Scandinavian Journal of Caring Sciences

Cover image for Vol. 29 Issue 1

Edited By: Åshild Slettebø and Lennart Fredriksson

Impact Factor: 1.162

ISI Journal Citation Reports © Ranking: 2013: 32/105 (Nursing (Social Science))

Online ISSN: 1471-6712

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FREE Editor's Choice paper - March 2014

The tortuous journey of introducing the Nurse Practitioner as a new member of the healthcare team: a meta-synthesis
Anna-Carin Andregård and Eva Jangland

This study is a meta-synthesis with the aim of exploring both the obstacles to and the opportunities for optimal interprofessional team collaboration when the new role of Nurse Practitioner is introduced into the team. Recently, the Nurse Practitioner role has been introduced in surgical care in Sweden. A Nurse Practitioner should have an expert knowledge base, complex decision-making skills and in addition clinical competencies for special practice. This new role in the interprofessional team raises issues such as how the role may be developed and what effects there will be on collaboration between the different professions. In this present study the authors have conducted a systematic review of qualitative studies and performed a meta-synthesis. The researchers included 26 studies after searching in PubMed and CINAHL. Through an analysis using a meta-ethnographic approach four themes were revealed: (i) a threat to professional boundaries, (ii) a resource for the team, (iii) the quest for autonomy and control, and (iv) the necessary properties of a developing interprofessional collaboration. The implication for nursing and health care is that knowledge of these obstacles and opportunities may help the health care organization and the Nurse Practitioners themselves to optimize the implementation of the new nursing role. We as editors find this study important as it may help Nurse Practitioners to find a fruitful way to collaborate effectively when joining an interprofessional team in the health care services.

Åshild Slettebø, Editor in Chief, SJCS

Lennart Fredriksson, Associate Editor, SJCS

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