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Nurse practitioner scope of practice

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https://www.readbyqxmd.com/read/28483137/expanded-roles-of-registered-nurses-in-primary-care-delivery-of-the-future
#1
Laurie Bauer, Thomas Bodenheimer
BACKGROUND: Primary care in the United States is changing: practice size is increasing, there is a growing shortage of primary care practitioners, and there is a heightened prevalence of chronic disease. Given these trends, it is likely that registered nurses will become important members of the primary care team. PURPOSE: This paper explores the challenges and opportunities in primary care delivery in the 21st century and examines the likelihood of expanded roles for RNs to improve quality and add capacity to the primary care workforce...
April 7, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28461161/recommendations-for-the-management-of-comorbidity-in-patients-with-axial-spondyloarthritis-in-clinical-practice
#2
Carlos González, Rafael Curbelo Rodríguez, Juan Carlos Torre-Alonso, Eduardo Collantes, Santos Castañeda, M Victoria Hernández, Ana Urruticoechea-Arana, Juan Carlos Nieto-González, Javier García, Miguel Ángel Abad, Julio Ramírez, Carmen Suárez, Regina Dalmau, Maria Dolores Martín-Arranz, Leticia León, Juan Carlos Hermosa, Juan Carlos Obaya, Teresa Otón, Loreto Carmona
OBJECTIVES: To identify priorities among comorbidities in axial spondyloarthritis (AxSpA) and recommend how to follow them from an eminently practical perspective. METHODS: A multidisciplinary group was selected (10 rheumatologists-six of them experts in AxSpA-, 2 general practitioners, an internist, a cardiologist, a gastroenterologist and a psychologist). In a first discussion meeting, the scope and users were established and a list of comorbidities was voted based on frequency and impact...
April 28, 2017: Reumatología Clinica
https://www.readbyqxmd.com/read/28453828/examining-the-nature-of-interprofessional-interventions-designed-to-promote-patient-safety-a-narrative-review
#3
Scott Reeves, Emma Clark, Sally Lawton, Melissa Ream, Fiona Ross
Purpose: This narrative review aimed to scope the patient safety literature to identify interprofessional intervention approaches, sources of evidence and reported outcomes. Data sources: Two major databases (MEDLINE and CINAHL) were searched from 2005 to 2015. Study selection: A total of 1552 abstracts were initially identified. After screening these abstracts, 129 full papers were obtained. Further screening resulted in a total of 89 papers included in this review...
April 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28413842/-i-do-not-have-time-is-there-a-handout-i-can-use-combining-physicians-needs-and-behavior-change-theory-to-put-physical-activity-evidence-into-practice
#4
R E Clark, C McArthur, A Papaioannou, A M Cheung, J Laprade, L Lee, R Jain, L M Giangregorio
Guidelines for physical activity exist and following them would improve health. Physicians can advise patients on physical activity. We found barriers related to physicians' knowledge, a lack of tools and of physician incentives, and competing demands for limited time with a patient. We discuss interventions that could reduce these barriers. INTRODUCTION: Uptake of physical activity (PA) guidelines would improve health and reduce mortality in older adults. However, physicians face barriers in guideline implementation, particularly when faced with needing to tailor recommendations in the presence of chronic disease...
April 17, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28328684/eastern-association-for-the-surgery-of-trauma-society-of-trauma-nurses-advanced-practitioner-position-paper-optimizing-the-integration-of-advanced-practitioners-in-trauma-and-critical-care
#5
Jonathan Messing, Jasmine Garces-King, Dennis Taylor, Jonathan Van Horn, Babak Sarani, A Britton Christmas
Nurse Practitioners and Physician Assistants, collectively known as advanced practitioners (APs), enhance the provision of care for the acutely injured patient. Despite their prevalence, institutions employ, train, and utilize these providers with significant variability. The Eastern Association for the Surgery of Trauma (EAST), the Society of Trauma Nurses (STN), and the American Association of Surgical Physicians Assistants (AASPA) acknowledge the value of APs and support their utilization in the management of injured and critically ill patients...
March 21, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28315527/standards-of-practice-applying-genetics-and-genomics-resources-to-oncology%C3%A2
#6
Alice S Kerber, Nancy J Ledbetter
Knowledge about genetics and genomics and its application to oncology care is rapidly expanding and evolving. As a result, oncology nurses at all levels must develop and maintain their knowledge of genetics and genomics, as well as be aware of resources to guide practice. This article focuses on implementation of the standards described in the updated Genetics/Genomics Nursing: Scope and Standards of Practice by the basic practitioner.
