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Primary Care Nurse Practitioner Practice Characteristics: Barriers and Opportunities for Interprofessional Teamwork

Poghosyan, Lusine PhD, MPH, RN, FAAN; Norful, Allison A. MSN, ANP-BC, RN; Martsolf, Grant R. PhD, MPH, RN

Journal of Ambulatory Care Management: January/March 2017 - Volume 40 - Issue 1 - p 77–86
doi: 10.1097/JAC.0000000000000156
Original Articles

Developing team-based care models and expanding nurse practitioner (NP) workforce in primary care are recommended by policy makers to meet demand. Little is known how to promote interprofessional teamwork. Using a mixed-methods design, we analyzed qualitative interview and quantitative survey data from primary care NPs to explore practice characteristics important for teamwork. The Interprofessional Teamwork for Health and Social Care Framework guided the study. We identified NP-physician and NP-administration relationships; organizational support and governance; time and space for teamwork; and regulations and economic impact as important. Practice and policy change addressing these factors is needed for effective interprofessional teamwork.

Columbia University School of Nursing, New York (Dr Poghosyan and Ms Norful); and RAND Corporation, Pittsburgh, Pennsylvania (Dr Martsolf).

Correspondence: Lusine Poghosyan, PhD, MPH, RN, FAAN, Columbia University School of Nursing, 617 W. 168th St, GB 219, New York, NY 10032 (

Dr Poghosyan has received funding from the Robert Wood Johnson Foundation. The data used in this study were collected with funding from the American Nurses Foundation and the Agency for Healthcare Research and Quality.

For the remaining authors, no conflicts of interest and source of funding were declared.

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