{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T23:53:37Z","timestamp":1793836417102,"version":"4.6.1"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000024","name":"The Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["180976"],"award-info":[{"award-number":["180976"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The Walter and Maria Schroeder Institute for Brain Innovation and Recovery"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nurse practitioners (NPs) and physicians are essential to providing acute, episodic and palliative care in long-term care (LTC) homes and preventing unnecessary hospital transfers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the attributes of effective NP\u2013physician collaboration in LTC and identify barriers to developing it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An exploratory qualitative study was conducted using semi-structured interviews with 10 NPs and six physicians practicing in LTC homes in Ontario, Canada. Recruited individuals were not matched NP\u2013physician dyads. Data were analyzed using inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two distinct NP\u2013physician practice models emerged: one characterized by successful collaboration, and the other by failed partnership. Findings are presented in the form of vignettes illustrating key differences between the models. Successful collaboration featured resident-centered care, non-hierarchical relationships, and clearly defined roles. Barriers included lack of trust, high NP workload, and role ambiguity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NP\u2013physician collaboration can improve care for LTC residents. Successful implementation requires clear communication, role clarity, and leadership engagement to support NP integration and foster effective interprofessional relationships.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07334648261422059","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T15:40:37Z","timestamp":1770219637000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Making it Work: A Qualitative Study of Nurse Practitioner\u2013Physician Collaboration in Long-Term Care Homes"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6032-0266","authenticated-orcid":false,"given":"Shirin","family":"Vellani","sequence":"first","affiliation":[{"name":"Virtual Behavioral Medicine, Toronto Rehabilitation Institute"},{"name":"University Health Network"},{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Krassikova","sequence":"additional","affiliation":[{"name":"Toronto Rehabilitation Institute"},{"name":"University Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Haslam-Larmer","sequence":"additional","affiliation":[{"name":"Toronto Rehabilitation Institute"},{"name":"University Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Escrig-Pinol","sequence":"additional","affiliation":[{"name":"Toronto Rehabilitation Institute"},{"name":"University Health Network"},{"name":"Hospital del Mar Research Institute"},{"name":"Universitat Pompeu Fabra-affiliated"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2470-9738","authenticated-orcid":false,"given":"Katherine S.","family":"McGilton","sequence":"additional","affiliation":[{"name":"University of Toronto"},{"name":"Toronto Rehabilitation Institute"},{"name":"University Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2004.03235.x"},{"key":"e_1_3_8_4_1","unstructured":"Canada H. 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