Der Beitrag von Advanced Practice Nurses in Schweizer Hausarztpraxen

Schlunegger, Margarithe Charlotte; Palm, Rebecca; Zumstein-Shaha, Maya (2022). Der Beitrag von Advanced Practice Nurses in Schweizer Hausarztpraxen Pflege, pp. 1-8. Hogrefe 10.1024/1012-5302/a000890

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Background: The increase in chronic diseases, multimorbidity and shortage of health professionals make it essen- tial to adapt primary health care. New models of care are needed which are oriented towards patient needs and thus ensure comprehensive care for chronically ill people. In this context, there is great potential for the use of advanced practice nurses in Swiss family practices. Aims: In this study we investigated the contribution of advanced practice nurses in the interprofes- sional context in two family practices. Methods: We conducted a multiple case study design. We investigated two advanced practice nurses, located in family practices in rural and in mountainous regions. We used qualitative and quantitative methods. As an intermediate step, within-case analyses were performed and we summarized data inductively to create case vignettes. Results: The cases showed that advanced practice nurses contribute to self-management, prevention and health promotion in complex, stable and unstable patients. These areas have not been covered adequately by other health professionals in family practices. They strengthened interface management through hybrid employment and flexible, addressee-appropriate com- munication. Conclusions: Similarities and differences between family practices with and without new professional roles should be elicited to specifically identify gaps in care for the chronically ill.

Item Type:

Journal Article (Original Article)


School of Health Professions
School of Health Professions > Nursing
School of Health Professions > Nursing > Innovation in the Field of Health Care and Human Resources Development


Schlunegger, Margarithe Charlotte0000-0002-5410-4951;
Palm, Rebecca and
Zumstein-Shaha, Maya


R Medicine > RT Nursing








Margarithe Charlotte Schlunegger

Date Deposited:

24 Aug 2022 09:53

Last Modified:

10 May 2023 10:32

Publisher DOI:


Uncontrolled Keywords:

Advanced Practice Nurse, Family practices, Primary health care, Multiple case studies design




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