Module 4: Research & LTC
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.