Attending to power differentials: How NP-led group medical visits can influence the management of chronic conditions.

ABSTRACT:

Objective

In Canada, primary care reform has encouraged innovations, including nurse practitioners (NPs) and group medical visits (GMVs). NP-led GMVs provide an opportunity to examine barriers and enablers to implementing this innovation in primary care.

Design

An instrumental case study design (n=3): two cases where NPs were using GMVs and one case where NPs were not using GMVs, was completed. In-depth interviews with patients and providers (N=24) and 10 hours of direct observation were completed. Interpretive descriptive methods were used to analyse data.

Results/findings

Two main themes were identified: (i) acquisition of knowledge and (ii) GMVs help shift relationships between patients and health-care providers. Participants discussed how patients and providers le

SUBMITTER: Housden L 

PROVIDER: S-EPMC5600247 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature