Paper
Thursday, July 22, 2004
A Collaborative Practice Model for Long-Term Care: Development and Testing
Faith C. Donald, BSN, MS, School of Nursing, School of Nursing, Ryerson University, Toronto, ON, Canada
| Learning Objective #1: Describe the steps in the development of a preliminary collaborative practice model |
| Learning Objective #2: Discuss strategies for testing a preliminary collaborative practice model to further develop the model |
This presentation will focus on the development of a preliminary collaborative practice model and testing of the model for refinement. Background: There is a shortage of physicians (MDs) to provide primary health care in long-term care facilities (LTCFs) in Canada. Twenty Primary Health Care Nurse Practitioners (NPs) have been funded to provide primary health care to residents in LTCFs. NPs in these facilities have been involved in a variety of formal and informal NP-MD collaborative relationships, some of which have been more successful than others. A comprehensive understanding of collaboration and collaborative practice is needed to inform NP practice for working with physicians in LTCFs. Model Development: Nursing and medical collaborative literature was reviewed to: 1) define collaboration and collaborative practice in general (excluding teamwork and partnership literature); 2) identify components of collaborative practice; 3) develop a preliminary NP-MD collaborative practice model or framework for LTCFs; 4) relate identified facilitators and barriers from the literature (at the individual, local, and governmental levels) to the model for LTCFs (see obj. 3); and 5) make recommendations for dyad practice of NPs and MDs in LTCFs (at the individual, local, and governmental levels). Model Testing: An embedded case study, mixed methods design is used to investigate the research objectives. Six strategies are being utilized: 1) individual interviews; 2) focus groups; 3) field notes; 4) observations; 5) surveys; and 6) document analysis. Specific Research Objectives: 1) To examine current models of MD-NP collaborative service delivery in long-term care facilities (LTCFs); 2) To identify the facilitators and barriers to MD-NP collaborative service delivery in LTCFs; 3) To identify which collaborative models most readily support integration of NPs in LTCFs; 4) To identify essential elements of MD-NP collaborative service delivery models in LTCFs; 5) To compare the findings with the preliminary collaborative practice model for LTCFs.
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Sigma Theta Tau International
July 22-24, 2004