{"id":166,"date":"2024-03-06T01:16:32","date_gmt":"2024-03-06T06:16:32","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/?post_type=chapter&#038;p=166"},"modified":"2024-04-04T08:53:48","modified_gmt":"2024-04-04T12:53:48","slug":"4-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/chapter\/4-3\/","title":{"raw":"4.3 Evaluation","rendered":"4.3 Evaluation"},"content":{"raw":"<h2>The PEPPA Framework<\/h2>\r\nA Participatory, Evidence-informed, Patient-Centred Process for Advanced practice nursing (APN)[footnote]Bryant-Lukosius &amp; Dicenso, 2004[\/footnote] role development\r\n<ul>\r\n \t<li>Adaptation of two frameworks<\/li>\r\n \t<li>Shaped on the principles and values consistent with advanced practice nursing<\/li>\r\n \t<li>Engaging stakeholders as participants<\/li>\r\n \t<li>Planning and Implementation<\/li>\r\n \t<li>Ongoing evaluation and improvement<\/li>\r\n<\/ul>\r\nPEPPA Framework Toolkit:\r\n<ul>\r\n \t<li>Designed to determine gaps between current roles<\/li>\r\n \t<li>Nine key steps for assessing need for an APN as well as developing, implementing and evaluating this role in the practice setting<\/li>\r\n<\/ul>\r\nStrengths of the PEPPA Framework:\r\n<ul>\r\n \t<li>Engaging stakeholders in the process gives opportunities to establish the need and identify shared goals of a clearly defined APN role<\/li>\r\n \t<li>Promotes increased understanding of the APN role and optimal use of APN expertise<\/li>\r\n \t<li>Creates environmental conditions necessary to support APN role through planning strategies<\/li>\r\n \t<li>Provides the basis for prospective evaluation, and thus continued improvement of the APN role<\/li>\r\n \t<li>Limitations of the PEPPA Framework:<\/li>\r\n \t<li>Efforts and resources to implement may appear overwhelming<\/li>\r\n \t<li>Values often conflict with the bureaucratic and disease-focused culture of health care systems<\/li>\r\n \t<li>Strong administrative and organizational support that values patient-focused, multi-disciplinary, and goal-oriented care is required to overcome these barriers<\/li>\r\n \t<li>Application of framework heavily dependant on the quality of group function and leadership<\/li>\r\n \t<li>Lack of resources to support activities, lack of physician support, inability to access data to accurately determine needs and priority problems, lack of evaluation expertise, and frequent turnover in APNs<\/li>\r\n \t<li>Stakeholder reluctance<\/li>\r\n<\/ul>","rendered":"<h2>The PEPPA Framework<\/h2>\n<p>A Participatory, Evidence-informed, Patient-Centred Process for Advanced practice nursing (APN)<a class=\"footnote\" title=\"Bryant-Lukosius &amp; Dicenso, 2004\" id=\"return-footnote-166-1\" href=\"#footnote-166-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a> role development<\/p>\n<ul>\n<li>Adaptation of two frameworks<\/li>\n<li>Shaped on the principles and values consistent with advanced practice nursing<\/li>\n<li>Engaging stakeholders as participants<\/li>\n<li>Planning and Implementation<\/li>\n<li>Ongoing evaluation and improvement<\/li>\n<\/ul>\n<p>PEPPA Framework Toolkit:<\/p>\n<ul>\n<li>Designed to determine gaps between current roles<\/li>\n<li>Nine key steps for assessing need for an APN as well as developing, implementing and evaluating this role in the practice setting<\/li>\n<\/ul>\n<p>Strengths of the PEPPA Framework:<\/p>\n<ul>\n<li>Engaging stakeholders in the process gives opportunities to establish the need and identify shared goals of a clearly defined APN role<\/li>\n<li>Promotes increased understanding of the APN role and optimal use of APN expertise<\/li>\n<li>Creates environmental conditions necessary to support APN role through planning strategies<\/li>\n<li>Provides the basis for prospective evaluation, and thus continued improvement of the APN role<\/li>\n<li>Limitations of the PEPPA Framework:<\/li>\n<li>Efforts and resources to implement may appear overwhelming<\/li>\n<li>Values often conflict with the bureaucratic and disease-focused culture of health care systems<\/li>\n<li>Strong administrative and organizational support that values patient-focused, multi-disciplinary, and goal-oriented care is required to overcome these barriers<\/li>\n<li>Application of framework heavily dependant on the quality of group function and leadership<\/li>\n<li>Lack of resources to support activities, lack of physician support, inability to access data to accurately determine needs and priority problems, lack of evaluation expertise, and frequent turnover in APNs<\/li>\n<li>Stakeholder reluctance<\/li>\n<\/ul>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-166-1\">Bryant-Lukosius &amp; Dicenso, 2004 <a href=\"#return-footnote-166-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":517,"menu_order":14,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-166","chapter","type-chapter","status-publish","hentry"],"part":57,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/users\/517"}],"version-history":[{"count":4,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/166\/revisions"}],"predecessor-version":[{"id":506,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/166\/revisions\/506"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/parts\/57"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/166\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/media?parent=166"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapter-type?post=166"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/contributor?post=166"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/license?post=166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}