The Australian 'grey nomad' and aged care nurse practitioner models of practice: A case study analysis

Catherine Hungerford, Brenton Prosser, Rachel Davey, Shannon Clark

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Abstract

Introduction: The Nurse Practitioner - Aged Care Models of Practice Initiative supported the roll-out of a range of nurse practitioner (NP) models of practice, across Australia. One of these models was a community-based clinic-located practice, situated in a remote tourist destination where there is no resident general practitioner. Services were delivered by a NP to the local population as well as the many seasonal tourists passing through the region. These seasonal tourists included a growing number of older people, many of whom had chronic health conditions such as hypertension, diabetes and cardiac disease. METHODS:A case study approach was taken to test and develop connections between the theory of nursing models and the practice of the NP. This approach enabled the development of a detailed explanation of the community-based, clinic-located NP model, including the model's associated enablers and challenges. The case study approach also supported further theoretical development of nursing models more generally. Results: Enablers of the NP model were the sponsoring not-for-profit organisation, which provided pre-existing structures for clinical governance and general management, as well as funding; and the collaborative agreements negotiated at a systems level between the NP, other health professionals, and a variety of service providers. Challenges to the model included the organisation's limited capacity to back-fill the NP for leave and professional development entitlements obtaining recurrent funding to sustain the model. Also identified was the need for the organisation to more clearly explain the NP role to consumers of the services being delivered. Theoretically, analysis led to the inclusion of an additional component of the nursing model: influence of context. This component is important because it highlights the way in which nursing models of practice are affected by local conditions. Conclusions: The community-based, clinic-located NP model of practice described in this article provides a rigorous exemplar for other organisations providing similar services in remote, rural or other suitable locations.
Original languageEnglish
Pages (from-to)1-17
Number of pages17
JournalRural and Remote Health
Volume16
Issue number2
Publication statusPublished - 2016

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Nurse Practitioners
nurse
Nursing Models
Organizations
nursing
tourist
Clinical Governance
Nurse's Role
funding
Health
community
sponsoring
General Practitioners
Heart Diseases
local population
hypertension
general practitioner
health professionals
service provider

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title = "The Australian 'grey nomad' and aged care nurse practitioner models of practice: A case study analysis",
abstract = "Introduction: The Nurse Practitioner - Aged Care Models of Practice Initiative supported the roll-out of a range of nurse practitioner (NP) models of practice, across Australia. One of these models was a community-based clinic-located practice, situated in a remote tourist destination where there is no resident general practitioner. Services were delivered by a NP to the local population as well as the many seasonal tourists passing through the region. These seasonal tourists included a growing number of older people, many of whom had chronic health conditions such as hypertension, diabetes and cardiac disease. METHODS:A case study approach was taken to test and develop connections between the theory of nursing models and the practice of the NP. This approach enabled the development of a detailed explanation of the community-based, clinic-located NP model, including the model's associated enablers and challenges. The case study approach also supported further theoretical development of nursing models more generally. Results: Enablers of the NP model were the sponsoring not-for-profit organisation, which provided pre-existing structures for clinical governance and general management, as well as funding; and the collaborative agreements negotiated at a systems level between the NP, other health professionals, and a variety of service providers. Challenges to the model included the organisation's limited capacity to back-fill the NP for leave and professional development entitlements obtaining recurrent funding to sustain the model. Also identified was the need for the organisation to more clearly explain the NP role to consumers of the services being delivered. Theoretically, analysis led to the inclusion of an additional component of the nursing model: influence of context. This component is important because it highlights the way in which nursing models of practice are affected by local conditions. Conclusions: The community-based, clinic-located NP model of practice described in this article provides a rigorous exemplar for other organisations providing similar services in remote, rural or other suitable locations.",
keywords = "Australia/Pacific Evidence-based Care, Health Service reform, Nursing, Primary Health Care, Procedures, Sociology",
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The Australian 'grey nomad' and aged care nurse practitioner models of practice : A case study analysis. / Hungerford, Catherine; Prosser, Brenton; Davey, Rachel; Clark, Shannon.

