Nurse Practitioner integration: Qualitative experiences of the change management process

Grainne Lowe, Virginia Plummer, Leanne Boyd

Research output: Contribution to journalArticleResearchpeer-review

19 Citations (Scopus)


The aim of this qualitative research was to explore perceptions of organisational change related to integration of Nurse Practitioners (NPs) from key nursing stakeholders.
Ongoing delivery of effective and efficient patient services is reliant upon development and sustainability of NP roles. Examination of the factors contributing to the under-utilisation of NP roles is crucial to inform future management policies. A change management theory is used to reveal the complexity involved.
Qualitative interviews were undertaken using a purposive sampling strategy of key stakeholders. Thematic analysis was undertaken and key themes were correlated to the theoretical framework.
Results confirm benefits of NP roles, but suggest organisational structures and embedded professional cultures present barriers to full role optimisation. Complicated policy processes are creating barriers to integration of NP roles.
The findings increase understanding of the links between strategic planning, human resource management, professional and organisational cultures, governance and politics in change management. Effective leadership drives the change process through the ability to align key components necessary for success. Sustainability of NPs relies on recognition of their full potential in the healthcare team.
Implications for nursing management
The results of this study highlight the importance of management and leadership in the promotion of advanced nursing skills and experience to better meet patient outcomes. The findings reinforce the potential of NPs to deliver patient centred, timely and efficient health care.
Original languageEnglish
Pages (from-to)992-1001
Number of pages10
JournalJournal of Nursing Management
Issue number8
Publication statusPublished - Nov 2018


  • Nurse Practitioner
  • Organisational change
  • Management
  • Leadership
  • Change management
  • Human resources

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