Exploring Perceptions of Collaboration of Critical Access Advanced Practice Registered Nurses

Purpose: The purpose of the study is to understand the relationship between advanced practice registered nurses (APRNs) and physicians practicing in a rural, northwestern state. Earlier studies found the presence of an oversight relationship. This study sought to deepen our understanding of that rel...

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Bibliographic Details
Published inOnline journal of rural nursing and health care Vol. 18; no. 2; pp. 3 - 28
Main Authors Petersen, Polly, Schell, William
Format Journal Article
LanguageEnglish
Published Binghamton Rural Nurse Organization 22.09.2018
Rural Nurse Organisation
Subjects
Collaboration
Medical practices
Medicine
Nurse practitioners
Nurses
Physicians
Practice
Practice nursing
Primary care
Professional relationships
Qualitative research
Registered nurses
Rural health care
Teamwork
United States > US
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Summary:Purpose: The purpose of the study is to understand the relationship between advanced practice registered nurses (APRNs) and physicians practicing in a rural, northwestern state. Earlier studies found the presence of an oversight relationship. This study sought to deepen our understanding of that relationship in order to determine if this oversight limited APRN scope of practice. Sample: The study interviewed eleven APRNs with varied specialties in rural practice settings. Methods: An interview-based qualitative study was conducted with APRNs practicing in Critical Access Hospitals (CAHs). The IRB approved protocol was developed to investigate the influence of the relationship on APRNs' ability to practice to the full scope of care in a state that allows for independent practice. All interviews were transcribed and content analysis was completed using both manual coding and Leximancer software. Findings: While the level of oversight found varied by the speciality of the APRN, the nature of oversight was generally found to be one of support. Any evidence of restriction of APRN scope of practice was limited to early in the APRN's time in their current location or was experienced at least a decade ago. Conclusions: Earlier work found evidence of oversight relationships between APRNs and physicians. These findings raised concerns that this relationship restricted the ability of APRNs to provide their full scope of care to rural populations, contributing to the chronic shortage of providers in these areas. This study illustrated that these concerns are largely unfounded in the current environment in CAH settings in this state. Keywords: APRNs, physician, oversight, relationships, collaboration
ISSN:1539-3399
1539-3399
DOI:10.14574/ojrnhc.v18i2.451