ArticleBMC health services research2015
A process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2019Pooled it
- Nurses as substitutes for doctors in primary care.The Cochrane database of systematic reviews · 2018Pooled it
- 'All Under One Roof': Health Professional Perspectives on Integrating Musculoskeletal Pain Management in a Proximity-Based Primary Healthcare Model.Musculoskeletal care · 2026Article
- Registered nurses' perspective of nurse practitioners: A mixed-methods study.International nursing review · 2025Article
- A Qualitative Study to Understand the Barriers and Facilitators in Smoking Cessation Practices Among Oncology Health Care Practitioners in One Health System.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Methodologic and Data-Analysis Triangulation in Case Studies: A Scoping Review.Western journal of nursing research · 2024Article
- Senior Nurse Manager Perceptions of Nurse Practitioner Integration: A Quantitative Study.Journal of nursing management · 2024Article
- Perceptions of general practitioners towards the services provided by advanced practice nurses: a cross-sectional survey in France.BMC health services research · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Implementing advanced practice nursing in France: A country-wide survey 2 years after its introduction.Nursing open · 2023Article
- A realist evaluation case study of the implementation of advanced nurse practitioner roles in primary care in Scotland.Journal of advanced nursing · 2022Article
- A survey of nurse practitioner perceptions of integration into acute care organisations across one region in Ireland.Journal of nursing management · 2022Article
- Future-proofing the primary care workforce: A qualitative study of home visits by emergency care practitioners in the UK.The European journal of general practice · 2021Article
- Barriers and facilitators to the implementation of nurse's role in primary care settings: an integrative review.BMC nursing · 2021Article
- 'She taught me': factors consumers find important in nurse practitioner and pharmacist prescriber services.Human resources for health · 2021Article
- Development and psychometric evaluation of Nurses and Midwives' Perceptions of their Roles in Primary Healthcare.International journal of nursing sciences · 2020Article
- Structure evaluation of the implementation of geriatric models in primary care: a multiple-case study of models involving advanced geriatric nurses in five municipalities in Norway.BMC health services research · 2020Article
- Complexity as a factor for task allocation among general practitioners and nurse practitioners: a narrative review.BMC family practice · 2020Review
- New understanding of primary health care nurse practitioner role optimisation: the dynamic relationship between the context and work meaning.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundIntegrating Nurse Practitioners into primary care teams is a process that involves significant challenges. To be successful, nurse practitioner integration into primary care teams requires, among other things, a redefinition of professional boundaries, in particular those of medicine and nursing, a coherent model of inter- and intra- professional collaboration, and team-based work processes that make the best use of the subsidiarity principle. There have been numerous studies on nurse practitioner integration, and the literature provides a comprehensive list of barriers to, and facilitators of, integration. However, this literature is much less prolific in discussing the operational level implications of those barriers and facilitators and in offering practical recommendations.
methodsIn the context of a large-scale research project on the introduction of nurse practitioners in Quebec (Canada) we relied on a logic-analysis approach based, on the one hand on a realist review of the literature and, on the other hand, on qualitative case-studies in 6 primary healthcare teams in rural and urban area of Quebec.
resultsFive core themes that need to be taken into account when integrating nurse practitioners into primary care teams were identified. Those themes are: planning, role definition, practice model, collaboration, and team support. The present paper has two objectives: to present the methods used to develop the themes, and to discuss an integrative model of nurse practitioner integration support centered around these themes.
conclusionIt concludes with a discussion of how this framework contributes to existing knowledge and some ideas for future avenues of study.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.