![]() ![]() ![]() ![]() The nurse practitioner (NP) role is an extended scope of practice model with potential to increase the effectiveness of healthcare by addressing service gaps in health workforce capabilities. There is an argument, however, that the shortage is a maldistribution of skills, rather than personnel, raising questions about development of innovative models of care, creating new health care roles and expanded or extended scopes of practice for existing health professions. The shortage of health care practitioners in non-metropolitan areas is a significant concern globally, including in Australia. Support is also important from other members of the interprofessional health care team. To be successful, extended scope of practice roles must be promoted with managers and decision-makers, who may have limited understanding of the clinical importance. Conclusionsįor communities to benefit from extended scope of practice models of health service delivery, energy needs to be directed towards addressing legislative and regulatory barriers. Given a lack of understanding of NP scope of practice, NPs often had to expend effort promoting and advocating for their roles. Role clarity was of considerable importance, along with embedded professional hierarchies and traditional role expectations influencing interactions with individual colleagues. The micro-level relates to day-to-day practice. The meso-level concerned local health service and community factors, such as attitudes and support from managers and patients. At the macro-level were legal, regulatory, and economic barriers and enablers, as well as job availability. Key barriers and enablers at each level of analysis were identified. There was a fairly even distribution of informants across primary, aged, chronic and emergency or critical care roles. Resultsįifteen primary informants and five colleagues were interviewed from various rural and remote locations. Data analysis was guided by a multi-level, socio-institutional lens of macro-, meso- and micro-perspectives. Semi-structured, in-depth interviews were conducted with primary, nurse practitioner informants, who were also invited to nominate up to two colleagues, as secondary informants. This study aimed to explore the experiences and perceptions of NPs and their colleagues about barriers to and enablers of extended scope of practice and consider the relevance of the findings to other health professions. The nurse practitioner (NP) model was introduced to address health service gaps however, its sustainability has been questioned, while other extended scope of practice roles have not progressed in Australia. Grade B Author Jobaire Alam (Author) Year 2013 Pages 6 Catalog Number V413356 ISBN (eBook) 9783668643833 File size 407 KB Language English Keywordsĥ.99 Quote paper Jobaire Alam (Author), 2013, Diversity Management.Shortages of skills needed to deliver optimal health care in rural and remote locations raises questions about using extended scopes of practice or advanced practice models in a range of health professions. Definitions of Macro, Micro and Mezzo Dimensions College University of Stavanger Each particular field is widely and strongly able to influence in practical applications of the diversity management for an organization.ĭetails Title Diversity Management. In the same time it refers to culture and communication, interpersonal cross-cultural relations in the work place. On the other hand, micro/mezzo dimensions refer to individual and group aspects of diversity, theoretical explanations intergroup relations. The conceptual framework and organization which has depicted the definition of macro dimensions is basically consolidation of demographic trends, legislation, public policy and the global economy. ![]()
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