We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byHazel Bixby
Modified about 1 year ago
Expanded scope roles in primary health – what makes them work? ABSTRACT INTRODUCTION : The demand for better integration between primary and secondary healthcare frequently leads to discussion about expanded scope of practice for nursing, paramedic and allied health professionals and the role these clinicians could play in facilitating improved access to timely and appropriate healthcare. From a workforce perspective, expanded scope of practice has also been advocated as a mean of fostering workforce retention. Models of expanded scope roles in nursing and paramedicine have been trialled nationally and internationally in both acute and community care settings. Where they have been successful, trials have resulted in reduction in hospital presentation and admission; improved patient timeliness and access to care; and patient satisfaction. This paper will examine the characteristics of successful expanded scope programs. METHODS: Exploratory case-study analysis of successful integration of expanded health care roles. RESULTS & CONCLUSION: One size does not fill all. Successful models of integrated expanded health care roles in primary health care settings are built on stakeholder’s capacity and preference, community need, and political good will. Collaborative, congruent, multi-disciplinary care teams that prioritise patient-centred care within a dynamic primary care setting have merit and are more likely to foster flexibility and sustainability of expanded roles. WHAT THIS STUDY ADDS: W HAT IS ALREADY KNOWN ON THIS SUBJECT : Different perceptions on expanded scope of practice inform current models in nursing, paramedicine and allied health. W HAT DOES THIS STUDY ADD : Although variations exist in the understanding and definition of expanded scope of practice; there are commonalities between successful models of expanded scope of practice. Successful expanded scope of practice roles are responsive to stakeholders’ needs and preferences. Facilitators of successful expanded scope of practice roles include professional autonomy, education and training, and political good will. Jakki Germann 1 ; David Lim 1 ; Leo McNamara 1,2 ; Sonya Osborne 3 ; and Vivienne Tippett 1 1 School of Clinical Sciences, 2 School of Public Health and Social Work, 3 School of Nursing Queensland University of Technology INTRODUCTION Expanded scope of practice was mooted in the National Health and Hospitals Reform Commission reports as a mean of addressing health and medical workforce shortage and maldistribution, improved workforce retention by providing flexible work options and career paths, and the potential to alleviate health disparity between urban and remote Australia. In recent times, Health Workforce Australia has invested significant funds in trialling and evaluating innovative models of expanded scope of practice. See, for example, its Extending the Role of Paramedics program. Evaluation of Health Workforce Australia’s Expanded Scopes of Practice program was not publicly available as the preparation of this poster. Nonetheless, we maintained that lessons can be learnt from existing models of expanded scope of practice to inform future models especially in the pre- hospital setting. Our objective for this study was to compare and contrast different models of expanded scope of pre-hospital practice to ascertain enablers of successful models. METHODS An exploratory case-study analysis was utilised. Four ‘cases’ of pre-hospital expanded scope of practice models were analysed: Canadian Expanded Scope Paramedic; United Kingdom Paramedic Practitioner, Australian (Queensland) Expanded Care Paramedic; and Australian Nurse Practitioner. Case study methodology was employed in the systematic comparison of our cases. This allowed us to generalise within limits what works where (in what practice context) and when (in what temporal context) and in what order. Case study designs is commonly used in health policy research. For this study, our primary sources of data were published literature (2002 to 2014) and interviews with stakeholders. A mixture of content and thematic analyses were utilised to identify themes and sub-themes. The measure of validity included negative case analysis and coherence of the data. ￼ For additional information please contact: David Lim School of Clinical Sciences, Queensland University of Technology Email: firstname.lastname@example.org@qut.edu.au Phone: (07) 3138 3347 Ambulance Corps. CC-BY State Record of NSW. RESULTS & CONCLUSION Expanded scope of practice vary across our four cases (Table 1). The Australian Nurse Practitioner