Author:
Hakimjavadi Ramtin,Levi Cheryl,LeBlanc Kimberly,Guglani Sheena,Helmer-Smith Mary,Joschko Justin,Karunananthan Sathya,Keely Erin,Liddy Clare
Abstract
Older adults face several challenges when accessing specialist care. Advanced practice nurses (APNs) can perform an important role in primary care for older adults, particularly when bolstered with digital tools. In the current study, we conducted a multiple case study of electronic consultations (eConsults) involving APNs to assess how these practitioners use the service to improve access to care. All eConsults submitted by or to an APN in 2019 on behalf of patients aged ≥65 years were reviewed to identify examples from six settings representative of the range of advanced nursing practices. For each setting, a final case was chosen using an iterative process and stratified by specialty and type of advice. Included cases were assessed using a conceptual framework for health care access. Selected cases illustrate how APNs can be effective users of eConsults in a diversity of health care settings. The framework allowed for an in-depth study of access over the range of interactions that take place among patients, caregivers, providers, and the health care system. [
Journal of Gerontological Nursing, 48
(4), 33–40.]
Subject
Gerontology,General Nursing
Reference32 articles.
1. What is the impact of advanced primary care nursing roles on patients, nurses and their colleagues? A literature review
2. Bryant-Lukosius, D., & Martin-Misener, R. (2015). Advanced practice nursing: An essential component of country level human resources for health. https://www.who.int/workforcealliance/knowledge/resources/ICN_PolicyBrief6AdvancedPracticeNursing.pdf
3. Canadian Nurses Association. (2019). Advanced practice nursing: A pan-Canadian framework.
4. Patient, Physician, and Community Factors Affecting Referrals to Specialists in Ontario, Canada
5. International practice settings, interventions and outcomes of nurse practitioners in geriatric care: A scoping review
Cited by
10 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献