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.
Descripción general del estudio
Estado
Tipo de estudio
Inscripción (Estimado)
Contactos y Ubicaciones
Ubicaciones de estudio
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Upper Austria
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Vöcklabruck, Upper Austria, Austria, 4840
- Salzkammergut Klinikum Vöcklabruck
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Método de muestreo
Población de estudio
- 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).
Descripción
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
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
Cohortes e Intervenciones
Grupo / Cohorte |
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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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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Structure-Process-Matrix
Periodo de tiempo: 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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Otras medidas de resultado
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Cologne Role Development in Advanced Practice Nursing Questionnaire revised
Periodo de tiempo: 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
Periodo de tiempo: 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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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Stefanie Berger, MScN, BScN, Paraceslsus Medical Private University
Publicaciones y enlaces útiles
Publicaciones Generales
- 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
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Otros números de identificación del estudio
- IPAP
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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