Implementation of Advanced Practice Nurses for Specific Patient Groups (IPAP)
Implementation of Advanced Practice Nurses for Specific Patient Groups - Scientific Supervision
Problem and Relevance Due to the complexity of caring for individuals with various health conditions and their individual needs, new care models aligned with the current state of scientific knowledge are highly relevant in nursing practice. One such model involves the deployment of Advanced Practice Nurses (APNs), who are educated at master's level and therefore possess an advanced understanding of theories and models, as well as enhanced competencies in patient care. The implementation of APNs has been associated with, among other outcomes, reduced hospital readmission rates, improved patient quality of life, enhanced quality of care and nursing services, and increased job satisfaction among nursing staff.
Objective The objective of the accompanying study is to evaluate structures, processes, and experiences related to the implementation of APN roles at Salzkammergut Hospital Vöcklabruck, part of Oberösterreichische Gesundheitsholding, within the clinical areas of urology and andrology, pulmonology, visceral surgery, and vascular surgery. The aim is to identify facilitating and hindering factors affecting APN implementation. Furthermore, recommendations for the sustainable integration of APNs into clinical practice will be developed.
Design The evaluation is planned as a mixed-methods study using a convergent parallel design.
Methods As part of the accompanying research on APN role implementation, existing structures and processes within the hospital, as well as the perspectives of APNs and members of the intra- and interprofessional healthcare team, will be examined and jointly interpreted within a convergent parallel design. Based on these findings, recommendations for sustainable APN implementation will be derived. Both qualitative data (collected through individual interviews and focus group interviews) and quantitative data (collected through standardized questionnaires and a structure-process assessment tool) will be gathered. Qualitative data will be analyzed using Kuckartz's qualitative content analysis with the support of the software MAXQDA24. Quantitative data from the standardized questionnaires will be analyzed descriptively using SPSS version 30, while data from the structure-process assessment tools will be analyzed using Microsoft Excel.
Přehled studie
Postavení
Typ studie
Zápis (Odhadovaný)
Kontakty a umístění
Studijní místa
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Upper Austria
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Vöcklabruck, Upper Austria, Rakousko, 4840
- Salzkammergut Klinikum Vöcklabruck
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Metoda odběru vzorků
Studijní populace
- Registered Nurses holding a consecutive master's degree (300 ECTS credits), Junior APN
- Senior APN (master's degree holder), responsible for mentoring and supporting the Junior APNs within the hospital setting;
- Members of the intraprofessional team (Registered Nurses and Nursing Assistants); and
- Members of the interprofessional team who collaborate with the APNs in the care of the respective patient populations (physicians, allied health professionals, and therapists).
Popis
Inclusion Criteria:
- Registered Nurses holding a consecutive master's degree (300 ECTS credits), Junior APN
- Senior APN (master's degree holder), responsible for mentoring and supporting the Junior APNs within the hospital setting;
- Members of the intraprofessional team (Registered Nurses and Nursing Assistants); and
- Members of the interprofessional team who collaborate with the APNs in the care of the respective patient populations (physicians, allied health professionals, and therapists).
All employees at Salzkammergut Hospital Vöcklabruck
Exclusion Criteria:
- not an employee at Salzkammergut Hospital Vöcklabruck
Studijní plán
Jak je studie koncipována?
Detaily designu
Kohorty a intervence
Skupina / kohorta |
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APN Implentation
Evaluation of Structures, Processes, and Intra- and Interprofessional Team Experiences in the Context of Advanced Practice Nurse (APN) Role Implementation
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Structure-Process-Matrix
Časové okno: From enrollment to the end lasts 12 month
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developed in-house survey of structures (resources, time allocations) and processes (requirements, consultations) regarding APN implementation
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From enrollment to the end lasts 12 month
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Další výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Cologne Role Development in Advanced Practice Nursing Questionnaire revised
Časové okno: at three timepoints during the implementation phase at the beginning, after 6 months and after 12 months
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Identification of APN's responsibilities and role during the APN implementation process
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at three timepoints during the implementation phase at the beginning, after 6 months and after 12 months
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Questionnaire on the Perception of Advanced Practice Nurses - Practice Patterns and Role Perception
Časové okno: at the end of implementation phase in month 12
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developed in-house survey on collaboration with APNs across 7 subcategories (direct patient care, support for departmental/institutional processes and workflows, research and evidence-based practice, education, publishing and professional leadership, perception of improvements in health care, anticipated expanded APN role in patient care) in 27 items using a 5-point Likert scale (ranging from "to a very high degree" to "not at all") nd four items using a 3-point Likert scale (ranging from "improve" to "no effect") and two open-ended statements.
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at the end of implementation phase in month 12
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Spolupracovníci a vyšetřovatelé
Sponzor
Spolupracovníci
Vyšetřovatelé
- Vrchní vyšetřovatel: Stefanie Berger, MScN, BScN, Paraceslsus Medical Private University
Publikace a užitečné odkazy
Obecné publikace
- Tracy, M. F. & O´Grady, E. (Hrsg.). (2019): Hamric and Hanson´s advanced practice nurs-ing: an integrative approach. (6.Aufl.). St. Louis, Missouri: Elsevier.
- Schober, M., Lehwaldt, D., Rogers, M., Steinke, M., Turale, S., Pulcini, J., Roussel, J., Stewart, D. (2020). Guidelines on advanced practice nursing. Geneva, Switzerland
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Primární dokončení (Odhadovaný)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další identifikační čísla studie
- IPAP
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Popis plánu IPD
Informace o lécích a zařízeních, studijní dokumenty
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