Role Clarification Processes for Better Integration of Nurse Practitioners into Primary Healthcare Teams: A Multiple-Case Study
Article [Accepted Manuscript]
Abstract(s)
Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict
in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to
outline processes for clarifying professional roles when a new role is introduced into clinical teams, that of the primary healthcare
nurse practitioner (PHCNP). To support our empirical analysis we used the Canadian National Interprofessional Competency
Framework, which defines the essential components for role clarification among professionals. A qualitative multiple-case study
was conducted on six cases in which the PHCNP role was introduced into primary care teams. Data collection included 34
semistructured interviews with key informants involved in the implementation of the PHCNP role. Our results revealed that the
best performing primary care teams were those that used a variety of organizational and individual strategies to carry out role
clarification processes. From this study, we conclude that role clarification is both an organizational process to be developed and a
competency that each member of the primary care team must mobilize to ensure effective interprofessional collaboration.
Note(s)
Cet article s'intéresse aux processus de clarification des rôles professionnels lors de l'intégration d'une infirmière praticienne spécialisée dans les équipes de première ligne au Québec.Other location(s)
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