The scope of nurse practitioner roles in primary health care in different practice setting in Quebec: a time and motion study
Introduction: The primary healthcare nurse practitioner (PHCNP) role is relatively new in Quebec. Few studies have examined the implementation of this role. Objective: To describe the time spent in care activities according to the clinical and non-clinical dimensions of the PHCNP role. Methods: A time and motion study (399 hours and 34 minutes (min)) was carried out in 6 settings including ambulatory care, long-term care and home care with 12 PHCNPs. Results: The clinical dimension is the most important dimension making up 72 % to 83 % of work time. The average consultation time is influenced by the setting and varies from 13 min and 32 seconds (sec) to 26 minutes and 25 sec. In home care, consultation times (travel time and care coordination activities) are the longest. Documentation is the most time-consuming activity taking up 9% to 20%. The duration of telephone calls varies on average from 4 min to 8 min and 39 sec depending on the setting. Discussion and conclusion: The clinical dimension occupies the largest portion of the PHCNPs’ work time. Telephone consultations allow PHCNPs to answer patients’ questions. They should be included in the assessment of the PHCNP’s workload since they occur frequently. A better understanding of the PHCNPs’ role could support PHCNP workforce planning to better meet patient care needs.