title: Implementing advanced nurse practitioner roles in acute care: an evaluation of organizational change.
abstract: Medical shortages are seen as the driving force behind the recent implementation of the advanced nurse practitioner (ANP) role in some Canadian hospitals. The authors analyzed the implementation of the ANP role in one tertiary care teaching hospital from the organizational change perspective. Despite successful implementation, issues of role definition, scope of practice boundaries, and staff reactions remain unresolved. Recommendations are discussed for implementing ANP roles in other acute care facilities.
authors.affiliation: Faculty of Nursing, University of Alberta, Edmonton, Canada. gretac@ualberta.ca
authors.forename: Greta G
authors.initials: GG
authors.lastname: Cummings
authors.forename: Kim
authors.initials: K
authors.lastname: Fraser
authors.forename: Denise S
authors.initials: DS
authors.lastname: Tarlier
mesh_terms: D000208:Acute Disease / Q000451:nursing*; D000416:Alberta; D006784:Hospitals, Teaching; D006801:Humans; D016294:Models, Nursing; D020380:Needs Assessment; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D009738:Nursing Service, Hospital / Q000458:organization & administration*; D015279:Organizational Culture; D009936:Organizational Innovation; D011361:Professional Competence / Q000592:standards; D016730:Program Development / Q000379:methods; D015397:Program Evaluation; D011795:Surveys and Questionnaires