Career support and job satisfaction
How do nurse practitioners in acute care affect perceptions of team effectiveness?
Version of Record online: 27 MAR 2013
© 2013 Blackwell Publishing Ltd
Journal of Clinical Nursing
Volume 22, Issue 17-18, pages 2636–2647, September 2013
How to Cite
Kilpatrick, K. (2013), How do nurse practitioners in acute care affect perceptions of team effectiveness?. Journal of Clinical Nursing, 22: 2636–2647. doi: 10.1111/jocn.12198
- Issue online: 15 JUL 2013
- Version of Record online: 27 MAR 2013
- Manuscript Accepted: 19 NOV 2012
- Center for Training and Expertise in Nursing Administration Research (FERASI)
- Research Institute of the McGill University Health Center
- Fonds de la recherche en santé du Québec (FRSQ)
- CHSRF/CIHR Chair Program
- FERASI Center
- CHSRF/CIHR Chair Program
- acute care;
- case study;
- healthcare team;
- nurse practitioner;
- team effectiveness
Aims and objectives
To describe how acute care nurse practitioners affect perceptions of team effectiveness.
Acute care nurse practitioners provide safe and effective care to patients. There is limited evidence of the effects of acute care nurse practitioner roles on healthcare teams, and many of the findings are contradictory. Research is lacking to describe how nurse practitioners affect perceptions of team effectiveness.
A descriptive multiple-case study undertaken in two university-affiliated teaching hospitals in Canada.
Data were collected from March–May 2009. Data sources included interviews (n = 59), time and motion study, non-participant observations, documents and field notes. Interviews were conducted individually or in groups using a semi-structured interview guide. Data were analysed within and across the cases to identify similarities and differences in perceptions of team effectiveness.
Team members believed the nurse practitioners improved the team's effectiveness. They identified six team processes they believed were improved by the addition of the nurse practitioners to the teams. The processes included decision-making, communication, cohesion, care coordination, problem-solving and focus on patients and families.
The study contributes to our understanding of how nurse practitioners affect perceptions of team effectiveness. Improved team communication and care coordination were believed to be particularly important. Nurse practitioner can facilitate patient- and family-centred care in healthcare teams.
Nurse practitioners improve perceptions of team effectiveness. Further work is needed in different contexts and with patients and families to determine their perceptions of team effectiveness.
Relevance to clinical practice
The nurse practitioner role was believed to be particularly important to improve team communication and care coordination. This constitutes an added value of acute care nurse practitioners roles in healthcare teams. Nurse practitioner roles contribute to patient-centred care and can improve the quality and safety of the care provided to patients and families.