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

Catherine HUNGERFORD, Brenton PROSSER, Rachel DAVEY, Shannon CLARK

    Research output: Contribution to journalArticle

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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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    nomad
    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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    HUNGERFORD, Catherine ; PROSSER, Brenton ; DAVEY, Rachel ; CLARK, Shannon. / The Australian 'grey nomad' and aged care nurse practitioner models of practice: A case study analysis. In: Rural and Remote Health. 2016 ; Vol. 16, No. 2. pp. 1-17.
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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.",
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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: A case study analysis

    AU - HUNGERFORD, Catherine

    AU - PROSSER, Brenton

    AU - DAVEY, Rachel

    AU - CLARK, Shannon

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    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.

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    KW - Grey nomad

    KW - Health services for the aged

    KW - Nurse practitioner

    KW - Nursing model

    KW - Primary health care

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    JO - Rural and Remote Health

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    SN - 1445-6354

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    ER -