Table 3.

Summary table of factors influencing the development, recruitment, integration, retention and career development of advanced practice providers (APPs)

Level	Development and recruitment	Integration	Retention and career development
Macro (system-wide)	• APP and other workforce supply • National or regional workforce policy • Views of external stakeholders and collaborators	• National or regional scope of work and service reimbursement policy • APP representation outside of organisations	• Career recognition, structure and pathways
Meso (organisational and departmental)	• Characteristics of hospitals and departments • Organisational need and planning • Organisational policy and arrangement • Resources and processes for role development and recruitment • Local experience and evidence • Organisational leaders’ or champions’ perception and understanding • Views of other departments and teams	• Organisational culture • Organisational strategy and planning • Organisational policy and arrangement • Resources to support role activities and integration • Clinical training resource and opportunities • Local experience and evidence • Organisational leaders’ or champions’ perception and understanding • Views of other departments and teams • APP representation in organisations	• Organisational culture • Organisational strategy and planning • Organisational policy and arrangement • Resources and opportunities for continued employment and career development • Organisational leaders’ attitude
Micro (individual and interpersonal)	• APP individual interest and intention • Clinical team members’ perception and understanding • Patient perception or preference	• APP individual background and attribute • APP individual skills and expertise • Relationships and negotiations with clinical team members and peers • Autonomy and relationships with supervisors • Patient perception or preference of APP	• APP individual background • APP work experience and beliefs • Relationship with clinical team members and peers