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Task shifting between physicians and nurses in acute care hospitals : cross- sectional study in nine countries

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cris.lastimport.scopus2024-02-12T19:28:52Z
dc.abstract.enBackground Countries vary in the extent to which reforms have been implemented expanding nurses’ Scopes-of-Practice (SoP). There is limited cross-country research if and how reforms affect clinical practice, particularly in hospitals. This study analyses health professionals’ perceptions of role change and of task shifting between the medical and nursing professions in nine European countries. Methods Cross-sectional design with surveys completed by 1716 health professionals treating patients with breast cancer (BC) and acute myocardial infarction (AMI) in 161 hospitals across nine countries. Descriptive and bivariate analysis on self-reported staff role changes and levels of independence (with/without physician oversight) by two country groups, with major SoP reforms implemented between 2010 and 2015 (Netherlands, England, Scotland) and without (Czech Republic, Germany, Italy, Norway, Poland, Turkey). Participation in ‘medical tasks’ was identified using two methods, a data-driven and a conceptual approach. Individual task-related analyses were performed for the medical and nursing professions, and Advanced Practice Nurses/Specialist Nurses (APN/SN). Results Health professionals from the Netherlands, England and Scotland more frequently reported changes to staff roles over this time period vs. the other six countries (BC 74.0% vs. 38.7%, p < .001; AMI 61.7% vs. 37.3%, p < .001), and higher independence in new roles (BC 58.6% vs. 24.0%, p < .001; AMI 48.9% vs. 29.2%, p < .001). A higher proportion of nurses and APN/SN from these three countries reported to undertake tasks related to BC diagnosis, therapy, prescribing of medicines and information to patients compared to the six countries. Similar cross-country differences existed for AMI on prescribing medications and follow-up care. Tasks related to diagnosis and therapy, however, remained largely within the medical profession’s domain. Most tasks were reported to be performed by both professions rather than carried out by one profession only. Conclusions Higher levels of changes to staff roles and task shifting were reported in the Netherlands, England and Scotland, suggesting that professional boundaries have shifted, for instance on chemotherapy or prescribing medicines. For most tasks, however, a partial instead of full task shifting is practice.
dc.affiliationUniwersytet Warszawski
dc.contributor.authorMaier, Claudia B.
dc.contributor.authorJanssen, Maarten
dc.contributor.authorTsiachristas, Apostolos
dc.contributor.authorMolken, Maureen Rutten-van
dc.contributor.authorKelder, Mathijs
dc.contributor.authorAskildsen, Jan Erik
dc.contributor.authorWallenburg, Iris
dc.contributor.authorSvobodová, Hana
dc.contributor.authorHodyc, Daniel
dc.contributor.authorGibson, Jonathan
dc.contributor.authorSutton, Matthew
dc.contributor.authorOpsahl, Jon
dc.contributor.authorIslam, Muhammad Kamrul
dc.contributor.authorMcBride, Anne
dc.contributor.authorBerven, Nina
dc.contributor.authorOstergren, Linda
dc.contributor.authorBasihos, Seda
dc.contributor.authorErincç, Sinem
dc.contributor.authorÖkem, Z Güldem
dc.contributor.authorDogan, Meryem
dc.contributor.authorZvonickova, Marie
dc.contributor.authorOstrowska, Sabina
dc.contributor.authorMclaggan, Debbie
dc.contributor.authorBruhn, Hanne
dc.contributor.authorRyan, Mandy
dc.contributor.authorArchibald, Daryll
dc.contributor.authorHeidenreich, Sebastian
dc.contributor.authorSkatun, Diane
dc.contributor.authorVlcek, Frantisek
dc.contributor.authorFolkestad, Bjarte
dc.contributor.authorMijal, Michał
dc.contributor.authorHaug, Kjell
dc.contributor.authorRavneberg, Bodil
dc.contributor.authorLudvigsen, Kari
dc.contributor.authorKöppen, Julia
dc.contributor.authorSobczak, Alicja
dc.contributor.authorElliot, Robert
dc.contributor.authorBusse, Reinhard
dc.contributor.authorCodella, Paola
dc.contributor.authorCoretti, Silvia
dc.contributor.authorExel, Job van
dc.contributor.authorRuggeri, Matteo
dc.contributor.authorLuyendjk, Marianne
dc.contributor.authorBont, Antoinette de
dc.contributor.authorBirch, Steve
dc.contributor.authorMcDonald, James
dc.contributor.authorStahl, Juliane
dc.contributor.authorZander, Britta
dc.contributor.authorDykowska, Grażyna
dc.contributor.authorWinter, Małgorzata
dc.date.accessioned2024-01-26T09:41:37Z
dc.date.available2024-01-26T09:41:37Z
dc.date.issued2018
dc.description.financeNie dotyczy
dc.description.volume16
dc.identifier.doi10.1186/S12960-018-0285-9
dc.identifier.issn1478-4491
dc.identifier.urihttps://repozytorium.uw.edu.pl//handle/item/121560
dc.identifier.weblinkhttps://human-resources-health.biomedcentral.com/articles/10.1186/s12960-018-0285-9
dc.languageeng
dc.pbn.affiliationmanagement and quality studies
dc.relation.ispartofHuman Resources for Health
dc.relation.pages1-12
dc.rightsClosedAccess
dc.sciencecloudnosend
dc.subject.enHealth professionals Physicians Nurses Task shifting Advanced practice nursing Scope-of-practice Hospitals Clinical practice Breast cancer Acute myocardial infarction
dc.titleTask shifting between physicians and nurses in acute care hospitals : cross- sectional study in nine countries
dc.typeJournalArticle
dspace.entity.typePublication