Differences in Staff Perceptions of Physicians’ and Advanced Practitioners’ Contributions in the Nursing Home - Poster Session 7270 - Qualitative Research Methods and Issues

Sep 29, 2026

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Study examines how nursing home staff perceive contributions from physicians and advanced practitioners (PAP) to care quality. In response to mandated access to PAP services, facilities show variable approaches and inconsistent patient experience. Qualitative analysis triangulated semi-structured telephone interviews with 65 participants from 47 nursing homes (Feb-Nov 2023), using a grounded theory approach. Two themes contrast administrators’ focus on minimum PAP presence with nurses’ emphasis on accessibility, and reveal disagreements on care coordination roles. Findings support clearer on-site expectations and role definitions to improve quality of PAP contributions.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Abstract

Study aim and context

Methods and participants

Key findings and themes

Implications for PAP roles

Innovation in Aging, 2025, Vol. 9, No. S2 813 SESSION 7270 (POSTER) RESEARCH METHODS AND ISSUES: QUALITATIVE Abstract citation ID: igaf122.2756 DIFFERENCES IN STAFF PERCEPTIONS OF PHYSICIANS’ AND ADVANCED PRACTITIONERS’ CONTRIBUTIONS IN THE NURSING HOME Brandi Peacock1, Kira Ryskina1, and Tetyana Shippee2, 1. University of Pennsylvania, Philadelphia, Pennsylvania, United States, 2. University of Minnesota, Minneapolis, Minnesota, United States For the 1.4 million individuals who receive post-acute care in US nursing homes (NH) annually, timely access to physician or advanced practitioner (PAP) services is federally mandated. However, patient experience indicates a highly variable approach to PAP NH practice between facilities. This study aimed to qualitatively explore the perceptions of PAP contributions to NH care quality by triangulating interview data from key personnel. Purposive sampling was used to recruit 65 participants from a representative sample of 47 NHs in February-November 2023. Eligible participants included all clinical and non-clinical staff who spoke English. We used a grounded theory approach to analyze data collected from one-time semi-structured telephone interviews, divided into two groups: (1) 29 participants from 11 facilities with more than one participant; and (2) 36 solo participants from their facility. Participants included administrators (35%), PAP (17%), nurses (27%), and other staff (21%, e.g. social workers). Among participants from the same facility, 64% disagreed about the frequency of PAP visits. Two major themes emerged. First, administrators were primarily concerned with the minimum necessary presence of PAP at the facilities, whereas nurses perceived general accessibility of PAP as more important. Second, administrators, nurses, and other NH staff perceived limited roles for PAP in care coordination, whereas PAP perceived themselves to take the lead on care coordination for their patients. These findings highlight the need for transparency of expectations of PAP on-site presence and accessibility and for role clarity in care coordination to enhance the quality of PAP contributions in NHs.

FAQs

What was the purpose of this study on PAP contributions in nursing homes?

The study qualitatively explored staff perceptions of how physicians and advanced practitioners (PAP) contribute to nursing home care quality by triangulating interview data from key personnel.

How were participants recruited and what research approach was used?

Purposive sampling recruited 65 participants from 47 nursing homes between February and November 2023. Data from one-time semi-structured telephone interviews were analyzed using a grounded theory approach.

What differences emerged between administrators and nurses regarding PAP in the facility?

Administrators mainly focused on the minimum necessary presence of PAP, while nurses perceived general accessibility of PAP as more important.

Sep 29, 2026

Upload by Riley