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April 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28302637/protocol-for-determining-primary-healthcare-practice-characteristics-models-of-practice-and-patient-accessibility-using-an-exploratory-census-survey-with-linkage-to-administrative-data-in-nova-scotia-canada
#7
Emily Gard Marshall, Richard J Gibson, Beverley Lawson, Frederick Burge
INTRODUCTION: There is little evidence on how primary care providers (PCPs) model their practices in Nova Scotia (NS), Canada, what services they offer or what accessibility is like for the average patient. This study will create a database of all family physicians and primary healthcare nurse practitioners in NS, including information about accessibility and the model of care in which they practice, and will link the survey data to administrative health databases. METHODS AND ANALYSIS: 3 census surveys of all family physicians, primary care nurse practitioners (ie, PCPs) and their practices in NS will be conducted...
March 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/28285164/the-views-of-non-medical-prescribing-students-and-medical-mentors-on-interprofessional-competency-assessment-a-qualitative-exploration
#8
Janyne D Afseth, Ruth E Paterson
BACKGROUND: The United Kingdom (UK) is one of the least restrictive countries in terms of scope of prescribing practice for non-medical prescribers and is a rapidly expanding group of professionals. In the United Kingdom nurse prescribers are assessed in practice by Designated Medical Practitioners (DMP) (doctors) which is a unique approach. In light of proposals to permit nurses to assess each other the benefits and challenges associated with current approach to interprofessional assessment warranted further exploration...
March 1, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28262371/-cooperation-according-to-french-law-hospital-patients-health-and-territories-pharmacists-involvement-in-aquitaine-region
#9
M d'Elbée, M Baumevieille, C Dumartin
BACKGROUND: In 2009, the French Act "Hospital, Patients, Health and Territories" (loi "Hôpital, Patients, Santé et Territoires") reorganized the outpatient care pathway and defined missions aimed at improving cooperation between pharmaceutical and medical professionals. Five years later, we conducted a survey among community pharmacists in order to assess the appropriation of these missions and the way cooperation was implemented. We also aimed to investigate factors that could hamper or ease the development of these activities in order to identify actions needed to improve pharmacists' involvement...
March 2, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28162784/considering-disparities-how-do-nurse-practitioner-regulatory-policies-access-to-care-and-health-outcomes-vary-across-four-states
#10
COMPARATIVE STUDY
Andréa Sonenberg, Hillary J Knepper
BACKGROUND: Health disparities persist among morbidity and mortality rates in the United States. Contributing significantly to these disparities are the ability to pay for health care (largely, access to health insurance) and access to, and capacity of, the primary care health workforce. PURPOSE: This article examines key determinants of health (DOH) including demographics, public and regulatory policies, health workforce capacity, and primary health outcomes of four states of the United States...
March 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28150254/-the-new-era-of-the-nurse-practitioner
#11
Hui-Ju Chiu, Shiow-Luan Tsay, Heng-Hsin Tung
The scope of practice of nurse practitioners is not defined by law but by the administrative directives of the Ministry of Health and Welfare. Prior to promulgation of Article 24, Paragraphs 3 and 4 of the "Nursing Personnel Act" and of the "Regulation of the Scope of Practice of Nurse Practitioners", the scope of practice of nurse practitioners was defined in accordance with relevant laws and regulations. Since promulgation, nurse practitioners have been authorized to practice medical interventions under the supervision of physicians and in accordance with physician-established protocols...
February 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28127773/does-the-regulatory-environment-affect-nurse-practitioners-patterns-of-practice-or-quality-of-care-in-health-centers
#12
Ellen T Kurtzman, Burt S Barnow, Jean E Johnson, Samuel J Simmens, Donna Lind Infeld, Fitzhugh Mullan
OBJECTIVE: To examine the impact of state-granted nurse practitioner (NP) independence on patient-level quality, service utilization, and referrals. DATA SOURCES/STUDY SETTING: The National Ambulatory Medical Care Survey's community health center (HC) subsample (2006-2011). Primary analyses included approximately 6,500 patient visits to 350 NPs in 220 HCs. STUDY DESIGN: Propensity score matching and multivariate regression analysis were used to estimate the impact of state-granted NP independence on each outcome, separately...
February 2017: Health Services Research
https://www.readbyqxmd.com/read/28115913/a-systematic-review-of-experiences-of-advanced-practice-nursing-in-general-practice
#13
Michael Jakimowicz, Danielle Williams, Grazyna Stankiewicz
BACKGROUND: Despite efforts to achieve conceptual clarity, advanced practice nursing continues to reside in a liminal space, unable to secure ongoing recognition as a viable means of healthcare delivery. This is particularly evident in general practice where advanced practice role development is more fluid and generally less supported by the hierarchical structures evident in the hospital system. This review synthesises published qualitative studies reporting experiences of advanced practice nursing in general practice...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28113082/are-nurse-led-chemotherapy-clinics-really-nurse-led-an-ethnographic-study
#14
Carole Farrell, Catherine Walshe, Alex Molassiotis
BACKGROUND: The number of patients requiring ambulatory chemotherapy is increasing year on year, creating problems with capacity in outpatient clinics and chemotherapy units. Although nurse-led chemotherapy clinics have been set up to address this, there is a lack of evaluation of their effectiveness. Despite a rapid expansion in the development of nursing roles and responsibilities in oncology, there is little understanding of the operational aspects of nurses' roles in nurse-led clinics...
