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Table 1 Characteristics of the pilot projects

From: Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

 

Practice A

Practice B

Practice C

Practice D

Location

Municipality of a small or suburban agglomeration in central Switzerlanda

Municipality of a small or suburban agglomeration in central Switzerlanda

Rural peripheral municipality in central Switzerlanda

Rural, centrally located municipalitya

Practice setting

Traditional family practice with two GPs

Group practice with five GPs

Single practice

Interprofessional practice with six GPs and five other health professionals

APN

TEP

50%, declining to 20% (as of January 1, 2019)

40%

30%

50%

Education

MSc in Nursing, DAS Complex Care

MSc in Nursing, DAS Complex Care

MSc in Nursing

MSc in Nursing, DAS ANP-plus

Project

Launch

August 2017

January 2019

August 2018

April 2016

Initiator

Cantonal health department

Practice team

Cantonal health department & cantonal hospital

Practice team

Implementation strategy

Top-down

Extension of project in practice A

Top-down

Bottom-up

Rationales

Shortages of GPs

Interprofessional task-sharing

Shortages of GPs

Interprofessional task-sharing

  1. GP General practitioner, APN Advanced Practice Nurse, Other health professionals = psychologists, physiotherapists, nutritionist, occupational therapist; TEP Total employment percentage, MSc Master of Science, DAS Diploma of Advanced Studies, ANP Advanced Nursing Practice
  2. a Municipality typology 2012: https://www.atlas.bfs.admin.ch/maps/13/de/12360_12482_3191_227/20593.html