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Reasons for choosing or refusing care from a Nurse Practitioner: Results from a national population‐based survey
Journal article   Peer reviewed

Reasons for choosing or refusing care from a Nurse Practitioner: Results from a national population‐based survey

Alison Craswell and Trudy Dwyer
Journal of Advanced Nursing, Vol.75(12), pp.3668-3676
2019
DOI: https://doi.org/10.1111/jan.14176
url
https://doi.org/10.1111/jan.14176View
Published Version

Abstract

nurse practitioner advance practice nurses public attitudes consumer voice consumer satisfaction
Aim: To understand the public's willingness or lack thereof, to be seen and treated by a nurse practitioner as the first point of contact when accessing healthcare services. Design: This cross-sectional, population-based survey study used Computer Assisted Telephone Interviewing to elicit public opinions on the topic. Methods: Data were collected July and August 2015 from calls randomly placed to Australian households. Survey questions were developed from previous surveys and pilot tested. Summative content analysis was used to analyse open-ended responses. Results: Most respondents were always or in some situations willing to received care from a nurse practitioner. The main themes identified from those willing to be seen by a nurse practitioner in any situation were, a) appropriately qualified nurse practitioners, b) the knowledge and experience to refer on if necessary. Situations from those unwilling related to concern regarding appropriate care in a life-threatening situation. Conclusion: Respondents unwilling to consider any care from a nurse practitioner or in an emergency situation, reveal a lack of understanding of their role within the wider healthcare team. As the number of nurse practitioners increase, professional groups and community awareness programs should be focused on explaining and promoting their essential role. Impact: This study addresses the increasing healthcare requirements of ageing populations through understanding acceptance by society to the provision of care from health professionals other than medical practitioners. Most respondents were willing to be seen by a nurse practitioner for all or most of their healthcare needs. Lack of understanding of their scope of practice and role in the wider healthcare team particularly in emergency situations was reflected in responses. Those who would refuse care from a NP were in the minority. Appropriateness and acceptability of the roles of health professionals to provide quality care collaboration need consideration by policy makers.

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Nursing

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