Purpose: To describe how the role of the nurse practitioner has evolved as described in the literature from 2000–2012 using Bronfenbrenner's (1979) Socio-Ecological Model (SEM) of behavior change as adapted by McLeroy, Bibeau, Steckler, and Glanz (1988).
Data Collection: This study is based on the review of five large databases for literature related to nurse practitioners role evolution between the years 2000-2012. Databases used for the search were Academic Search Complete, PubMed (Medical Publications), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline (US National Library of Medicine), SCOPUS, and Cochrane Database of Systematic Review. The search terms were based on the five levels of the Socio-Ecological Model: Intrapersonal, Interpersonal, Organizational, Community, and Public Policy. Included in the search were the terms, role and utilization of nurse practitioners.
Results: Using the Socio-Ecological Model demonstrated how the role and utilization of nurse practitioners has changed from 2000-2012. Nurse practitioners, once serving rural, underserved, and uninsured populations now have opportunities to provide health care in many settings.
Implications: Nurse practitioners are important primary care providers. An increase in patient acuity and the complexity of health care have created a need for additional health care providers in primary care. Nurse practitioners are well suited to play a significant role in the present and future delivery of health care. Nurse practitioners as primary care providers need to be at the table when policy is made that relates to health care delivery.
|Advisor:||Bliss, Julie B.|
|Commitee:||Sullivan, Marianne, Wagner, Victoria H.|
|School:||The William Paterson University of New Jersey|
|School Location:||United States -- New Jersey|
|Source:||DAI-B 76/03(E), Dissertation Abstracts International|
|Keywords:||Nurse practitioner, Primary care, Socio-ecological model|
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