Kirkman_Wilkinson_Scahill-NPs as social entrepreneurs.pdf (1.26 MB)
Thinking about health care differently: nurse practitioners in primary health care as social entrepreneurs
journal contributionposted on 2023-02-22, 22:49 authored by Amber Kirkman, Jillian WilkinsonJillian Wilkinson, Shane Scahill
ABSTRACT INTRODUCTIONChallenges facing the primary health-care sector mean that policymakers and clinicians need to think and act differently to move forward. The principles of social entrepreneurship have been implemented successfully for improved health outcomes in other developed nations. There is a knowledge gap around whether nurse practitioners (NPs) in New Zealand primary health care (PHC) align with these principles. AIMTo explore whether and how the innovative activities of primary care NPs can be described as socially entrepreneurial. METHODSA descriptive qualitative approach was used with data collected using semi-structured interviews with NPs working in primary care (n = 7). Data were analysed using general inductive thematic analysis techniques. RESULTSNurse practitioners interviewed worked in government-subsidised private general practice businesses. Two main themes emerged: (1) the nursing model of care aligned with social entrepreneurship; and (2) building social capital. NPs described a desire to see health care delivered differently and this aligned with acting as a social entrepreneur. Social capital emerged through the requirement to establish significant collaborative relationships. DISCUSSIONIt was found that NPs’ work can be described as socially entrepreneurial. The holistic, person and community-centred model of NP care has an ultimate mission of improved health outcomes. Social capital is built through collaborative relationships with other health-care providers, individual service users and the community. However, the juxtaposition of the business model in primary care prevents NPs from initiating and leading sustainable change.
Preferred citationKirkman, A., Wilkinson, J. & Scahill, S. (2018). Thinking about health care differently: nurse practitioners in primary health care as social entrepreneurs. Journal of Primary Health Care, 10(4), 331-331. https://doi.org/10.1071/hc18053
Journal titleJournal of Primary Health Care
Online publication date2018-12-19
Nurse practitionersocial entrepreneurinnovationprimary health caresustainablehealth care deliveryEntrepreneurshipHumansInterviews as TopicModels, NursingNew ZealandNurse PractitionersNurse's RolePrimary Health CareSocial CapitalClinical ResearchBehavioral and Social ScienceHealth Services8.1 Organisation and delivery of services8 Health and social care services research3 Good Health and Well Being11 Sustainable Cities and CommunitiesPublic Health and Health Services not elsewhere classifiedNursing not elsewhere classified