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Nurse practitioner scope of practice

Susan Mcinnes, Kath Peters, Andrew Bonney, Elizabeth Halcomb
AIMS AND OBJECTIVES: To explore the nature of collaboration between registered nurses and general practitioners in Australian general practice. BACKGROUND: There is international recognition that collaboration between health professionals can improve care coordination, enhance health outcomes, optimise the work environment and reduce healthcare costs. However, effective collaboration requires a clear understanding of each team member's role. DESIGN: A qualitative approach guided by Naturalistic Inquiry was used to elicit and interpret participant narratives...
September 29, 2016: Journal of Clinical Nursing
Hui-Ju Chiu, Shiow-Luan Tsay, Heng-Hsin Tung
BACKGROUND AND PURPOSE: The purpose of the article is to clarify and describe nurse practitioner (NP) scope-of-practice regulations, including the process of establishing the regulations, and the concepts of supervision, collaboration, and protocol as well as to illustrate the positive impact of NPs in Taiwan. METHODS: A literature review was conducted to understand physician involvement, NP scope of practice, and written practice protocol. A simultaneous review of authoritative regulations, related to local statutes and regulations in the United States, was conducted...
September 28, 2016: Journal of the American Association of Nurse Practitioners
Mary Edel Holtschneider
No abstract text is available yet for this article.
September 2016: Journal for Nurses in Professional Development
Elaine C Meyer, Giulia Lamiani, Donna Luff, Stephen D Brown
OBJECTIVE: Traditionally, radiologists have practiced their profession behind the scenes. Today, radiologic practitioners face mounting expectations to communicate more directly with patients. However, their experiences with patient communication are not well understood. The aim of this study was to describe the challenges of radiologic practitioners when communicating with patients. METHODS: Twelve day-long interprofessional communication skills workshops for radiologic clinicians were held at Boston Children's Hospital...
July 30, 2016: Patient Education and Counseling
Claudia B Maier, Hilary Barnes, Linda H Aiken, Reinhard Busse
OBJECTIVES: Many countries are facing provider shortages and imbalances in primary care or are projecting shortfalls for the future, triggered by the rise in chronic diseases and multimorbidity. In order to assess the potential of nurse practitioners (NPs) in expanding access, we analysed the size, annual growth (2005-2015) and the extent of advanced practice of NPs in 6 Organisation for Economic Cooperation and Development (OECD) countries. DESIGN: Cross-country data analysis of national nursing registries, regulatory bodies, statistical offices data as well as OECD health workforce and population data, plus literature scoping review...
2016: BMJ Open
Tracy A Klein, Janessa M Graves
BACKGROUND: Nurse practitioners (NPs) are statutorily authorized to provide assessment and cognitive recommendations for concussion in most states. Their scope of practice includes assessment and management of concussion sequalae including anxiety, insomnia, and depression, as well as return to school and activity guidance. OBJECTIVES: Analysis of symptom-based diagnosis of mild traumatic brain injury (TBI) in adolescents, including return to school and school workload recommendations comparing psychiatric and nonpsychiatric NPs...
September 6, 2016: Journal of the American Psychiatric Nurses Association
Vicky Bungay, Ingrid Handlovsky, J Craig Phillips, Cheryl Prescott
AIMS AND OBJECTIVES: To examine existing research literature to ascertain what is known about nursing practice in sexually transmitted infection (STI) care and identify promising research trends and limitations. BACKGROUND: STIs continue to be a significant public health concern with more than 357 million new cases occurring annually worldwide. Nurses are vital for the prevention and care of those affected. As nursing scope of practice is evolving, there is an urgent need to develop a baseline understanding of the state of nursing knowledge in STI care...
August 29, 2016: Journal of Clinical Nursing
Linda L Lazure, Mary E Cramer, Katherine A Hoebelheinrich
Medicare patients seeking care from nurse practitioners (NPs) increased 15-fold from 1998 to 2010, and a 2.5-fold patient increase was recorded in states that have eased the regulatory environment for NPs. It is increasingly important that state regulatory and licensing boards-charged with protecting the public through the assurance of a qualified health-care workforce-examine whether their state regulatory environment restricts or promotes public access to quality health care. This article presents a case study of a statutory scope of practice credentialing review process for NPs in Nebraska...
May 2016: Policy, Politics & Nursing Practice
Carin Wong, Natalie E Leland
The management of negative behavioral symptoms among residents with dementia is a challenge that nursing homes face in delivering quality care. This study examines evidence documenting non-pharmacological interventions that reduce negative behavioral symptoms among nursing home residents with dementia and the role occupational therapy practitioners have in this area. A scoping review was completed for intervention studies published from 1987 to 2014, targeting negative behavioral symptoms among nursing home residents above 60 years of age with dementia...
January 2016: OTJR: Occupation, Participation and Health
Rebecca Lawton, Jane Heyhoe, Gemma Louch, Emma Ingleson, Liz Glidewell, Thomas A Willis, Rosemary R C McEachan, Robbie Foy
BACKGROUND: There are recognised gaps between evidence and practice in general practice, a setting posing particular implementation challenges. We earlier screened clinical guideline recommendations to derive a set of 'high-impact' indicators based upon criteria including potential for significant patient benefit, scope for improved practice and amenability to measurement using routinely collected data. Here, we explore health professionals' perceived determinants of adherence to these indicators, examining the degree to which determinants were indicator-specific or potentially generalisable across indicators...
2016: Implementation Science: IS
Michelle Y Raji, Nai-Wei Chen, Mukaila Raji, Yong-Fang Kuo
BACKGROUND: A shortage of primary care physicians has led to the alternative strategy of nurse practitioners (NPs) as primary care providers for the growing elderly population. Many states have implemented policies that allow NPs to practice independently with no physician oversight. Little is known about the continuity of primary care provided by NPs. OBJECTIVE: To examine rate and correlates of switching from exclusive NP primary care to receiving some or all primary care from physicians...
