The psychiatric-mental health nurse practitioner as coordinating practitioner in the Netherlands: A multiple case study.

IF 1.2 4区 医学
Enzio R K Boeijen, Jan E Sitvast, Nynke Boonstra, Wim Houtjes, Berno van Meijel, Miranda G H Laurant, Anneke J A H van Vught
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引用次数: 0

Abstract

Background: Psychiatric-mental health nurse practitioners (PMHNPs) in the Netherlands have been allowed to perform the role of coordinating practitioner (CP) since 2018. This role is reserved for mental health care specialists who are trained and qualified at the master's degree level. Earlier studies have not addressed how PMHNPs perform that role and what mechanisms and contextual factors determine their performance. This understanding could help optimize their performance in this role and promote effective deployment of PMHNPs in mental health care.

Purpose: To understand how PMHNPs perform this role and what mechanisms and contextual factors underlie that performance.

Methodology: A multiple case study involving PMHNPs who work in various settings as CPs. Data were collected and analyzed using the realistic evaluation approach.

Results: We identified four mechanisms related to the performance of PMHNPs in the role of CP: (1) autonomous performance; (2) unique expertise; (3) accessibility, availability, and professional involvement; and (4) additional roles. The extent to which these mechanisms are present is largely determined by organizational factors, team factors, and individual factors.

Conclusions: Psychiatric-mental health nurse practitioners are seeking to identify and interpret the role of CP. This study helps to elucidate the mechanism of role performance by PMHNPs and what they should focus on to deliver effective and patient-centered mental health care.

Implications: Policymakers, health care professionals, and educators should consider the mechanisms and contextual factors to facilitate and support PMHNPs' employment and training in the role of CP.

在荷兰,精神和心理健康执业护士作为协调执业医师:多案例研究。
背景:自 2018 年起,荷兰允许精神心理健康执业护士(PMHNP)担任协调执业医师(CP)的角色。这一角色是为受过培训并获得硕士学位资格的心理健康护理专家保留的。此前的研究并未涉及 PMHNPs 如何履行这一职责,以及决定其表现的机制和背景因素是什么。目的:了解 PMHNP 如何扮演这一角色,以及决定其表现的机制和背景因素:方法:多案例研究,涉及在不同环境下作为 CP 工作的 PMHNP。采用现实评价法收集和分析数据:我们确定了与 PMHNPs 在 CP 角色中的表现相关的四个机制:(1)自主表现;(2)独特的专业知识;(3)可及性、可用性和专业参与;以及(4)额外角色。这些机制的存在程度主要取决于组织因素、团队因素和个人因素:结论:精神心理健康护士从业者正在努力确定和解释 CP 的作用。本研究有助于阐明精神心理健康护士的角色扮演机制,以及他们在提供有效的、以患者为中心的精神健康护理时应关注的问题:政策制定者、医疗保健专业人员和教育者应考虑各种机制和环境因素,以促进和支持项目管理护士在 CP 角色中的就业和培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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