Substituting physicians with nurse practitioners, physician assistants or nurses in nursing homes: a realist evaluation case study.

ABSTRACT:

Objectives

This study aimed to gain insight into how substitution of elderly care physicians (ECPs) by nurse practitioners (NPs), physician assistants (PAs) or registered nurses (RNs) in nursing homes is modelled in different contexts and what model in what context contributes to perceived quality of healthcare. Second, this study aimed to provide insight into elements that contribute to an optimal model of substitution of ECPs by NPs, PAs or RNs.

Design

A multiple-case study was conducted that draws on realist evaluation principles.

Setting

Seven nursing homes in the Netherlands PARTICIPANTS: The primary participants were NPs (n=3), PAs (n=2) and RNs (n=2), working in seven different nursing homes and secondary participants were included; ECPs (n=15), medical doctors

SUBMITTER: Lovink MH 

PROVIDER: S-EPMC6538050 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature