Abstract

Purpose: The purpose of this study was to describe influential factors in the introduction of expanded nursing roles to existing health-care systems for improving access to care in health workforce shortage areas globally.

Methods: Comparative analysis of several studies and commentaries was made to summarize critical factors impacting the introduction of nurse practitioners, or nurses with expanded roles, into existing health-care systems globally.

Results: Key contributory elements for consideration in the introduction of new health-care models to existing health-care systems include: 1) population health needs; 2) readiness of the profession; 3) innovation; 4) roles; 5) education/expertise; 6) environment 7) policies related to practice; 8)workforce; 9) collaboration; and 10) discovery of evidence and its dissemination.

Conclusion: Disparities in health persist worldwide. One contributing factor to these inequities is insufficient access to care. The literature supports that advanced practice nurses (APNs) make a vital contribution to expanding access to care for vulnerable populations. In an attempt to improve access to care and health outcomes globally, a sensitive and systematic process for introduction of an expanded nursing role into existing health-care systems must be established. Development of a theoretical framework to guide the process of introducing new sustainable health-care services reform must begin with further investigation of the influential factors in the process, such as those identified in this study.

Author Details

Sonenberg, Andrea, DNSc, WHNP, CNM

Sigma Membership

Zeta Omega at-Large

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Access to Care, Advanced Practice Nurses, Health Services Reform

Conference Name

23rd International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Brisbane, Australia

Conference Year

2012

Rights Holder

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Acquisition

Proxy-submission

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Contributory elements in the introduction of new health care delivery models to health care systems globally

Brisbane, Australia

Purpose: The purpose of this study was to describe influential factors in the introduction of expanded nursing roles to existing health-care systems for improving access to care in health workforce shortage areas globally.

Methods: Comparative analysis of several studies and commentaries was made to summarize critical factors impacting the introduction of nurse practitioners, or nurses with expanded roles, into existing health-care systems globally.

Results: Key contributory elements for consideration in the introduction of new health-care models to existing health-care systems include: 1) population health needs; 2) readiness of the profession; 3) innovation; 4) roles; 5) education/expertise; 6) environment 7) policies related to practice; 8)workforce; 9) collaboration; and 10) discovery of evidence and its dissemination.

Conclusion: Disparities in health persist worldwide. One contributing factor to these inequities is insufficient access to care. The literature supports that advanced practice nurses (APNs) make a vital contribution to expanding access to care for vulnerable populations. In an attempt to improve access to care and health outcomes globally, a sensitive and systematic process for introduction of an expanded nursing role into existing health-care systems must be established. Development of a theoretical framework to guide the process of introducing new sustainable health-care services reform must begin with further investigation of the influential factors in the process, such as those identified in this study.