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Time use of advanced practice nurses in hospitals : A cross-sectional study
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- Goemaes, Régine (author)
- Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium
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- Lernout, Emma (author)
- Department of Public Health and Primary Care, Alumni Master of Science in Nursing and Midwifery, Ghent University, Ghent, Belgium
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- Goossens, Sophie (author)
- Department of Public Health and Primary Care, Alumni Master of Science in Nursing and Midwifery, Ghent University, Ghent, Belgium
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- (creator_code:org_t)
- 2019-10-14
- 2019
- English.
- In: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; 75:12, s. 3588-3601
- Journal article (peer-reviewed)
Abstract
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- AIMS: To examine the use of time by advanced practice nurses and time use differences according to type of healthcare organization, work experience, and supervisor.DESIGN: A cross-sectional, observational study.METHODS: Non-participant observations were executed in Belgium (October 2015-January 2016). Time use was categorized in domains (patient/family, team, healthcare organization) and roles (clinical expert, educator/coach, change agent/innovator, researcher, leader, collaborator, and ethical decision-making facilitator). Proportional working time in domains and roles was calculated. Chi-squared tests identified differences in time use according to type of healthcare organization, number of years of work experience, and type of hierarchical/functional supervisor.RESULTS: Participants mainly devoted time to the patient/family domain (30.78%) and the clinical expert role (34.19%). The role of leader and ethical decision-making facilitator covered, respectively, 4.84% and 0.07% of participants' time. Time distribution in domains and roles differed between participants in university and peripheral hospitals.CONCLUSION: Activities were executed in all domains and roles, except for the ethical decision-making facilitator role. Further research could uncover barriers and facilitators for role execution, especially about leadership and ethical decision-making.IMPACT: Advanced practice nurses, supervisors and policymakers could act to optimize advanced practice nurses' scope of practice.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- advanced practice nursing
- clinical nurse specialists
- hospital setting
- nurse practitioners
- observational study
- time and motion studies
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Goemaes, Régine
- Lernout, Emma
- Goossens, Sophie
- Decoene, Elsie
- Verhaeghe, Sofie
- Beeckman, Dimitr ...
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- Van Hecke, Ann
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
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- Örebro University
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