Evidence map›Paper›PMID 31413041›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Advanced practice nursing: Qualitative study of implications for family physicians' perceptions of their own work.

Nancy Côté, Andrew Freeman, Emmanuelle Jean, Jean-Louis Denis

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nancy CôtéAssistant Professor in the Department of Sociology at Laval University in Quebec city, Que, and a regular researcher with the Centre de recherche sur les soins et les services de première ligne de l'Université Laval. nancy.cote@soc.ulaval.ca.
Andrew FreemanAssociate Professor in the Department of Rehabilitation at Laval University and a regular researcher with the Centre de recherche sur les soins et les services de première ligne de l'Université Laval.
Emmanuelle JeanProfessor in the Department of Nursing Sciences at the Université du Québec à Rimouski.
Jean-Louis DenisProfessor in the Département de gestion, d'évaluation et de politique de santé at the University of Montreal in Quebec and Canada Research Chair in Transformative Keys for Health System Redesign and Improvement.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore family physicians' perspectives on how best to exercise their role relative to that of primary health care nurse practitioners (PHCNPs).

designQualitative case study.

settingThree Quebec health care regions.

participantsSixteen physicians participated. To be eligible, family physicians were required to have worked with at least 1 PHCNP for a minimum of 6 months.

methodsSemistructured individual and focus group interviews. MAIN

findingsThe implementation of the PHCNP role can be associated with considerable redesign of family physicians' habitual ways of functioning and with important transformations in their role within primary care teams, which can lead these professionals to reflect upon the meaning of their work. The physicians identified the following 4 elements that influenced their views: the nature of follow-up possible with patients, sharing the scope of practice, the patient profile, and new positive work experiences.

conclusionThe evolution of family physicians' role in the face of the PHCNP role must be situated within a discussion about the overall organization of care provision to patients and is not as straightforward as simply defining task division. This implementation also must take into account the frequently highly demanding context in which family physicians practise. Greater understanding is needed about contextual conditions that will facilitate physicians' practice within multidisciplinary teams, including the nature of, and interaction among, micro-, meso- and macro-level elements.

Indexed as

Advanced Practice NursingNurse PractitionersPhysicians, FamilyPrimary Health CareFocus GroupsHumansInterprofessional RelationsInterviews as TopicPhysician's RoleQualitative ResearchQuebec

Identifiers

PMID31413041
PMCPMC6693593

What OpenQuestion holds

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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.