ArticleBMJ open2019
Advanced practice nurses, registered nurses and medical practice assistants in new care models in Swiss primary care: a focused ethnography of their professional roles.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 24 citations in OpenAlex.
- The Role of Advanced Practice Nurses in the Care of Multimorbid and Complex Chronically Ill Young and Middle-Aged Adults in Hospital Settings-Perspectives on Experience of APNs: A Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Influence of the Workplace on Influenza and COVID-19 Vaccination Acceptance Among Swiss Healthcare Workers During Season 2021/22.International journal of public health · 2026Article
- Integrating nursing activities into general practices in Switzerland: a mixed-methods study.Primary health care research & development · 2025Observational
- Patients' experience of integrated nursing care in general practices in Switzerland: a mixed-methods study.Family practice · 2025Article
- Research on the application effect of inter-professional training program for newly enrolled medical staff in operating room based on digital information technology.BMC medical education · 2024Article
- Professional experiences of spanish advanced practice nurses: qualitative research.BMC nursing · 2024Article
- Processes supporting effective skill-mix implementation in general practice: A qualitative study.Journal of health services research & policy · 2022Article
- Job titles and education requirements of registered nurses in primary care: An international document analysis.International journal of nursing studies advances · 2021Article
- Perceptions and Expectations of Advanced Geriatric Nursing Role Development in Primary Health Care: A Qualitative Study Exploring Staff's Perspectives.Journal of multidisciplinary healthcare · 2021Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to analyse roles and tasks of advanced practice nurses (APNs), registered nurses (RNs) without advanced practice education and medical practice assistants (MPAs) with regard to chronic care in Swiss primary care (PC). The objective of this study was to explore the potential of new care models, involving these health professionals, which could meet changing future healthcare needs.
designAn ethnographic design comprising semi-structured interviews and non-participant observations was conducted.
settingHealth professionals who worked in 10 primary care practices in the German-speaking part of Switzerland were included in the study.
participantsIn total, 16 interviews were conducted with four APNs, six MPAs, two RNs and four general practitioners (GPs). Nine of the health professionals were subsequently observed in their primary care practice.
resultsAPNs and MPAs were both involved in chronic care in the PC practice. While APNs cared for older, multimorbid patients with more complex needs, MPAs were involved in counselling of younger patients with chronic disease such as type 2 diabetes. Additionally, APNs were involved in many home visits and visits in elderly peoples - and nursing homes. APNs worked with a high degree of autonomy while MPAs had worked mostly in delegation. Task division between GPs and APNs or MPAs was not clear in every case yet.
conclusionsAPNs and MPAs have a high potential to contribute to optimal care in new care models, which address needs of the elderly population. The experience from our sample may inform international health policymakers and practitioners about the tasks and responsibilities those health professionals can take over in PC when implementing new models of care. The practical experience with new models of care involving APNs and MPAs may also influence the future regulation with regard to the scope of practice of these health professionals in Switzerland.
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