Complex patients and interprofessional relationships: Perceptions of primary care nurse practitioners and primary care physicians

Journal of the American Association of Nurse Practitioners
Barbara DiCicco-Bloom, Regina S Cunningham

Abstract

The literature describing primary care nurse practitioners (PCNPs) and primary care physicians (PCPs) suggests that PCNPs provide care to patients with less complicated diagnoses than their PCP colleagues. However, other literature suggests the contrary. Therefore, the purpose of this qualitative study was to understand how patients are assigned and cared for by primary care clinicians and how these clinicians relate to one another. Additionally we explore how PCNPs relate to physicians outside the practice. Two nurse investigators conducted in-depth qualitative interviews with a nurse practitioner and a family medicine physician leader in each of 10 primary care practices. A content analysis was used to identify major themes. The participating PCNPs and PCPs have highly collaborative relationships. PCNPs often function independently, engage in reciprocal consultations with PCPs, and provide care to highly complex patients. In contrast to their relationships with practice colleagues, PCNP relationships with physicians outside the practice are disruptive. These findings indicate that PCNPs are well positioned to assume responsibility for a diversity of primary care patients, including those with complex diagnoses. To promote the...Continue Reading

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Citations

May 4, 2018·International Journal for Equity in Health·Zhong LiLiang Zhang
Feb 15, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Luisa M PettigrewRachel Posaner
Apr 7, 2020·Journal of Nursing Management·Lori Schirle, Mary S Dietrich
Sep 19, 2019·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Laurence GuillaumieSophie Lauzier
Sep 15, 2020·Medical Care·Taressa K FrazeEllen Meara

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