing & Midwifery Council
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        10.60099/prijnr.2023.263006
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        atl: Filipino Nurses' Experiences in a Collaborative Advanced Practice Model: A Critical Incidents Study.
      aug:
        au:
          Duller, Sarla F.
          Tejero, Lourdes Marie S.
          Tating, Dan Louie Renz P.
        affil: PhD, RN, PhD Graduate, College of Nursing, University of the Philippines Manila, Professor, College of Nursing, Central Philippine University College of Nursing, Central Philippine University, Jaro, Iloilo City, Philippines
      sug:
        subj:
          Advanced Practice Registered Nurses Psychosocial Factors
          Nurse Attitudes Evaluation
          Collaboration
          Models, Theoretical
          Hypertension
          Patient Care
          Human
          Philippines
          Qualitative Studies
          Male
          Female
          Filipinos
          Adult
          Critical Incidents Method
          Purposive Sample
          Descriptive Statistics
          Data Analysis Software
          Thematic Analysis
          Videorecording
          Critical Incident Stress
          Trust
          Adult: 19-44 years
          Male
          Female
      ab: The advanced practice nursing role has been found to be a potential solution in low and middle-income countries where access to primary care physicians is limited. In the Philippines, this advanced role has yet to be enacted, hindering the full potential of nurses as primary care providers. Hence, this study aimed to provide an in-depth analysis of nurses' experiences within a collaborative advanced practice model for hypertension care in the Philippines. This qualitative study utilized a modified version of the Critical Incident Technique. Three participating nurses were asked to self-report the behaviors, interactions, and emotions that positively or negatively impacted their clinic experiences. Similarities in the data were iteratively labeled and classified until major themes emerged. Findings indicate that the overarching theme underpinning the nurses' experiences in a collaborative advanced practice model was the significant role transition they underwent. While undergoing this transition, three distinct sub-themes of critical incidents emerged: 1) acquiring and maintaining competence, 2) establishing and strengthening collaboration, and 3) gaining and maintaining trust or respect. These insights on the successful role transition of advanced practice nurses in a primary care setting should be used by low- and middle-income countries when establishing their advanced practice nursing frameworks. Furthermore, training programs that prepare advanced practice nurses should also tailor their curricula and strategies on the relevant competencies to include collaboration skills towards building trust with patients and other healthcare providers.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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