The work of nurse practitioners

Gardner, Glenn, Gardner, Ann, Middleton, Sandy, Della, Phillip, Kain, Victoria and Doubrovsky, Anna (2010) The work of nurse practitioners. Journal of Advanced Nursing, 66 10: 2160-2169. doi:10.1111/j.1365-2648.2010.05379.x

Author Gardner, Glenn
Gardner, Ann
Middleton, Sandy
Della, Phillip
Kain, Victoria
Doubrovsky, Anna
Title The work of nurse practitioners
Journal name Journal of Advanced Nursing   Check publisher's open access policy
ISSN 0309-2402
Publication date 2010-10
Sub-type Article (original research)
DOI 10.1111/j.1365-2648.2010.05379.x
Volume 66
Issue 10
Start page 2160
End page 2169
Total pages 10
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2011
Language eng
Subject C1
920210 Nursing
111002 Clinical Nursing: Primary (Preventative)
111003 Clinical Nursing: Secondary (Acute Care)
111004 Clinical Nursing: Tertiary (Rehabilitative)
Formatted abstract
Aim. This paper is a report of a study of variations in the pattern of nurse practitioner
work in a range of service fields and geographical locations, across direct patient care, indirect patient care and service-related activities.
Background. The nurse practitioner role has been implemented internationally as a
service reform model to improve the access and timeliness of health care. There is a
substantial body of research into the nurse practitioner role and service outcomes,
but scant information on the pattern of nurse practitioner work and how this is influenced by different service models.
Methods. We used work sampling methods. Data were collected between July
2008 and January 2009. Observations were recorded from a random sample of 30
nurse practitioners at 10-minute intervals in 2-hour blocks randomly generated to
cover 2 weeks of work time from a sampling frame of 6 weeks.
Results. A total of 12,189 individual observations were conducted with nurse
practitioners across Australia. Thirty individual activities were identified as describing nurse practitioner work, and these were distributed across three categories. Direct care accounted for 36Æ1% of how nurse practitioners spend their time, indirect care accounted for 32Æ0% and service-related activities made up 31·9%.
Conclusion. These findings provide useful baseline data for evaluation of nurse
practitioner positions and the service effect of these positions. However, the study
also raises questions about the best use of nurse practitioner time and the influences
of barriers to and facilitators of this model of service innovation.
© 2010 The Authors. Journal of Advanced Nursing © 2010 Blackwell Publishing Ltd.
Keyword Activity sampling
Advanced practice nursing
Nurse practitioner
Work observation
Work sampling
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Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Wed, 08 Sep 2010, 10:12:28 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work