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A Model of Collaboration and Efficiency Between Neonatal Nurse Practitioner and Neonatologist: Application of Collaboration Theory

Bosque, Elena PhD, ARNP

Section Editor(s): Catlin, Anita

doi: 10.1097/ANC.0b013e318213263d
Ethical Issues in Newborn Care

A model of clinical practice involving neonatal nurse practitioners (NNP) and neonatologists is presented through the application of collaboration theory. This strategy has been used in business and other applications. In this article, the terms and principles of the model will be explained. The relevant features will be identified, including interdependence, communication, strategic negotiation, independent billing, NNP licensure support, semiformal systems, and radical tailorability. Recommendations for structure and components to ensure safe practice involving the unique contributions of the NNP will be highlighted. An example of such a successful practice will be described.

Neonatal Nurse Practitioner, Pediatrix Medical Group, Renton, Washington and Family/Child Nursing Department, University of Washington, Seattle Washington, and Lucile Packard Children's Hospital, Palo Alto, California.

Correspondence: Elena Bosque, PhD, ARNP, Family/Child Nursing Department, Mailbox 357262, University of Washington, Seattle, WA 98195 (

© 2011 National Association of Neonatal Nurses