Kilpatrick Kelley, Landry Véronique, Nguemeleu Tchouaket Eric, Daigle André, Jabbour Mira
McGill University, Montréal, QC, Canada.
Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Est-de-l'Île-de-Montréal-Hôpital Maisonneuve-Rosemont, Montréal, QC, Canada.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251321302. doi: 10.1177/21501319251321302.
INTRODUCTION/OBJECTIVES: Nurse practitioners (NPs) improve access to care in community-based primary care. Determining an appropriate workload for NPs is complex. The number of patients seen by NPs represents an important consideration. We sought to determine the feasibility, acceptability and appropriateness of implementing the online NP workload measurement index (NP-WI).
Feasibility study supported by the Theoretical Framework of Acceptability, conducted across 3 health regions in Québec, Canada. Data were collected from January to July 2024 using the online NP-WI ( = 66), 8-item acceptability questionnaire ( = 47), weekly implementation team meetings with NPs and decision-makers ( = 11), field notes and interviews ( = 13). Data analysis completed using descriptive statistics and content analysis, with data integration using joint displays.
NPs indicated that the NP-WI was easy to use. Acceptability scores were positively rated. Daily data entry took 5 to 7 min to complete. NPs deemed a 4-week collection period sufficient to capture a representative workload sample. The NP-WI captured patient, provider and organizational characteristics and the number of patients seen by NPs.
NP-WI implementation was feasible. The instrument can support healthcare workforce planning with more adequate estimations of NP workload in community-based primary care, and provide greater equity in resource allocation and distribution of NP workload.
引言/目标：执业护士（NP）改善了社区初级保健中获得医疗服务的机会。确定执业护士的适当工作量很复杂。执业护士诊治的患者数量是一个重要的考虑因素。我们试图确定实施在线执业护士工作量测量指数（NP-WI）的可行性、可接受性和适宜性。
在加拿大魁北克的3个卫生区域进行了一项由可接受性理论框架支持的可行性研究。2024年1月至7月期间，使用在线NP-WI（n = 66）、8项可接受性问卷（n = 47）、与执业护士和决策者举行的每周实施团队会议（n = 11）、现场记录和访谈（n = 13）收集数据。使用描述性统计和内容分析完成数据分析，并使用联合展示进行数据整合。
执业护士表示NP-WI易于使用。可接受性得分得到了积极评价。每日数据录入需要5至7分钟完成。执业护士认为4周的收集期足以获取具有代表性的工作量样本。NP-WI记录了患者、提供者和组织特征以及执业护士诊治的患者数量。
NP-WI的实施是可行的。该工具可以通过更充分地估计社区初级保健中执业护士的工作量来支持医疗劳动力规划，并在资源分配和执业护士工作量分配方面提供更大的公平性。
