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.
Studieoversigt
Status
Undersøgelsestype
Tilmelding (Anslået)
Kontakter og lokationer
Studiesteder
-
-
Upper Austria
-
Vöcklabruck, Upper Austria, Østrig, 4840
- Salzkammergut Klinikum Vöcklabruck
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
- 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).
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
|---|
|
APN Implentation
Evaluation of Structures, Processes, and Intra- and Interprofessional Team Experiences in the Context of Advanced Practice Nurse (APN) Role Implementation
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Structure-Process-Matrix
Tidsramme: From enrollment to the end lasts 12 month
|
developed in-house survey of structures (resources, time allocations) and processes (requirements, consultations) regarding APN implementation
|
From enrollment to the end lasts 12 month
|
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Cologne Role Development in Advanced Practice Nursing Questionnaire revised
Tidsramme: at three timepoints during the implementation phase at the beginning, after 6 months and after 12 months
|
Identification of APN's responsibilities and role during the APN implementation process
|
at three timepoints during the implementation phase at the beginning, after 6 months and after 12 months
|
|
Questionnaire on the Perception of Advanced Practice Nurses - Practice Patterns and Role Perception
Tidsramme: at the end of implementation phase in month 12
|
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.
|
at the end of implementation phase in month 12
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Stefanie Berger, MScN, BScN, Paraceslsus Medical Private University
Publikationer og nyttige links
Generelle publikationer
- 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
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- IPAP
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .