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Meta‐synthesis on nurse practitioner autonomy and roles in ambulatory care

机译：荟萃综合护士从业者自治和职务在守护护理中

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Abstract Background Many healthcare stakeholders view nurse practitioners (NPs) as an important workforce resource to help fill the anticipated shortage of 20,400 ambulatory care physicians that is expected by 2020. Multiple quantitative studies revealed the attributes of NPs’ practice autonomy and roles. However, there is no qualitative meta‐synthesis that describes the experiences of NPs’ practice autonomy and roles. Aim To describe and understand the experiences of NPs regarding their practice autonomy and roles in various ambulatory settings through the exploration of existing qualitative studies: meta‐synthesis. Design A qualitative meta‐synthesis was conducted to gain insight into ambulatory NPs’ practice autonomy and roles through content analysis and reciprocal translation. Methods Articles published between 2000 and 2017 were retrieved by searching 7 databases using the following key words: U.S. qualitative studies, advance practice nurses, NP role in ambulatory care, NP autonomy, and outpatient care. Results Autonomy, NPs’ roles and responsibilities, practice relationships, and organizational work environment pressures are the four main themes that emerged from the content analysis of the nine selected qualitative studies. Conclusion Within and between states, NPs’ experiences with autonomy and NPs’ roles are multifaceted depending on state regulations, practice relationships, and organizational work environments.
机译：摘要背景许多医疗保健利益相关者查看护士从业者（NPS）作为一个重要的员工资源，帮助填补预期的20,400个外国护理医师的预期短缺，预计到2020年。多重定量研究揭示了NPS实践自主权和角色的属性。然而，没有定性的荟萃综合，描述了NPS实践自主权和角色的经验。旨在通过探索现有的定性研究来描述和了解NPS关于其实践自主性和角色的经验，通过探索现有的定性研究：Meta合成。设计了一种定性的荟萃综合，通过内容分析和互惠翻译来获得对动态NPS的实践自主权和作用的洞察力。方法通过使用以下关键词来检索2000和2017之间发表的文章：使用以下关键词来检索：美国定性研究，先进的练习护士，在车身护理，NP自主权和门诊护理中的NP角色。结果自主权，NPS的角色和职责，实践关系和组织工作环境压力是九个选定定性研究的内容分析中出现的四个主要主题。结论在国家内部和之间，NPS的自主权和NPS角色的经验取决于国家规定，实践关系和组织工作环境。

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