TY - JOUR
T1 - Conflicting perceptions of the healthprovider domain by new health professionals
AU - Celentano, David D.
AU - Anderson, Stephen E.
N1 - Funding Information:
While many of these conclusions are not unexpected, the method employed in this study provides a unique and needed empirical basis for classifying new health provider types in accordance with their own perceptions. The findings call into question some of the assumptions and assertions surrounding role con, ceptions of NHPs. Most significantly, there is little overall support for the unitary concept "New Health Professional". One can distinguish between physician's assistants, on the one hand, and types of nurses on the other. As new occupations emerge, external observers often tend to formulate generalized classifications without due regard for the differences among related group~ Such appears to be the case with NHPs at present. While such classifications are useful for analytical p u ~ we caution against the implicit assumption that they necessarily correspond to the reality experienced by the incumbents of these occupations` Acknowledoements---We should like to thank Dr David V. McQueen and Robert G. Hughes for their criticism and thoughtful comments on this manuscript as well as the faculty and program directors of the various training programs who provided needed advice. The research upon which this report is based was supported by a grant from the Robert Wood Johnson Foundation. Responsibility for the conclusions drawn in this paper rests solely with the authors.
PY - 1980/12
Y1 - 1980/12
N2 - The definition of appropriate roles and functions for "New Health Professionals" (NHPs) has been widely debated in the health services literature since the introduction of this new manpower resource in the United States in the mid-1960's. While the emergence of these new practitioners has been well documented from a legal and educational standpoint, little research has focused upon the evolution of these roles in practice, specifically in relation to their position in the domain of health providers. In this report a survey of four types of NHPs documents and compares how each type classifies themselves in relation to the other types of NHPs as well as to the traditional health care providers (physicians and nurses). Multidimensional scaling techniques provide perceptual models of the health provider domain for Health Associates, Physician's Assistants, and Adult and Pediatric Nurse Practitioners; three general perspectives are derived. The principle difference in the solutions are in the conceptions of the Nurse Practitioner role. The findings challenge a major premise found in the literature: the concept of the NHP as a single professional role subsuming all types of NHPs. This premise was validated only for Health Associates and Physician's Assistants, not for Nurse Practitioners. These data provide the needed empirical basis for understanding the emerging role identities of NHPs:.
AB - The definition of appropriate roles and functions for "New Health Professionals" (NHPs) has been widely debated in the health services literature since the introduction of this new manpower resource in the United States in the mid-1960's. While the emergence of these new practitioners has been well documented from a legal and educational standpoint, little research has focused upon the evolution of these roles in practice, specifically in relation to their position in the domain of health providers. In this report a survey of four types of NHPs documents and compares how each type classifies themselves in relation to the other types of NHPs as well as to the traditional health care providers (physicians and nurses). Multidimensional scaling techniques provide perceptual models of the health provider domain for Health Associates, Physician's Assistants, and Adult and Pediatric Nurse Practitioners; three general perspectives are derived. The principle difference in the solutions are in the conceptions of the Nurse Practitioner role. The findings challenge a major premise found in the literature: the concept of the NHP as a single professional role subsuming all types of NHPs. This premise was validated only for Health Associates and Physician's Assistants, not for Nurse Practitioners. These data provide the needed empirical basis for understanding the emerging role identities of NHPs:.
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U2 - 10.1016/S0271-7123(80)80074-5
DO - 10.1016/S0271-7123(80)80074-5
M3 - Article
C2 - 6111129
AN - SCOPUS:0019191735
SN - 0271-7123
VL - 14
SP - 645
EP - 652
JO - Social Science and Medicine. Part A Medical Psychology and Medical
JF - Social Science and Medicine. Part A Medical Psychology and Medical
IS - 6
ER -