The Role of the Advanced Practice Provider in a Subspecialty Practice: Satisfaction and Professionalism, Including COVID-19 Impacts.
The Role of the Advanced Practice Provider in a Subspecialty Practice: Satisfaction and Professionalism, Including COVID-19 Impacts.
复制标题
高级实践提供者在子专业实践中的作用：满意度和专业精神，包括 COVID-19 的影响。
DOI：
10.1097/sga.0000000000000713
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Vélez,Christopher
中科院分区：
文献类型：
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作者：
Paz,Mary;Galdi,Riya;Staller,Kyle;Thurler,Andrea;Vélez,Christopher
高级实践提供者与其他临床医生合作，努力教育、倡导和增加患者在临床环境中的机会。研究表明，与医生合作的高级实践提供者可以提高护理质量和结果；然而，目前对这一作用在胃肠病学中的理解水平尚未进行详细探讨。在两个学术机构中，我们进行了16次半结构化访谈，以检查胃肠病学部门的环境如何与其高级实践提供者的专业满意度保持一致。达到主题饱和，揭示了四个主题：(1)工作关系的生产力；(2)对高级执业医师在临床护理中的作用认识不一致；(3)与同事支持相关的混合高级执业医师经验；(4)自主性影响满意度。这些主题不仅突出了合理程度的高级实践提供者满意度，而且还需要与同事就高级实践提供者在护理中的作用进行接触，以便更好地融入整个胃肠病学医疗团队。来自不同机构的结果表明，需要在不同的环境中采访胃肠病学高级实践提供者，以更好地了解是否存在类似的主题。
The advanced practice provider collaborates with other clinicians and works to educate, advocate, and increase access for patients in the clinical setting. Research has shown that advanced practice providers working collaboratively with physicians yield improved quality of care and outcomes; however, the current level of understanding of this role in gastroenterology has not been explored in detail. Across two academic institutions, we conducted 16 semi-structured interviews to examine how the environment of the gastroenterology department aligns with the professional satisfaction of its advanced practice providers. Thematic saturation was achieved, revealing four themes:(1) productivity of the working relationship;(2) inconsistent understandings of the advanced practice provider role in clinical care;(3) mixed advanced practice provider experience relating to colleague support; and (4) autonomy impacts satisfaction. These themes highlight not only a reasonable degree of advanced practice provider satisfaction, but also the need to engage with colleagues regarding the advanced practice provider role in care to allow for better integration into the overall gastroenterology healthcare team. The results from different institutions suggest the need to interview gastroenterology advanced practice providers in different settings to better understand whether similar themes exist.