The psychiatric-mental health nurse practitioner as coordinating practitioner in the Netherlands: A multiple case study

Author:

Boeijen Enzio R. K.1ORCID,Sitvast Jan E.2,Boonstra Nynke34,Houtjes Wim56,van Meijel Berno78,Laurant Miranda G. H.1,van Vught Anneke J. A. H.1ORCID

Affiliation:

1. School of Health Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands

2. Advanced Nursing Practice Master's Programme, HU University of Applied Sciences, Utrecht, The Netherlands

3. NHL Stenden University of Applied Sciences, Leeuwarden, The Netherlands

4. Department of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands

5. GGZ-VS University of Applied Sciences, Utrecht, The Netherlands

6. Transfore, Center for Forensic Psychiatry, Deventer, The Netherlands

7. Department of Health, Sports & Social Work, Inholland University of Applied Sciences, Amsterdam, The Netherlands

8. Amsterdam Public Health Research Institute, Amsterdam UMC (VUmc), Amsterdam, The Netherlands

Abstract

Background: Psychiatric-mental health nurse practitioners (PMHNPs) in the Netherlands have been allowed to perform the role of coordinating practitioner (CP) since 2018. This role is reserved for mental health care specialists who are trained and qualified at the master's degree level. Earlier studies have not addressed how PMHNPs perform that role and what mechanisms and contextual factors determine their performance. This understanding could help optimize their performance in this role and promote effective deployment of PMHNPs in mental health care. Purpose: To understand how PMHNPs perform this role and what mechanisms and contextual factors underlie that performance. Methodology: A multiple case study involving PMHNPs who work in various settings as CPs. Data were collected and analyzed using the realistic evaluation approach. Results: We identified four mechanisms related to the performance of PMHNPs in the role of CP: (1) autonomous performance; (2) unique expertise; (3) accessibility, availability, and professional involvement; and (4) additional roles. The extent to which these mechanisms are present is largely determined by organizational factors, team factors, and individual factors. Conclusions: Psychiatric-mental health nurse practitioners are seeking to identify and interpret the role of CP. This study helps to elucidate the mechanism of role performance by PMHNPs and what they should focus on to deliver effective and patient-centered mental health care. Implications: Policymakers, health care professionals, and educators should consider the mechanisms and contextual factors to facilitate and support PMHNPs' employment and training in the role of CP.

Funder

Nationaal Regieorgaan Praktijkgericht Onderzoek SIA

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference20 articles.

1. Psychiatric-mental health nurse practitioners in the role of coordinating practitioners: A survey study;Boeijen;International Journal of Nursing and Health Care Research,2021

2. Nurse practitioners leading the way: An exploratory study on the added value of nurse practitioners in outpatient care in The Netherlands;Boeijen;Journal of the American Association of Nurse Practitioners,2020

3. The nurse consultant in mental health services: A national, mixed methods study of an advanced practice role;Brimblecombe;Journal of Psychiatric and Mental Health Nursing,2019

4. Considering boundaries in nursing: What the staff nurse needs to know;Catlin;Advances in Neonatal Care,2013

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