Please use this identifier to cite or link to this item: https://doi.org/10.1111/jocn.15224
Title: Understanding the role of an advanced practice nurse through the perspectives of patients with cardiovascular disease: A qualitative study
Authors: Woo, Brigitte
Koh, Karen
Zhou, Wentao 
Wei Lim, Toon
Lopez, Violeta 
Tam, Wilson 
Keywords: Science & Technology
Life Sciences & Biomedicine
Nursing
advanced nurse practitioners
advanced nursing
advanced practice
cardiovascular
nurse practitioners
nurse-patient relationship
patients' experiences
qualitative study
work organisation
workforce planning
HEALTH-CARE
SINGAPORE
PRACTITIONERS
PREFERENCE
IMPACT
Issue Date: 3-Mar-2020
Publisher: WILEY
Citation: Woo, Brigitte, Koh, Karen, Zhou, Wentao, Wei Lim, Toon, Lopez, Violeta, Tam, Wilson (2020-03-03). Understanding the role of an advanced practice nurse through the perspectives of patients with cardiovascular disease: A qualitative study. JOURNAL OF CLINICAL NURSING 29 (9-Oct) : 1623-1634. ScholarBank@NUS Repository. https://doi.org/10.1111/jocn.15224
Abstract: Aims and objectives: To explore patients’ understanding of the role of an advanced practice nurse (APN). Background: The increasing prevalence of multimorbidities among people living with cardiovascular disease (CVD) has increased the complexity of their clinical care. Implementing the role of APNs in new models of care has been shown to improve outcomes in the CVD population. However, the CVD population's understanding of and experiences with the APN role have not been examined in Singapore. Methods: An exploratory descriptive qualitative design using semi-structured face-to-face individual interviews was undertaken (November 2017–March 2018). Fourteen participants were purposively sampled from an outpatient clinic in one of Singapore's national heart centres. Thematic analysis was undertaken. The COREQ guidelines were adhered to. Findings: The multi-ethnic sample included ten males and four females. Two main themes were identified: (1) APNs play a complementary role to doctors and (2) the acceptance of the APN role takes time. Each theme was supported by three subthemes to further elucidate the role and acceptance of APNs. Conclusion: A lack of understanding of the role of APNs is present, thereby causing the less than optimal patient acceptance of APNs. As patients with CVD experience improvements to their health through APN-led services, they may gain confidence in APNs’ skills and knowledge. Relevance to clinical practice: When introducing new roles, fully explaining these roles to the target population is pertinent as it will be facilitative to patient engagement and optimisations of care. The findings support the call for APNs to explain the value and essence of advanced practice nursing more effectively. There should be a greater emphasis on teaching APNs to introduce and explain the role of APNs through APN preparatory education and incorporating this practice in APN practice standards, especially in contexts where APN development is premature.
Source Title: JOURNAL OF CLINICAL NURSING
URI: https://scholarbank.nus.edu.sg/handle/10635/219281
ISSN: 09621067
13652702
DOI: 10.1111/jocn.15224
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