Contribution des infirmières praticiennes spécialisées en soins de première ligne dans le suivi des patients atteints de maladies chroniques : étude de cas

Authors: Ferlatte, Carol-Ann
Advisor: Bujold, Louise
Abstract: The growing prevalence of chronic diseases and limited access to a primary health care professional represent a concern in Canada and Quebec. To address these problems, health care restructuring has led to expanded roles in nursing, and substantial increases in the different types and number of advanced practice nursing roles. As of 2007, the nurse practitioner (NP) role has emerged in Quebec in response to growing healthcare demands, especially in primary care. However, a limited amount of research in Quebec is focused on the innovation of practice models where nurses, including the registered nurse role and the nurse primary health care nurse practitioner (PHCNP) role, are the first contact for patients. In this paper, a case study will be presented based on the Nursing Role Effectiveness Model (Irvine, Sidani, & Hall, 1998a, 1998b) to explore the process of PHCNP role within a multidisciplinary care model and to identify NP-specific health outcomes for patients with chronic diseases. Semi-structured interviews were conducted on 14 key informants (10 patients and 4 PHCNP) to explore their perceptions of the NP practice in chronic disease management and follow-up. Observations and medical record review allowed information triangulation. Results showed that PHCNP emphasize health promotion and provide comprehensive, accessible, coordinated and quality family healthcare service for patients with chronic diseases. The discussion presents strategies to address barriers related to scope of practice as well as organizational issues affecting continuity of NP care. A better understanding of the added value of the PHCNP role will certainly contribute to optimize efficiency and better health and wellness outcomes for patients in primary care.
Document Type: Mémoire de maîtrise
Issue Date: 2019
Open Access Date: 18 April 2019
Grantor: Université Laval
Collection:Thèses et mémoires

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