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The work of nurse practitioners : a national work sampling study

Gardner, Glenn E., Gardner, Anne , Middleton, Sandy , Della, Phillip , Kain, Victoria J., & Doubrovsky, Anna (2010) The work of nurse practitioners : a national work sampling study. Journal Of Advanced Nursing, 66(10), pp. 2160-2169.

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Abstract

Aim: This paper is a report of a study of variations in the pattern of nurse practitioner work in a range of service fields and geographical locations, across direct patient care, indirect patient care and service-related activities. Background. The nurse practitioner role has been implemented internationally as a service reform model to improve the access and timeliness of health care. There is a substantial body of research into the nurse practitioner role and service outcomes, but scant information on the pattern of nurse practitioner work and how this is influenced by different service models. --------- Methods: We used work sampling methods. Data were collected between July 2008 and January 2009. Observations were recorded from a random sample of 30 nurse practitioners at 10-minute intervals in 2-hour blocks randomly generated to cover two weeks of work time from a sampling frame of six weeks. --------- Results: A total of 12,189 individual observations were conducted with nurse practitioners across Australia. Thirty individual activities were identified as describing nurse practitioner work, and these were distributed across three categories. Direct care accounted for 36.1% of how nurse practitioners spend their time, indirect care accounted for 32.2% and service-related activities made up 31.9%. --------- Conclusion. These findings provide useful baseline data for evaluation of nurse practitioner positions and the service effect of these positions. However, the study also raises questions about the best use of nurse practitioner time and the influences of barriers to and facilitators of this model of service innovation.

Impact and interest:

10 citations in Scopus
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11 citations in Web of Science®

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ID Code: 37585
Item Type: Journal Article
Keywords: Work sampling, Activity sampling, Nurse practitioner, Advanced practice nursing, Work observation
DOI: 10.1111/j.1365-2648.2010.05379.x
ISSN: 0309-2402
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2010 Wiley-Blackwell Publishing Ltd.
Deposited On: 30 Sep 2010 10:32
Last Modified: 01 Nov 2012 00:10

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