October 2016: Journal of Primary Care & Community Health
Susan McInnes, Kath Peters, Andrew Bonney, Elizabeth Halcomb
Despite more nurses working in Australian general practice, there has been limited investigation exploring ways that general practitioners and registered nurses work together to deliver clinical care. However, it has been postulated that the small business structure, common in Australian general practices, might influence collaboration between these two groups of health professionals. This paper presents one theme from a larger qualitative study. Eight general practitioners and fourteen registered nurses working in general practice participated in semistructured face-to-face interviews between February and May 2015...
July 25, 2016: Australian Journal of Primary Health
K Gaffey, D S Evans, F Walsh
UNLABELLED: WHAT IS KNOWN ABOUT THE SUBJECT?: The Advancing Recovery in Ireland (ARI) project (Health Service Executive, 2012) promotes recovery-orientated services. A previous study of Irish mental health practitioners (Cleary & Dowling ) identified the need to improve knowledge and attitudes towards recovery. To facilitate implementation of ARI and monitor progress, this study provided a 'benchmark' of current knowledge and attitudes to recovery. WHAT THIS STUDY ADDS TO EXISTING KNOWLEDGE?: The study provides important baseline information on recovery knowledge and attitudes which can be used to assess the impact of the ARI Project...
August 2016: Journal of Psychiatric and Mental Health Nursing
Fatmata Jalloh, Matthew D Tadlock, Stacy Cantwell, Timothy Rausch, Hande Aksoy, Heidi Frankel
BACKGROUND: Acute care nurse practitioners have been successfully integrated into inpatient settings. They perform invasive procedures in the intensive care unit and other acute care settings. Although their general scope of practice is regulated at the state level, local and regional scope of practice is governed by hospitals. OBJECTIVE: To determine if credentialing and privileging of these nurses for invasive procedures varies depending on the institution. METHODS: Personnel in medical staff offices of 329 hospitals were surveyed by telephone with 6 questions...
July 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
Eileen A Moran, Edesha Basa, Jian Gao, Denni Woodmansee, Peter L Almenoff, Roderick S Hooker
This study assessed the 2014 clinical productivity of 5,959 physician assistants (PAs) and nurse practitioners (NPs) in the US Department of Veterans Affairs' Veterans Health Administration (VHA). Total work relative value units divided by the direct clinical full-time equivalent measured annual productivity, and correlated factors were examined using weighted analysis of variance. PAs and NPs in adult primary care roles were more productive than those in other specialties. Both providers were more productive in rural than in nonrural settings and less productive in teaching than nonteaching hospitals...
July 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
Ishani Ganguli, Eva Chittenden, Vicki Jackson, Alexa B Kimball
BACKGROUND: Early conversations between clinicians and patients about goals of care may improve patients' quality of life and prevent nonbeneficial care near the end of life, but these conversations are limited in frequency and scope. To address this issue, clinicians are increasingly asked to use standardized medical order forms, like the Medical Orders for Life-Sustaining Treatment (MOLST), to document end-of-life conversations and to help ensure that patients' wishes are realized. In kind, the Centers for Medicare and Medicaid Services recently decided to reimburse physicians as well as nurse practitioners and physician assistants for these conversations...
June 15, 2016: Journal of Palliative Medicine
Naomi Elliott, Cecily Begley, Greg Sheaf, Agnes Higgins
BACKGROUND: Advanced roles such as nurse practitioner, nurse consultant and advanced nurse or midwife practitioner are increasing across the world. In most countries, clinical practice, education, leadership and research are the four components that define the advanced practitioner's role. Of these, leadership is perhaps the most important part of the role, but its study has largely been neglected. There is a risk that failure to identify and respond to barriers to enacting the advanced practitioners' leadership role will limit the extent to which they can become strategic leaders for professional development, and jeopardise the long-term sustainability of the role...
August 2016: International Journal of Nursing Studies
Lee Rivers Mobley, Sujha Subramanian, Florence K Tangka, Sonja Hoover, Jiantong Wang, Ingrid J Hall, Simple D Singh
INTRODUCTION: Nationally, about one third of women with breast cancer (BC) are diagnosed at late stage, which might be reduced with greater utilization of BC screening. The purpose of this paper is to examine the predictors of BC mammography use among women with Medicaid, and differences among Medicaid beneficiaries in their propensity to use mammography. METHODS: The sample included 2,450,527 women drawn from both fee-for-service and managed care Medicaid claims from 25 states, during 2006-2008...
June 10, 2016: Journal of Racial and Ethnic Health Disparities
Claudia B Maier, Linda H Aiken
Many countries, including Israel, face health workforce challenges to meet the needs of their citizens, as chronic conditions increase. Provider shortages and geographical maldistribution are common. Increasing the contribution of nurse practitioners and other advanced practice nursing roles through task-shifting and expansion of scope-of-practice can improve access to care and result in greater workforce efficiency. Israel and many other countries are introducing reforms to expand nurses' scope-of-practice...
2016: Israel Journal of Health Policy Research
Omenaa Boakye, Arden Birney, Esther Suter, Leah Adeline Phillips, Victoria Ym Suen
PURPOSE: This study explored which health care providers could be involved in centralized intake for patients with nonspecific low back pain to enhance access, continuity, and appropriateness of care. METHODS: We reviewed the scope of practice regulations for a range of health care providers. We also conducted telephone interviews with 17 individuals representing ten provincial colleges and regulatory bodies to further understand providers' legislated scopes of practice...
2016: Journal of Multidisciplinary Healthcare
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