eprintid: 23396
rev_number: 11
eprint_status: archive
userid: 1589
dir: disk0/00/02/33/96
datestamp: 2017-09-05 09:04:55
lastmod: 2024-05-24 14:18:26
status_changed: 2017-09-05 09:04:55
type: article
metadata_visibility: show
creators_name: van der Biezen, Mieke
creators_name: Wensing, Michel
creators_name: Poghosyan, Lusine
creators_name: van der Burgt, Regi
creators_name: Laurant, Miranda
title: Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study
subjects: ddc-610
divisions: i-910100
abstract: Background: Increasingly, nurse practitioners (NPs) are deployed in teams along with general practitioners (GPs) to help meet the demand for out-of-hours care. The purpose of this study was to explore factors influencing collaboration between GPs and NPs in teams working out-of-hours.   Methods: A descriptive qualitative study was done using a total of 27 semi-structured interviews and two focus group discussions. Data was collected between June, 2014 and October, 2015 at an out-of-hours primary care organisation in the Netherlands. Overall, 38 health professionals (GPs, NPs, and support staff) participated in the study. The interviews were audio-taped and transcribed verbatim. Two researchers conducted an inductive content analysis, involving the identification of relevant items in a first phase and clustering into themes in a second phase.   Results: The following four themes emerged from the data: clarity of NP role and regulation, shared caseload and use of skills, communication concerning professional roles, trust and support in NP practice. Main factors influencing collaboration between GPs and NPs included a lack of knowledge regarding the NPs’ scope of practice and regulations governing NP role; differences in teams in sharing caseload and using each other’s skills effectively; varying support of GPs for the NP role; and limited communication between GPs and NPs regarding professional roles during the shift. Lack of collaboration was perceived to result in an increased risk of delay for patients who needed treatment from a GP, especially in teams with more NPs. Collaboration was not perceived to improve over time as teams varied across shifts.   Conclusion: In out-of-hours primary care teams constantly change and team members are often unfamiliar with each other or other’s competences. In this environment, knowledge and communication about team members’ roles is continuously at stake. Especially in teams with more NPs, team members need to use each other’s skills to deliver care to all patients on time.
date: 2017
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1655674692
own_urn: urn:nbn:de:bsz:16-heidok-233962
language: eng
bibsort: VANDERBIEZCOLLABORAT2017
full_text_status: public
publication: BMC Health Services Research
volume: 17
number: 589
place_of_pub: London
pagerange: 1-9
issn: 1472-6963
citation:   van der Biezen, Mieke ; Wensing, Michel ; Poghosyan, Lusine ; van der Burgt, Regi ; Laurant, Miranda  (2017) Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study.  BMC Health Services Research, 17 (589).  pp. 1-9.  ISSN 1472-6963     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/23396/1/12913_2017_Article_2548.pdf