111 4.3.2 Evaluation of NP Practice in LTC

Canadian Nurse Practitioner Initiative:

• Needs-based simulation model for health human resources
• Implementation and Evaluation Toolkit for Nurse Practitioners in Canada
• Applicable to primary care NPs in Canada
• Considers population health needs and services required to support identified needs
• Based on the PEPPA framework, literature review, research, stakeholder consultation and best practices review
• Serves as a practical guide to evaluating the necessity and readiness for the NP role
• Identifies key steps and factors to support the implementation of the APN/NP role and monitoring of its effectiveness

Conceptual Framework for NP Role Evaluation:

• Designed to evaluate the NP role in acute care settings
• Revised from the Nursing Role Effectiveness Model, which was developed to facilitate the identification and investigation of nursing sensitive outcomes
• Represents the multifaceted system of interconnected elements that are present in APN/NP practice and influence role effectiveness

Framework looks at three components:

• Structure —inclusive of patient, APN and administrative variables
• Process — comprising of the APN role elements and the ways in which the position is enacted
• Outcomes — including patient- and cost-related outcomes

This framework proposes specific relationships among the structure, process and outcome components.