Views of Advanced Nurse Practitioners on Their Roles and Responsibilities in Community Care for Home-Dwelling Patients: A Qualitative Descriptive Study.
Sanne Smulders, Geke Dijkstra, Anneke van Vught and 3 others
PMID 42768490WHAT IT FOUND
Advanced nurse practitioners described their community role as hybrid: combining nursing and medical care, home visits, prescribing and network coordination for home-dwelling older patients and families.
These are their perceptions, not evidence of effectiveness.
Key findings
01ANPs described four role themes: Integrated Care Provider, Innovator, Professional and Networker. These themes formed one main role, the Hybrid Professional.
02Their central daily practice was caring for older home-dwelling patients and families, and they emphasized assessing the patient's social network.
03Participants described ANPs directing nursing and medical care without GP intervention and leading treatment plans across care boundaries.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study reports ANPs' own perceptions, not measured patient outcomes or a comparison with other care. Participants were volunteers, so they may have been more motivated or interested in role development than other ANPs. No participant feedback was returned, so member checking did not verify the themes. The 120-minute focus groups may have limited how deeply each participant's experience was explored. Findings come from Dutch ANPs with specific legal authority and autonomy, so they may not transfer to other countries or settings. Only ANPs were interviewed, not patients, families, GPs, community nurses or other professionals. Participants may have answered in a socially desirable way when describing their own role.
Declared interests
The authors declared no conflicts of interest. Funding: the authors have nothing to report.
The easy way to misread this
Do not read this as proof that ANP community care improves patient outcomes. It reports 27 ANPs' perceptions of their roles, not measured results, and the authors state the findings are not evidence of superiority or effectiveness.