title: Role clarification processes for better integration of nurse practitioners into primary healthcare teams: a multiple-case study.
abstract: 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.
authors.affiliation: Faculty of Nursing, University of Montreal, P.O. Box 6128, Centre-Ville Station, Montreal, QC, Canada H3C 3J7.
authors.forename: Isabelle
authors.identifier: 0000-0002-7041-1820
authors.initials: I
authors.lastname: Brault
authors.affiliation: Faculty of Nursing, University of Montreal, P.O. Box 6128, Centre-Ville Station, Montreal, QC, Canada H3C 3J7.
authors.forename: Kelley
authors.identifier: 0000-0003-2137-6560
authors.initials: K
authors.lastname: Kilpatrick
authors.affiliation: Faculty of Nursing, University of Montreal, P.O. Box 6128, Centre-Ville Station, Montreal, QC, Canada H3C 3J7.
authors.forename: Danielle
authors.initials: D
authors.lastname: D'Amour
authors.affiliation: Faculty of Nursing, University of Montreal, P.O. Box 6128, Centre-Ville Station, Montreal, QC, Canada H3C 3J7.
authors.forename: Damien
authors.initials: D
authors.lastname: Contandriopoulos
authors.affiliation: Faculty of Nursing, University of Montreal, P.O. Box 6128, Centre-Ville Station, Montreal, QC, Canada H3C 3J7.
authors.forename: Véronique
authors.initials: V
authors.lastname: Chouinard
authors.affiliation: Faculty of Nursing, University of Montreal, P.O. Box 6128, Centre-Ville Station, Montreal, QC, Canada H3C 3J7.
authors.forename: Carl-Ardy
authors.initials: CA
authors.lastname: Dubois
authors.affiliation: University of Montreal Public Health Research Institute, P.O. Box 6128, Centre-Ville Station, Montreal, QC, Canada H3C 3J7.
authors.forename: Mélanie
authors.identifier: 0000-0003-1849-5913
authors.initials: M
authors.lastname: Perroux
authors.affiliation: Department of Family Medicine and Emergency Medicine, University of Montreal, CRCHUM, Saint-Antoine Tower, 850 St. Denis Street, Room S03-284, Montreal, QC, Canada H2X 0A9.
authors.forename: Marie-Dominique
authors.identifier: 0000-0002-2372-1797
authors.initials: MD
authors.lastname: Beaulieu