Autonomy, Acceptance and Utilization of NPCC: An Indian Scenario
Abstract
Introduction: It is very evident that Nurse Practitioners (NPs) are the need of the hour. As demand for NPs in all types of intensive care units continues to increase; ensuring successful integration of these nurses into general and specialty intensive care units poses several challenges. Multiple quantitative studies revealed the attributes of NPs’, practice, autonomy and roles. However, researcher has not come across any study to assess the acceptability, autonomy & utilization of Nurse Practitioner in Critical Care (NPCCs) among health care professionals and other stakeholder.
Methods: A quantitative approach descriptive research design was adopted to assess the acceptability, autonomy and utilization of NPCCs among healthcare professionals and stakeholders of selected institutes of India. The present study was conducted among 35 NPCCs, 15 physicians and 80 other healthcare professionals through purposive Sampling techniques. Five point Likert scale was used to assess the acceptability, autonomy and utilization of NPCCs and an expressed practice checklist was used to assess the critical care skills and procedure performed by NPCCs after taking formal permission from the competent authority.
Result: Most of the physicians of selected institute refused to participated, only 15 were responded, indicated the less interest in this subject for them. Regarding acceptability the physicians who accepted the NPCCs were responded to the study and illustrated 100% of acceptance, (65%) of the health care professionals and other stakeholders accepted NPCCs in critical care. More than half of the NPCCs (63%) have expressed autonomy in performing their role in critical care .Regarding utilization of NPCCs (60%) physicians like to utilize NPCCs in critical care whereas (40%) been indecisive about the utilization of NPCCs in critical care. Majority of the health care professionals (excluding physician) and other stakeholders (79%) like to utilize NPCCs in critical care, whereas (21%) been indecisive about the utilization of NPCCs in critical care.
Conclusion: Nurse practitioners need to become more visible to both the public and other health care professionals. In spite of lot of challenges of NPCCs to get trained and work in India, health care professionals (excluding physicians) and other stakeholders had positive opinion towards the prospects of NPCCs, reflects their acceptance and the utilization for NPCCs in India.
How to cite this article:
Chandni, Bharadwaj UD, Tamang EL, Mancheri N. Autonomy, Acceptance and Utilization of NPCC: An Indian Scenario. Int J Nurs Midwif Res 2020; 7(1): 18-23.
DOI: https://doi.org/10.24321/2455.9318.202004
References
Anand S, Fan V. The health workforce in India. World Health Organization. 2016. Avaliable from: http://www.
who.int/hrh/resources/16058health_workforce_India.pdf.
Sharma DC. India still struggles with rural doctor shortages. The Lancet 2015; 386(10011): 2381-2382.
World Health Organization [WHO]. 2016. The 2016 update, Global Health Workforce Statistics. Geneva
http://www.who.int/hrh/statistics/hw.
Prashanth M. Enhancing the autonomy of Indian nurses. Indian J Med Ethics 2017; 2(4): 275-281.
Indian Nursing Council [INC] (2016). Syllabus & Regulations; Nurse practitioner in critical care
post graduate residency program. http://www.indiannursingcouncil.org/pdf/syllabusregulations.
Nanda L, Lobo E. Nurse Practitioners - India’s Answerto Addressing Access to Healthcare. Public H Open Acc
; 2(2): 1-4.
Simone S, Carmel A. McComiskey, Brooke Andersen. Integrating Nurse Practitioners into intensive care
units. crit care med 2016; 36(6): 59-68. http://dx.doi.org/10.4037/ccn2016360
American Association of Colleges of Nursing. Outstanding dissertation and DNP Project awards. 2015.
Denicola L, Kleid D, Brink L. Use of pediatric physician extenders in pediatric and neonatal intensive care
units. Crit Care Med 1994; 22(11): 1856-1864.
Canadian Association of Critical Care Nurses. Position statement: Nurse practitioner in critical care. Dynamics,
; 22(1): 12-13.
Bambini, Deborah R. Nurse/Physician Perceptions of the Nurse Practitioner Role. Masters Theses 1995; 222.
http://scholarworks.gvsu.edu/theses/222
James B, Marta T, Ines F, Luis L, Gilles D. Nurses in advanced roles: a review of acceptability in Portugal,
Rev. Latino-Am.Enfermagem 2013; 21(Spec): 38-46. Available from www.eerp.usp.br/rlae.
Chiayi C, Donna R, McNeese S, Marie C, Valda U, Abdelmonem A. Evaluation of a Nurse Practitioner- Led
Care Management Model in Reducing Inpatient Drug Utilization and Cost. Nursing economics 2009; 27(3).
Ruth K, Ward NS, Lynn A, Fred P, Douglas H. Provider to Patient Ratios for Nurse Practitioners and Physician
Assistants in Critical Care Units. AJCC 2015; 24:(3). http://dx.doi.org/10.4037/ajcc2015274.
Leigh BP. Feasibility And Acceptability Of Nurse Practitioner-Led Student Health Services On A Regional
Campus Published by ProQuest LLC. University of South Carolina 2018: 1-70.
Lusine P, Jianfang L, Jingjing S, Thomas DA. Practice environments and job satisfaction and turnover
intentions of nurse practitioners: Implications for primary care workforce capacity. Health Care Manage
Rev 2016; 10(1097): 1-10.
Krishnan S. A descriptive survey to assess the opinion of nursing personnel regarding the prospects and
challenges of advance nurse practitioner in critical care in India in selected college and hospitals of Delhi.
Masters Theses. 2018.
Gretch D. Advanced practice nursing and the role of the pediatric critical care nurse practitioner. crit care
q 1999; 21(4): 16-21.
Catherine M. Policies that restrict full utilization of nurse practitioners in primary care nursing economic.
; 35(2): 71-99.
Bnana L. trauma nurse practitioners variations in utilization and role expansion: jtn: 10,1097 www.journal
of traumanursing.com.
