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Table 2 Comparison of nurse practitioner and medical practitioner views

From: Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

Dimensions of comparison Nurse practitioner views Commonalities Medical practitioner views
Important elements of collaboration Respect as a health professional, Working together Complementary practice style
Reciprocal relationship Consultations Similar vision
Trust & mutual respect Shared goals
Communication
Competence
Coordination
NP autonomy
Personality
Shared philosophy
Sharing
Sharing Exchange of knowledge and ideas about patient management Important for collaboration Shared offices, shared patients
Working together Reciprocal discussion Important for collaboration Providing advice to NPs
Practice reality Collaboration can be hierarchical and one-sided; only initiated by NPs for consultation Perceived level of communication is high Perceived level of collaboration is collegial Collaboration can be an interdependent and a hierarchical relationship
Competence Defined by MP, pressure to demonstrate competence Important for collaboration Important that NP recognises limits
Autonomy NP is autonomous health professional Important for collaboration NP is assistant, limited autonomy of NPs
NP has full responsibility for patient care, consultations with MP when required NP is autonomous when no MP consultation is required
Supervision Some NPs valued MP input, others felt controlled through supervision MP is available on site for NP MPs prefer that NP practices under MP supervision for complex cases
  1. Data extracted from 13 studies.