has the widest scope of clinical practice while the Canadian Expanded Scope Paramedic has the least scope of pre-hospital clinical practice. Similarly, there are differences in clinical responsibilities and professional autonomy across the four models. Nonetheless, successful models of expanded scope of pre-hospital practice, regardless of practice context, reflect the stakeholders’ capacity and preference for the non-traditional role. Successful models of expanded scope practice are responsive to stakeholders’ (including community) needs and preferences, build on existing infrastructure and organizational culture and capacity. Successful models of pre-hospital expanded scope of practice are responsive and adaptive to political and environmental changes. Collaborative, congruent, multi-disciplinary care teams that prioritise patient-centred care within a dynamic primary care setting have merit and are more likely to foster flexibility and sustainability in expanded scope roles. © Queensland Ambulance Service. Used with permission. RECOMMENDATION Future research is required to ascertain patient/ client acceptance of expanded scope models, better understanding of the relationship of elements of successful expanded scope models, and how these elements support patient-centred care. REFERENCE 1.Yin, R.K., Case study research: design and methods. 4th ed. 2009, Thousand Oaks, California: SAGE Publications. 2.Miles, M.B. and A.M. Huberman, Qualitative data analysis: an expanded sourcebook. 2nd ed. 1994, California: SAGE Publications. 3.Creswell, J., Qualitative inquiry and research design choosing among five traditions. 1998, Thousand Oaks, CA: SAGE Publications. Table 1. Key elements of expanded scope models of practice
Better integration of health services and redefinition of health workforce roles through expanding and extending traditional scope of clinical practice.
Health and Social Care Reform in Greater Manchester Developing a commissioning strategy for Primary Care Rob Bellingham — Director of Commissioning (Greater.
Rethinking workforce boundaries: roles, responsibilities and skill mix and readiness for change in general practice Annie Topping, Idah Nkosana-Nyawata,
Framework for Advanced Nursing, Midwifery and Allied Health Professional Practice in Wales Charlette Middlemiss & Stuart Silcox Associate Directors Workforce,
Models for a cross agency rural Allied Health workforce Richard Cheney, Delys Brady, Graeme Kershaw, Linda Cutler, Jenny Preece.
National Human Resources for Health Observatory HRH Research Forum Dr. Ayat Abuagla.
California Regional Workforce Funders Collaboratives and Innovation: Emerging Lessons from Experience to Date Key Informant Interviews with Funders and.
Successful Contract Training: A Grounded Theory for a Sustainable Business Model presented at the National Council for Workforce Education Conference by.
THE FUTURE HEALTH WORKFORCE: OPTIONS WE DO & DO NOT HAVE Robert Wells.
A case study of reducing avoidable hospitalization due to chronic disease through health promotion in health services and health workforce planning David.
Rural health Concepts and issues. Concepts and definitions There is no single universally applied definition of ‘rural’ –In Australia, the word ‘rural’
PRIMARY HEALTH CARE IN AUSTRALIA: OVERVIEW & FUTURE OPTIONS Robert Wells.
Shaping the future of palliative care leadership: taking the reins Deborah Law Program Manager Workforce Innovation and Reform Health Workforce Australia.
Aim To synthesize the best available evidence on shared decision-making (SDM) resulting in the development of a comprehensive model to be used as a guide.
The School of HEALTH SCIENCES The University Of Birmingham HOW CAN CULTURAL COMPETENCE BE ASSESSED? BY MEL STEWART.
Opportunities for General Practice Liaison Officers (GPLO) in Outpatient Departments Ms Ann Maree Liddy CEO.
Performance Measurement Methodology Dr. Mohammed Alahmed Dr. Mohammed Alahmed 1.
Nurse Practitioners and Physician Assistants as Primary Care Providers in Institutional Settings Written by Peter D. Jacobson, Louise E. Parker, and Ian.
Current Workforce Development Efforts and Issues for Consideration for California's Section 1115 Waiver Renewal November 20, 2014 Sergio Aguilar, Senior.
1 Webinar: Challenges in Clinical Training Ben Wallace, Executive Director, Clinical Training Reform Health Workforce Australia.
IPL from theory into practice: Tips and tricks Debra Humphris Professor of Health Care Development Health Care Innovation Unit University of Southampton.
O Type 2 diabetes has traditionally been managed as a single chronic disease state but it can commonly exist with co-morbidities such as depression. o.
