Back to Search
Start Over
Skill mix change between physicians, nurse practitioners, physician assistants, and nurses in nursing homes: A qualitative study
- Source :
- Nursing and Health Sciences, 21, 3, pp. 282-290, Nursing & Health Sciences, Nursing and Health Sciences, 21, 282-290, Nursing and Health Sciences, 21(3), 282, Nursing & Health Sciences, 2019, 282-290
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Nursing home physicians face heavy workloads, because of the aging population and rising number of older adults with one or more chronic diseases. Skill mix change, in which professionals perform tasks previously reserved for physicians independently or under supervision, could be an answer to this challenge. The aim of this study was to describe how skill mix change in nursing homes is organized from four monodisciplinary perspectives and the interdisciplinary perspective, what influences it, and what its effects are. The study focused particularly on skill mix change through the substitution of nurse practitioners, physician assistants, or registered nurses for nursing home physicians. Five focus group interviews were conducted in the Netherlands. Variation in tasks and responsibilities was found. Despite this variation, stakeholders reported increased quality of health care, patient centeredness, and support for care teams. A clear vision on skill mix change, acceptance of nurse practitioners, physician assistants, and registered nurses, and a reduction of legal insecurity are needed that might maximize the added value of nurse practitioners, physician assistants, and registered nurses.
- Subjects :
- Male
Editor's Recommendation
Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1]
Nurse practitioners
Nursing(all)
Nurses
0302 clinical medicine
Health care
030212 general & internal medicine
Qualitative Research
General Nursing
Netherlands
media_common
030504 nursing
General Medicine
Focus Groups
Middle Aged
nursing home
Physician Assistants
nurse practitioner
skill mix change
Female
0305 other medical science
Psychology
Research Article
Adult
Population ageing
physician assistant
Health Personnel
media_common.quotation_subject
education
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
03 medical and health sciences
Professional Role
All institutes and research themes of the Radboud University Medical Center
Nursing
Physicians
Journal Article
Added value
Humans
Nurse Practitioners
Quality (business)
Primary Health Care
business.industry
the Netherlands
Focus group
Nursing Homes
Skill mix
business
qualitative research
Qualitative research
Subjects
Details
- ISSN :
- 14422018 and 14410745
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Nursing & Health Sciences
- Accession number :
- edsair.doi.dedup.....b2675530410ee9ac0b9c4073976d919a