title: Examining the nurse practitioner role in long-term care: evaluation of a pilot project in Canada.
abstract: This study examined the nurse practitioner (NP) role in three long-term care facilities in Ontario, Canada, to identify factors that facilitate or impede the implementation of this role. Facility staff were surveyed about their perceptions of the NP role, and the NP assigned to the facilities was interviewed. Findings indicated the NP had a positive impact on practice activities and staff assessment skills. Ratings of effectiveness and satisfaction with the role were high, although they varied by facility and the frequency of staff interaction with the NP. This study indicated NPs can significantly impact the primary care of residents in long-term care facilities. The NP role can be facilitated by clear delineation of the scope of practice, optimal NP to resident ratios, and organizational support.
authors.affiliation: School of Optometry, University of Waterloo, Ontario, Canada.
authors.forename: Paul
authors.initials: P
authors.lastname: Stolee
authors.forename: Loretta M
authors.initials: LM
authors.lastname: Hillier
authors.forename: Jacquelin
authors.initials: J
authors.lastname: Esbaugh
authors.forename: Nancy
authors.initials: N
authors.lastname: Griffiths
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Borrie
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008134:Long-Term Care / Q000458:organization & administration*; D009722:Nurse Practitioners / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D009735:Nursing Homes / Q000458:organization & administration*; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000523:psychology; D009864:Ontario; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration*; D017009:Professional Autonomy; D012944:Social Support; D011795:Surveys and Questionnaires; D016526:Workload