Nurse Practitioner Lead, Northern Health, Prince George, BC.
Vice President Primary and Community Care and Chief Nursing Executive, Northern Health, Prince George, BC.
Nurs Leadersh (Tor Ont). 2020 Jun;33(2):44-53. doi: 10.12927/cjnl.2020.26238.
Despite descriptions of nurse practitioner (NP) implementation, there is little guidance for health authorities on how to address the evolving and ongoing challenges of implementing and sustaining NP roles and practice, particularly in rural and remote communities where recruitment and retention are difficult and professional supports may be limited. This article describes a pathway through which NPs have been recruited, supported and retained in their practice in a large rural and remote health authority. The pathway's main steps were the creation of an NP lead for the health authority and the facilitation of conversations with NPs, which resulted in a new organizational model and a renewable action plan for recruitment and retention. The results are a strong NP leadership presence within the health authority, formalized role implementation within the medical staff structure, sustainable mechanisms for professional support, operational management and the strategic development of the NP portfolio. The experience of implementing and integrating the primary care NP workforce in rural and remote settings through an articulated pathway has provided insights into effective NP integration and sustainment in rural primary care settings.
尽管已经对执业护士（NP）的实施情况进行了描述，但对于卫生当局来说，如何应对实施和持续存在的NP 角色和实践方面的挑战，特别是在招聘和留住人员困难且专业支持可能有限的农村和偏远社区，几乎没有指导。本文介绍了一种途径，通过该途径，在一个大型农村和偏远卫生当局中招聘、支持和留住了执业护士。该途径的主要步骤是为卫生当局设立 NP 负责人，并促进与 NP 的对话，这导致了一种新的组织模式和一项针对招聘和留用的可更新行动计划。结果是在卫生当局内部建立了强大的 NP 领导力，在医务人员结构内正式实施了角色，为专业支持、运营管理和 NP 投资组合的战略发展建立了可持续的机制。通过明确的途径在农村和偏远地区实施和整合初级保健 NP 劳动力的经验，为农村初级保健环境中 NP 的有效整合和持续提供了深入了解。
