Ignite Creation Date:
2024-05-06 @ 8:21 PM
Last Modification Date:
2024-10-26 @ 3:26 PM
Study NCT ID:
NCT06355505
Status:
RECRUITING
Last Update Posted:
2024-04-09
First Post:
2024-03-25
Brief Title:
Process of Emergence and Implementation of Advanced Practice Nursing in France
Sponsor:
Assistance Publique - Hôpitaux de Paris
Organization:
Assistance Publique - Hôpitaux de Paris
Study Overview
Official Title:
Process of Emergence and Implementation of Advanced Practice Nursing in France
Status:
RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
PEIPA
Brief Summary:
Longitudinal observational research with a mixed quantitative by questionnaires and qualitative by interviews and observations approach multidisciplinary among Advanced Practice Nurses APNs already graduated and 3 consecutive classes of advanced practice students who will be followed annually during their implementation as APN until the last year of the study The questionnaires will focus on APN scope of practice evolution economical analysis and geographical distribution of APN The ethnographical approach will assess APN settlements and relation with healthcare colleagues and patients
Detailed Description:
For 40 years France has faced an increase in demand for care At the same time it faces problems of scarcity and unequal geographical distribution of human resources in health Recent projections by the Ministry of Health predict a decline in French medical density over the next few years which would more particularly concern the provision of care in private general practice According to the Organisation for Economic Co-operation and Development OECD this development raises fears that the already significant spatial inequalities in staffing will be exacerbated Another key player are nurses state registered nurses who remain insufficiently numerous and unevenly distributed although their density is increasing in France as in most OECD countries The WHO World Health Organization recommends strengthening the attractiveness of their profession and rethinking professional boundaries in order to foster cooperation with the medical professions
In France the framework of practice of some state registered nurses has evolved within the framework of programs aimed at developing the delegation of tasks cooperation protocols eg Asalé device and coordinated practice health homes health centers In addition in 2018 the regulatory framework for advanced practice nursing was created with a dual objective to improve access to care and the quality of patient pathways A specific 2-year masters degree course is currently provided by 24 universities To date there are 2400 APNs and 700 graduate each year
Amendment 9 relating to the APN exercise 2023 sets the financial valuation of the advanced practice nursing activity PAI packages A pilot study conducted by Julie Devictor et al from 2019 to 2021 showed that among the APNs of the two 1st cohorts 20 work in primary care mixed activity APNstate registered nurses majority 50 in health facilities and 30 do not practice as APNs Obstacles and levers to the implementation of advanced practice are identified in the international literature The study hypothesize that there are also some in France which it is necessary to identify in the context of the health system
In France the framework of practice of some state registered nurses has evolved within the framework of programs aimed at developing the delegation of tasks cooperation protocols eg Asalé device and coordinated practice health homes health centers In addition in 2018 the regulatory framework for advanced practice nursing was created with a dual objective to improve access to care and the quality of patient pathways A specific 2-year masters degree course is currently provided by 24 universities To date there are 2400 APNs and 700 graduate each year
Amendment 9 relating to the APN exercise 2023 sets the financial valuation of the advanced practice nursing activity PAI packages A pilot study conducted by Julie Devictor et al from 2019 to 2021 showed that among the APNs of the two 1st cohorts 20 work in primary care mixed activity APNstate registered nurses majority 50 in health facilities and 30 do not practice as APNs Obstacles and levers to the implementation of advanced practice are identified in the international literature The study hypothesize that there are also some in France which it is necessary to identify in the context of the health system
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None