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Successfully developing advanced practitioner roles: policy and practice mechanisms

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journal contribution
posted on 20.07.2021, 21:30 by Tara OfficerTara Officer, Jacqueline Cumming, Karen McBride-HenryKaren McBride-Henry
Purpose: The purpose of this paper is to lay out how advanced practitioner development occurs in New Zealand primary health care settings. The paper specifically focuses on mechanisms occurring across policy creation and in practice leading to successful role development. Design/methodology/approach: The authors applied a realist approach involving interviews, document review and field log observations to create refined theories explaining how successful development occurs. Findings: Three final mechanisms were found to influence successful advanced practitioner role development: engagement in planning and integrating roles; establishing opportunities as part of a well-defined career pathway; and championing role uptake and work to full scopes of practice. Research limitations/implications: This research focuses on one snapshot in time only; it illustrates the importance of actively managing health workforce change. Future investigations should involve the continued and systematic evaluation of advanced practitioner development. Practical implications: The successful development of advanced practitioner roles in a complex system necessitates recognising how to trigger mechanisms occurring at times well beyond their introduction. Social implications: Potential candidates for new roles should expect roadblocks in their development journey. Successfully situating these roles into practice through having a sustainable and stable workforce supply provides patients with access to a wider range of services. Originality/value: This is the first time a realist evaluation has been undertaken, in New Zealand, of similar programmes operating across multiple sites. The paper brings insights into the process of developing new health programmes within an already established system.

History

Preferred citation

Officer, T., Cumming, J. & McBride-Henry, K. (2019). Successfully developing advanced practitioner roles: policy and practice mechanisms. Journal of Health Organization and Management, 33(1), 63-77. https://doi.org/10.1108/JHOM-02-2018-0064

Journal title

Journal of Health Organization and Management

Volume

33

Issue

1

Publication date

12/03/2019

Pagination

63-77

Publisher

Emerald

Publication status

Published

ISSN

1477-7266

eISSN

1758-7247

Language

en