In: Rural and Remote Health, Vol. 16, No. 2, 2016, p. 1-17.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The Australian 'grey nomad' and aged care nurse practitioner models of practice

T2 - A case study analysis

AU - Hungerford, Catherine

AU - Prosser, Brenton

AU - Davey, Rachel

AU - Clark, Shannon

N1 - Includes bibliographical references.

PY - 2016

Y1 - 2016

N2 - Introduction: The Nurse Practitioner - Aged Care Models of Practice Initiative supported the roll-out of a range of nurse practitioner (NP) models of practice, across Australia. One of these models was a community-based clinic-located practice, situated in a remote tourist destination where there is no resident general practitioner. Services were delivered by a NP to the local population as well as the many seasonal tourists passing through the region. These seasonal tourists included a growing number of older people, many of whom had chronic health conditions such as hypertension, diabetes and cardiac disease. METHODS:A case study approach was taken to test and develop connections between the theory of nursing models and the practice of the NP. This approach enabled the development of a detailed explanation of the community-based, clinic-located NP model, including the model's associated enablers and challenges. The case study approach also supported further theoretical development of nursing models more generally. Results: Enablers of the NP model were the sponsoring not-for-profit organisation, which provided pre-existing structures for clinical governance and general management, as well as funding; and the collaborative agreements negotiated at a systems level between the NP, other health professionals, and a variety of service providers. Challenges to the model included the organisation's limited capacity to back-fill the NP for leave and professional development entitlements obtaining recurrent funding to sustain the model. Also identified was the need for the organisation to more clearly explain the NP role to consumers of the services being delivered. Theoretically, analysis led to the inclusion of an additional component of the nursing model: influence of context. This component is important because it highlights the way in which nursing models of practice are affected by local conditions. Conclusions: The community-based, clinic-located NP model of practice described in this article provides a rigorous exemplar for other organisations providing similar services in remote, rural or other suitable locations.

AB - Introduction: The Nurse Practitioner - Aged Care Models of Practice Initiative supported the roll-out of a range of nurse practitioner (NP) models of practice, across Australia. One of these models was a community-based clinic-located practice, situated in a remote tourist destination where there is no resident general practitioner. Services were delivered by a NP to the local population as well as the many seasonal tourists passing through the region. These seasonal tourists included a growing number of older people, many of whom had chronic health conditions such as hypertension, diabetes and cardiac disease. METHODS:A case study approach was taken to test and develop connections between the theory of nursing models and the practice of the NP. This approach enabled the development of a detailed explanation of the community-based, clinic-located NP model, including the model's associated enablers and challenges. The case study approach also supported further theoretical development of nursing models more generally. Results: Enablers of the NP model were the sponsoring not-for-profit organisation, which provided pre-existing structures for clinical governance and general management, as well as funding; and the collaborative agreements negotiated at a systems level between the NP, other health professionals, and a variety of service providers. Challenges to the model included the organisation's limited capacity to back-fill the NP for leave and professional development entitlements obtaining recurrent funding to sustain the model. Also identified was the need for the organisation to more clearly explain the NP role to consumers of the services being delivered. Theoretically, analysis led to the inclusion of an additional component of the nursing model: influence of context. This component is important because it highlights the way in which nursing models of practice are affected by local conditions. Conclusions: The community-based, clinic-located NP model of practice described in this article provides a rigorous exemplar for other organisations providing similar services in remote, rural or other suitable locations.

KW - Australia/Pacific Evidence-based Care

KW - Health Service reform

KW - Nursing

KW - Primary Health Care

KW - Procedures

KW - Sociology

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VL - 16

SP - 1

EP - 17

JO - Rural and Remote Health

JF - Rural and Remote Health

SN - 1445-6354

IS - 2

ER -