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Swedish stakeholders' views of the preparatory workneeded before introducing the nurse practitioner role inmunicipal healthcare–A focus group study
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Municipal Healthcare in Hässleholm, Management of Care and Welfare, Malmö.ORCID iD: 0000-0002-4714-4752
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0003-0077-9061
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Malmö University, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).ORCID iD: 0000-0002-3594-3944
2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: The nurse practitioner role has become important globally in handlingthe growing healthcare needs of older adults with chronic diseases. Nevertheless,research shows that introducing the role is a complex process, and more studies areneeded to prepare for its introduction into different healthcare contexts, such as municipalhealthcare.Aim: The aim is to investigate what Swedish stakeholders identify as the preparatorywork needed before introducing the nurse practitioner role into municipalhealthcare.Methods: Data were collected through four focus group interviews conducted virtuallyon the TEAMS digital platform, with three to six participants in each groupand 18 participants total. The transcribed interviews were analysed using a six-stepthematic approach: familiarisation with the data, coding the data, generating initialthemes, reviewing themes, defining and naming the themes and producing thereport.Findings: The findings are divided into two main themes, each with two sub-themes.In the first, clarifying why the nurse practitioner role is needed, participants stressedthe importance of having a clear intention for introducing the role. The second, ensurea national framework to bolster the introduction at the local level, demonstratesthe need for collaboration among national actors to clarify the role's mandate andauthority before its introduction.Conclusions: Adding the nurse practitioner role to municipal healthcare can helpincrease the supply of nursing competence and the quality of patient care, but preparationfor introducing the role requires extensive work. The development of thenurse practitioner role requires decision-makers and leaders to take primary responsibilityfor its introduction. This study can support countries in the early phase ofdeveloping the nurse practitioner role by identifying both best practices and pitfalls.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2023.
National Category
Nursing
Research subject
Care science
Identifiers
URN: urn:nbn:se:mau:diva-63798DOI: 10.1111/scs.13224ISI: 001109244400001PubMedID: 37984433Scopus ID: 2-s2.0-85177455643OAI: oai:DiVA.org:mau-63798DiVA, id: diva2:1813627
Available from: 2023-11-21 Created: 2023-11-21 Last updated: 2023-12-27Bibliographically approved

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Ljungbeck, BirgittaCarlson, ElisabethSjögren Forss, Katarina

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Ljungbeck, BirgittaCarlson, ElisabethSjögren Forss, Katarina
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