Nurse Practitioner and Physician Survey Survey Terms: In this survey the following terms are used: Collaborating Physician a physician who works closely with a nurse practitioner in a collaborative practice. Collaborative Practice a relationship among a nurse practitioner, a physician or group of physicians, an employing organization and other health professionals and staff. Patient/Resident the individual who is the recipient of nurse practitioner services. Practice of a Nurse Practitioner the application of advanced nursing knowledge, skills and judgment which includes: Making a diagnosis, identifying a disease, disorder or condition; Communicating the diagnosis to the patient and health care professionals, as appropriate; Performing procedures; Initiating consultations and referrals; rdering and interpreting screening and diagnostic tests; and Prescribing or reordering drugs, blood, blood products, and related paraphernalia. Scope of Practice the roles, functions, and accountabilities that nurse practitioners are educated, competent, and authorized to perform. 1. Are you a: Nurse practitioner Physician 2. Which one of the following statements best describes your experience working with nurse practitioners? This is the only nurse practitioner I have worked with I have previously worked with other nurse practitioner(s) I current work with several nurse practitioners ther 3. Which one of the following statements best describes your professional relationship with this nurse practitioner? We have a formal collaborative relationship We collaborate on an occasional or intermittent basis The nurse practitioner refers patients to me I refer patients to this nurse practitioner ther 4. In which one of the following settings do you primarily practice? Community health centre Long-term care facility Family practice/clinic office ther Hospital College of Registered Nurses of Nova Scotia, 2014 1 P a g e
5. Which one of the following is your most frequent means of contact with this nurse practitioner? By telephone (voice) In person (work in the same hospital) By telephone (text) In person (work in the same community) By letter By fax By email ther In person (work in the same office) 6. In the past six months, how frequently have you been in contact with this nurse practitioner? Daily nce a month Several times a week nce every couple of months nce or twice a week ther Several times a month 7. How familiar are you with this nurse practitioner s practice? Very familiar Somewhat familiar Not very familiar Not at all familiar 8. How confident are you with this nurse practitioner s clinical knowledge? Very confident Not at all confident Somewhat confident No opinion Not very confident 9. How confident are you with this nurse practitioner s decision making? Very confident Not at all confident Somewhat confident No opinion Not very confident 10. Would you recommend this nurse practitioner to your friend or family? Definitely Probably Probably not Definitely not College of Registered Nurses of Nova Scotia, 2014 2 P a g e
For each of the following nurse practitioner behaviours, please indicate whether this nurse practitioner exceeds, meets, or does not meet. If any statement is not relevant to you, choose the 'unable to ' response. 11. This nurse practitioner Management of Health Assessment & Diagnosing a. Performs comprehensive health histories b. Performs focused health histories c. Gathers information related to psychosocial factors that impact the patient s health status d. Gathers information related to determinants of health that impact the patient s health status e. Performs comprehensive physical examinations f. Performs focused physical examinations g. Selects appropriate diagnostic tests for health screening according to current clinical practice guidelines or best practices h. Interprets diagnostic tests and other ment data accurately i. Uses effective diagnostic reasoning to formulate differential and/or definitive diagnoses j. Selects appropriate diagnostic tests to monitor the patient s ongoing condition 12. This nurse practitioner Management of Health Therapeutics a. Selects appropriate pharmaceuticals, taking into consideration individual patient circumstances b. Selects appropriate pharmaceuticals, taking into consideration current clinical guidelines and evidence c. Selects appropriate non-pharmaceutical therapeutics, taking into consideration current clinical guidelines and evidence d. Provides patients with relevant information and counselling on pharmaceutical therapy e. Provides patients with cost effective alternative choices for pharmaceutical therapy, as applicable f. Writes prescriptions accurately and completely g. Monitors patient response to pharmaceutical therapy h. Consults with a physician about prescribing i. Recognizes the influence of pharmaceutical marketing strategies on prescriptive practice and independently reviews evidence College of Registered Nurses of Nova Scotia, 2014 3 P a g e
13. This nurse practitioner Management of Health Consultation & Referral a. Consults with collaborating physician(s) about patient care b. Refers patients to collaborating physician(s) c. Accepts referrals from physician(s) d. Provides consultation to physician(s) e. Consults with other physicians (including specialists), health care professionals and community agencies f. Refers to other physicians (including specialists), health care professionals and community agencies g. Follows up on the outcome of referrals and consultations 14. This nurse practitioner Management of Health Procedures a. btains informed consent b. Performs procedures competently c. Monitors outcomes of procedures d. Documents procedures e. Documents procedure outcomes 15. This nurse practitioner Management of Health Health Promotion/Prevention a. Identifies at-risk populations b. Promotes activities to improve health outcomes of at-risk populations c. Teaches, coaches, and supports individuals and families to promote health and prevent illness/injury d. Collaborates with interdisciplinary teams and communities to develop, implement, and evaluate health promotion and illness prevention programs e. Advocates for healthy public policy, support programs, and resources to support patient and community needs College of Registered Nurses of Nova Scotia, 2014 4 P a g e
16. This nurse practitioner Communication Unable to a. Demonstrates respect, empathy, and compassion when communicating with patients and their families b. Communicates to the patient in a timely manner the reasons, benefits, and risks associated with required diagnostic tests c. Communicates to the patient in a timely manner the results of diagnostic tests d. Provides information and counselling to patients/families regarding the diagnosis e. Develops plan of care in consultation with patients/families f. Manages health records according to accepted standards g. Communicates effectively with other health care team members h. Is an advocate for patients/families on decisions that affect health and quality of life i. Manages conflict effectively 17. This nurse practitioner Professional Accountability & Leadership Unable to a. Engages in continuing education b. Demonstrates accountability c. Seeks feedback from other health care providers to improve practice d. Acts as an effective role model and mentor e. Provides consultation to the community, health care institutions, and policy makers on nursing and health care f. Demonstrates leadership for change to improve patient care outcomes g. Translates research findings into practice to impact the care of the patient population h. Clearly articulates the role of a nurse practitioner to community members, other health care providers, and policy makers i. Participates in activities related to the profession College of Registered Nurses of Nova Scotia, 2014 5 P a g e
18. What factors, if any, have facilitated the implementation of this nurse practitioner s role and practice? 19. What factors, if any, have inhibited the implementation of this nurse practitioner s role and practice? 20. We value your input, please feel free to write any further comments: College of Registered Nurses of Nova Scotia, 2014 6 P a g e