Session 5 Chair: Eva Elliott Health Impact Assessment: Making the Difference.
Interprofessional Education and Practice: Creating Leaders and Opportunities for Clinical Learning MODULE 2 Setting the Scene Setting the Scene Funded.
EPHA Briefing Paper (Part 2): High Level Reflection Process on Patient Mobility in the EU - summary of final recommendations - December 2003 (See also.
Modernising Nursing Careers NMC Pre-registration Nursing Review Lesley Barrowman Workshop 26 th July 2007.
Increasing Pharmacists reporting of adverse medication incidents Being Ready for new risks and Opportunities Prepared by Tim Garrett Northern Sydney Central.
The Health Roundtable Whole of Northern Adelaide Local Health Network (NALHN) Pilot Presenter: Margot Mains Northern Adelaide Local Health Network Innovation.
INDIANA’S HEALTH WORKFORCE: DESCRIPTION, DISTRIBUTION, AND STRATEGIC RECOMMENDATION TO EMPOWERED DECISION MAKING Hannah Maxey, MPH, RDH Connor Norwood,
Research Methodologies Presented by Mechthild Maczewski.
Performance evaluation and management contracts in primary healthcare in Portugal: What lessons have been learned ? Márcia Silveira Ney 1 Luis Velez Lapão.
CIHR CHAIR IN GENDER, WORK & HEALTH HUMAN RESOURCES The need for a pan Canadian Health Human Resource Strategy Dr. Ivy Lynn Bourgeault CIHR Research Chair.
Conferenceboard.ca Aligning, Foreseeing, and Optimizing HTA in Canada 2016 CADTH Symposium April 12, 2016 Dr. Gabriela Prada Director, Health Innovation.
Community and Primary Healthcare Nursing Service Models What’s possible and Lessons Learnt PRIMARY AND COMMUNITY HEALTH NURSING HUI ON 16 APRIL 2015 Anushiya.
1 st Line Physiotherapy AHP Summit 2014 Rob Goodwin, Clinical Lead Physiotherapist, MSK Clinics Team.
September 10, Introductions Steering Committee Members Action Teams Action Plans by teams Group discussion - Comments Networking AGENDA.
Module code: RES503 Date: March 2, 2013 Student ID: Name: Marwa Hamdi El Tanahy Master of Education 1 Creativity, Inquiry, or Accountability? Scientists.
Interprofessional Learning Clinical Placement Toolkit Module: Capacity What type of placement can we offer? “Building and sustaining training in WA”
Measuring health outcomes of engagement in the arts: the Arts Health Strategy for the Australia Council.
W hat makes for successful continuing professional development (CPD)? A case study Denise Stevens CEO, TDC.
بسم الله الرحمن الرحیم. Teamwork Challenges Dr Fatemeh Oskouie Center for Nursing Care Research Iran University of Medical Sciences.
MHN Model of care. Drivers for Change A Failing P ublic P rivate P artnership Exiting generation of business owners Emerging generation with different.
Working Together : Team-based Models of Primary Care Dr Lucio Naccarella, PhD The Australian Health Workforce Institute General Practice Victoria Collaboration:
CALIFORNIA HEALTH WORKFORCE ALLIANCE Presentation by Maya Dunne and Kevin Barnett On behalf of the Fundraising Workgroup.
The Development of the Post Registration Career Framework for Nurses in Wales: Implications for the Advanced Practitioner Dr JEAN WHITE Welsh Assembly.
Enquiring into Entrepreneurial School Leadership Sue Robson.
Information and Communication Technology Research Initiative Supporting the self management of obesity: The role of ICTs University.
The U.S. Health Workforce: A National Perspective Edward Salsberg, MPA Director, National Center for Health Workforce Analysis U.S. Department of Health.
Nursing Care Makes A Difference The Application of Omaha Documentation System on Clients with Mental Illness.
Building evaluation capacity: success factors and approaches in NSW Health NSW Government Evaluation Conference 2015 Andrew Milat PhD, MPH (Hons), BHMS.
© 2017 SlidePlayer.com Inc. All rights reserved.