April 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28106589/from-entry-to-practice-to-advanced-nurse-practitioner-the-progression-of-competencies-and-how-they-assist-in-delivery-of-ehealth-programs-for-healthy-ageing
#15
Daragh Rodger, Pamela Hussey
Most of the health issues encountered in persons of older age are the result of one or more chronic diseases. The evidence base reports that chronic diseases can be prevented or delayed by engaging in healthy behaviors. Education provides a cost effective intervention on both economic grounds in addition to delivery of optimal patient outcomes. Information and Communication Technology (ICT) increasingly is viewed as a critical utility in eHealth delivery, providing scope for expanding online education facilities for older persons...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28102791/an-exemplar-of-naturalistic-inquiry-in-general-practice-research
#16
Susan McInnes, Kath Peters, Andrew Bonney, Elizabeth Halcomb
Background Before beginning any research project, novice researchers must consider which methodological approach will best address their research questions. The paucity of literature describing a practical application of naturalistic inquiry adds to the difficulty they may experience. Aim To provide a practical example of how naturalistic inquiry was applied to a qualitative study exploring collaboration between registered nurses and general practitioners working in Australian general practice. Discussion Naturalistic inquiry is not without its critics and limitations...
January 23, 2017: Nurse Researcher
https://www.readbyqxmd.com/read/28078729/achieving-full-scope-of-practice-readiness-using-evidence-for-psychotherapy-teaching-in-web-and-hybrid-approaches-in-psychiatric-mental-health-advanced-practice-nursing-education
#17
Kathleen T McCoy
Radical changes in role, education, and practice have affected how education of advance practice nurses and practice deliverables occur. PURPOSE: This article examines the effects of distance education upon the teaching/learning of psychotherapy in integrating Web-based technology and platforms. DESIGN AND METHODS: With the advent and proliferation of online programs of study, the question begs: How do distance-linked programs successfully introduce, practice, and supervise one-to-one and group psychotherapy training? FINDINGS: By employing evidence-based education strategies, technology, and strong interpersonal skills and evidence-based therapies, a charter Psychiatric Mental Health Nurse Practitioner Doctor of Nursing Practice program paved an innovative and successful path...
January 12, 2017: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/28077345/tips-and-traps-lessons-from-codesigning-a-clinician-e-monitoring-tool-for-computerized-cognitive-behavioral-therapy
#18
Frederick Sundram, Susan J Hawken, Karolina Stasiak, Mathijs Fg Lucassen, Theresa Fleming, Matthew Shepherd, Andrea Greenwood, Raechel Osborne, Sally N Merry
BACKGROUND: Computerized cognitive behavioral therapy (cCBT) is an acceptable and promising treatment modality for adolescents with mild-to-moderate depression. Many cCBT programs are standalone packages with no way for clinicians to monitor progress or outcomes. We sought to develop an electronic monitoring (e-monitoring) tool in consultation with clinicians and adolescents to allow clinicians to monitor mood, risk, and treatment adherence of adolescents completing a cCBT program called SPARX (Smart, Positive, Active, Realistic, X-factor thoughts)...
January 11, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/28059984/transforming-roles-of-nursing-professional-development-practitioners
#19
Joan Insalaco Warren, Mary G Harper
This research was undertaken to delineate the future role of nursing professional development (NPD) specialists. Using a modified e-Delphi technique, seven key roles for NPD (partner for practice transitions, learning facilitator, change agent, mentor, leader, champion of scientific inquiry, and advocate for NPD specialty) and their concomitant competencies evolved. Results of this study informed the update of the NPD Scope and Standards of Practice and may be used to identify competencies for the specialty...
January 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28057024/behavior-change-interventions-and-policies-influencing-primary-healthcare-professionals-practice-an-overview-of-reviews
#20
REVIEW
Bhupendrasinh F Chauhan, Maya Jeyaraman, Amrinder Singh Mann, Justin Lys, Becky Skidmore, Kathryn M Sibley, Ahmed Abou-Setta, Ryan Zarychanksi
BACKGROUND: There is a plethora of interventions and policies aimed at changing practice habits of primary healthcare professionals, but it is unclear which are the most appropriate, sustainable, and effective. We aimed to evaluate the evidence on behavior change interventions and policies directed at healthcare professionals working in primary healthcare centers. METHODS: Study design: overview of reviews. DATA SOURCE: MEDLINE (Ovid), Embase (Ovid), The Cochrane Library (Wiley), CINAHL (EbscoHost), and grey literature (January 2005 to July 2015)...
January 5, 2017: Implementation Science: IS
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