A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador
Abstract Aim This study explores the contributions of family practice nurses in primary care across Newfoundland and Labrador funded by fee‐for‐service and alternate payment plans to examine the influence of funding arrangements on nursing roles/activities. Design A qualitative descriptive design wa...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-07-01
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| Series: | Nursing Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/nop2.477 |
| _version_ | 1818878735810560000 |
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| author | Maria Mathews Dana Ryan Richard Buote Sandra Parsons Julia Lukewich |
| author_facet | Maria Mathews Dana Ryan Richard Buote Sandra Parsons Julia Lukewich |
| author_sort | Maria Mathews |
| collection | DOAJ |
| description | Abstract Aim This study explores the contributions of family practice nurses in primary care across Newfoundland and Labrador funded by fee‐for‐service and alternate payment plans to examine the influence of funding arrangements on nursing roles/activities. Design A qualitative descriptive design was employed. Methods Semi‐structured telephone interviews were conducted between March‐July 2018 with physicians and Registered Nurses working in primary care settings in Newfoundland and Labrador. Interviews were transcribed verbatim, and a content analysis approach was used to identify recurring themes. Results Clinic funding was instrumental in the integration of family practice nurses into primary care settings and influenced roles/activities. In fee‐for‐service practices, nurses work with physicians and focus on one‐on‐one patient care in office‐based settings, whereas nurses in alternate payment plans practices work more independently, in a wider range of settings and with emphasis on both individual and group‐based encounters. Compared with alternate payment plans practices, fee‐for‐service practices tend to be more restrictive due to physician billing requirements. |
| first_indexed | 2024-12-19T14:18:54Z |
| format | Article |
| id | doaj.art-40cef5331bb642338cbad52f14b88038 |
| institution | Directory Open Access Journal |
| issn | 2054-1058 |
| language | English |
| last_indexed | 2024-12-19T14:18:54Z |
| publishDate | 2020-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj.art-40cef5331bb642338cbad52f14b880382022-12-21T20:17:52ZengWileyNursing Open2054-10582020-07-01741067107310.1002/nop2.477A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and LabradorMaria Mathews0Dana Ryan1Richard Buote2Sandra Parsons3Julia Lukewich4Department of Family Medicine Schulich School of Medicine & Dentistry Western University London ON CanadaFaculty of Nursing Memorial University St. John's NL CanadaDivision of Community Health and Humanities Memorial University St. John's NL CanadaDepartment of Health Government of Newfoundland and Labrador St. John's NL CanadaFaculty of Nursing Memorial University St. John's NL CanadaAbstract Aim This study explores the contributions of family practice nurses in primary care across Newfoundland and Labrador funded by fee‐for‐service and alternate payment plans to examine the influence of funding arrangements on nursing roles/activities. Design A qualitative descriptive design was employed. Methods Semi‐structured telephone interviews were conducted between March‐July 2018 with physicians and Registered Nurses working in primary care settings in Newfoundland and Labrador. Interviews were transcribed verbatim, and a content analysis approach was used to identify recurring themes. Results Clinic funding was instrumental in the integration of family practice nurses into primary care settings and influenced roles/activities. In fee‐for‐service practices, nurses work with physicians and focus on one‐on‐one patient care in office‐based settings, whereas nurses in alternate payment plans practices work more independently, in a wider range of settings and with emphasis on both individual and group‐based encounters. Compared with alternate payment plans practices, fee‐for‐service practices tend to be more restrictive due to physician billing requirements.https://doi.org/10.1002/nop2.477family practicefee‐for‐servicefundingprimary carequalitative researchregistered nurse |
| spellingShingle | Maria Mathews Dana Ryan Richard Buote Sandra Parsons Julia Lukewich A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador Nursing Open family practice fee‐for‐service funding primary care qualitative research registered nurse |
| title | A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador |
| title_full | A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador |
| title_fullStr | A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador |
| title_full_unstemmed | A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador |
| title_short | A qualitative study exploring the influence of clinic funding on the integration of family practice nurses in Newfoundland and Labrador |
| title_sort | qualitative study exploring the influence of clinic funding on the integration of family practice nurses in newfoundland and labrador |
| topic | family practice fee‐for‐service funding primary care qualitative research registered nurse |
| url | https://doi.org/10.1002/nop2.477 |
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