University of Victoria, Victoria, BC, Canada.
Nurs Inq. 2010 Dec;17(4):297-308. doi: 10.1111/j.1440-1800.2010.00505.x.
This health services study employed participatory action research to engage nurse practitioners (NPs) from two health authorities in British Columbia, Canada, to examine the research question: How does collaboration advance NP role integration within primary health-care? The inquiry was significant and timely because the NP role was recently introduced into the province, supported by passage of legislation and regulation and introduction of graduate education programs. In separate and concurrent inquiry groups, the NPs discussed their practice patterns, role development progress and understanding of collaboration and role integration. The inquiry revealed the political nature of the NP role and the extent to which NPs relied on collaborative relations at all levels of the health system to advance role integration. Given that NP role development is still at an early stage in this province, as well as other provinces in Canada, this study provides important insights into the power and politics of role development, and offers direction for future role advancement.
这项卫生服务研究采用参与式行动研究，让来自加拿大不列颠哥伦比亚省两个卫生当局的护士从业者（NPs）参与，以探讨研究问题：合作如何促进初级保健中的 NP 角色整合？这项调查意义重大且及时，因为 NP 角色最近在该省引入，得到了立法和监管的支持，并推出了研究生教育项目。在单独和并行的调查小组中，护士从业者讨论了他们的实践模式、角色发展进展以及对合作和角色整合的理解。调查揭示了 NP 角色的政治性，以及 NP 在卫生系统的各个层面上依赖合作关系来推进角色整合的程度。鉴于 NP 角色发展在该省以及加拿大其他省份仍处于早期阶段，本研究为角色发展的权力和政治提供了重要的见解，并为未来的角色发展提供了方向。
