Dataset Information

Attending to power differentials: How NP-led group medical visits can influence the management of chronic conditions.

ABSTRACT:

Objective

In Canada, primary care reform has encouraged innovations, including nurse practitioners (NPs) and group medical visits (GMVs). NP-led GMVs provide an opportunity to examine barriers and enablers to implementing this innovation in primary care.

Design

An instrumental case study design (n=3): two cases where NPs were using GMVs and one case where NPs were not using GMVs, was completed. In-depth interviews with patients and providers (N=24) and 10 hours of direct observation were completed. Interpretive descriptive methods were used to analyse data.

Results/findings

Two main themes were identified: (i) acquisition of knowledge and (ii) GMVs help shift relationships between patients and health-care providers. Participants discussed how patients and providers learn from one another to facilitate self-management of chronic conditions. They also discussed how the GMV shifts inherent power differentials between providers and between patients and providers.

Discussion

NP-led GMVs are a method of care delivery that harness NPs' professional agency through increased leadership and interprofessional collaboration. GMVs also facilitate an environment that is patient-centred and interprofessional, providing patients with increased confidence to manage their chronic conditions. The GMV provides the opportunity to meet both team-based and patient-centred health-care objectives and may disrupt inherent power differentials that exist in primary care.

SUBMITTER: Housden L

PROVIDER: S-EPMC5600247 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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Publications

Attending to power differentials: How NP-led group medical visits can influence the management of chronic conditions.

Housden Laura L Browne Annette J AJ Wong Sabrina T ST Dawes Martin M

Health expectations : an international journal of public participation in health care and health policy 20170110 5

<h4>Objective</h4>In Canada, primary care reform has encouraged innovations, including nurse practitioners (NPs) and group medical visits (GMVs). NP-led GMVs provide an opportunity to examine barriers and enablers to implementing this innovation in primary care.<h4>Design</h4>An instrumental case study design (n=3): two cases where NPs were using GMVs and one case where NPs were not using GMVs, was completed. In-depth interviews with patients and providers (N=24) and 10 hours of direct observati ...[more]

PMID: 28071841

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Dataset Information

Attending to power differentials: How NP-led group medical visits can influence the management of chronic conditions.

Objective

Design

Results/findings

Discussion

Publications

Attending to power differentials: How NP-led group medical visits can influence the management of chronic conditions.

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