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Nurse practitioner as primary care provider

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https://www.readbyqxmd.com/read/29139608/current-state-of-screening-high-ace-youth-and-emerging-adults-in-primary-care
#1
Michelle Pardee, Elizabeth Kuzma, Chin Hwa Gina Y Dahlem, Nicole Boucher, Cynthia S Darling-Fisher
BACKGROUND AND PURPOSE: Trauma comes in many forms, including interpersonal, community, and institutional trauma. The adverse childhood event (ACE) studies demonstrated that adverse experiences in childhood can have a profound, cumulative impact on the course of health and development over a lifetime. It is critical for healthcare providers, such as nurse practitioners (NPs), working in primary care to screen adolescents and emerging adults for a history of ACEs and trauma. A review of current assessment tools used in assessing this population in health settings is needed to determine how screening for ACEs is being performed...
November 15, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29122792/understanding-the-implementation-of-sick-day-guidance-to-prevent-acute-kidney-injury-across-a-primary-care-setting-in-england-a-qualitative-evaluation
#2
Anne-Marie Martindale, Rebecca Elvey, Susan J Howard, Sheila McCorkindale, Smeeta Sinha, Tom Blakeman
OBJECTIVES: The study sought to examine the implementation of sick day guidance cards designed to prevent acute kidney injury (AKI), in primary care settings. DESIGN: Qualitative semistructured interviews were conducted and comparative analysis informed by normalisation process theory was undertaken to understand sense-making, implementation and appraisal of the cards and associated guidance. SETTING: A single primary care health setting in the North of England...
November 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/29102089/managing-multimorbidity-profiles-of-integrated-care-approaches-targeting-people-with-multiple-chronic-conditions-in-europe
#3
Mieke Rijken, Anneli Hujala, Ewout van Ginneken, Maria Gabriella Melchiorre, Peter Groenewegen, Franζois Schellevis
In response to the growing populations of people with multiple chronic diseases, new models of care are currently being developed in European countries to better meet the needs of these people. This paper aims to describe the occurrence and characteristics of various types of integrated care practices in European countries that target people with multimorbidity. Data were analysed from multimorbidity care practices participating in the Innovating care for people with multiple chronic conditions (ICARE4EU) project, covering all 28EU Member States, Iceland, Norway and Switzerland...
October 19, 2017: Health Policy
https://www.readbyqxmd.com/read/29100142/determining-geographic-accessibility-of-family-physician-and-nurse-practitioner-services-in-relation-to-the-distribution-of-seniors-within-two-canadian-prairie-provinces
#4
Tayyab Ikram Shah, Stephan Milosavljevic, Brenna Bath
Equitable access and distribution of health care services for rural and remote populations is a substantial challenge for health workforce planners and policy makers. Geospatial examination of access to health care considers both need and supply dimensions together to determine spatial access scores which contribute to a greater understanding of potential inequity in accessibility. This geospatial investigation explores geographic variation in accessibility to primary health care services utilizing combined access scores for family physicians and nurse practitioner services in urban and rural communities in the Canadian Prairie provinces of Saskatchewan and Alberta...
October 19, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29094544/undertaking-an-oral-contraceptive-pill-review
#5
Jenny Bishop
This article provides nurses with an understanding of the process for undertaking an annual oral contraceptive pill review effectively. This is commonly referred to as a 'pill check', and is the responsibility of many nurses working in primary care and sexual health services. Undertaking a pill check requires an understanding of the different types of oral contraceptive pills and associated risk factors. This article refers to recommendations from the Faculty of Sexual and Reproductive Healthcare, the lead body in the UK for standards and guidance relating to family planning and sexual health...
September 27, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29080581/management-of-lipids-in-patients-with-diabetes
#6
REVIEW
Ngozi D Mbue, John E Mbue, Jane A Anderson
Abnormal lipids, sometimes referred to as diabetes dyslipidemia, is a common condition in patients with diabetes. With the increasing number of patients with abnormal lipids, especially those with type 2 diabetes, health care practitioners, including nurses, have to properly manage patients with diabetes as well as abnormal lipids. This article examines the pathophysiology of abnormal lipids, the management of abnormal lipids, and the lipid goals for patients with diabetes. Lastly, this article discusses pharmacologic and nonpharmacologic therapies and the role of primary care providers and nurses in the management of abnormal lipids...
December 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/29068995/the-effect-of-distraction-by-dual-work-on-a-cpr-practitioner-s-efficiency-in-chest-compression-a-randomized-controlled-simulation-study
#7
RANDOMIZED CONTROLLED TRIAL
Kwangchun Lee, Min Joung Kim, Junseok Park, Joon Min Park, Kyung Hwan Kim, Dong Wun Shin, Hoon Kim, Woochan Jeon, Hyunjong Kim
BACKGROUND: In the clinical setting, the dispersed practitioners' attention often leads to decreased competence in their performance. We aimed to investigate the effect of distracted practitioners on the quality of chest compression during cardiopulmonary resuscitation. METHODS: A randomized controlled crossover simulation study was conducted. Participants were recruited from among doctors, nurses, and paramedics working in a university tertiary hospital. The paced auditory serial addition test (PASAT) was used as a tool for distracting participants...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29062395/implementing-quality-indicators-for-diabetes-and-hypertension-in-family-medicine-in-slovenia
#8
Zalika Klemenc-Ketiš, Igor Švab, Antonija Poplas Susič
INTRODUCTION: A new form of family practices was introduced in 2011 through a pilot project introducing nurse practitioners as members of team and determining a set of quality indicators. The aim of this article was to assess the quality of diabetes and hypertension management. METHODS: We included all family medicine practices that were participating in the project in December 2015 (N=584). The following data were extracted from automatic electronic reports on quality indicators: gender and specialisation of the family physician, status (public servant/self-contracted), duration of participation in the project, region of Slovenia, the number of inhabitants covered by a family medicine practice, the name of IT provider, and levels of selected quality indicators...
October 2017: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/29047331/-i-can-t-bend-it-and-it-hurts-like-mad-direct-observation-of-gout-consultations-in-routine-primary-health-care
#9
Anthony Dowell, Caroline Morris, Lindsay Macdonald, Maria Stubbe
BACKGROUND: Gout is the most common form of inflammatory arthritis and is associated with considerable co-morbidity. It is usually managed in the primary care setting with a combination of lifestyle modification and pharmacological therapy. This study describes patterns of communication about gout observed in interactions between patients and primary care practitioners during routine consultations. METHODS: Secondary analysis of video-recordings of individual healthcare consultations between patients and a range of primary care practitioners (including general practitioners, practice nurses, podiatrists and dietitians) from an archived database...
October 18, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28993389/innovative-telemonitoring-enhanced-care-programme-for-chronic-heart-failure-itec-chf-to-improve-guideline-compliance-and-collaborative-care-protocol-of-a-multicentre-randomised-controlled-trial
#10
Hang Ding, Rajiv Jayasena, Andrew Maiorana, Alison Dowling, Sheau Huey Chen, Mohan Karunanithi, Jamie Layland, Iain Edwards
INTRODUCTION: Chronic heart failure (CHF) is a life-threatening chronic disease characterised by periodic exacerbations and recurrent hospitalisations. In the management of CHF, patient compliance with evidence-based clinical guidelines is essential, but remains difficult practically. The objective of this study is to examine whether an Innovative Telemonitoring Enhanced Care Programme for CHF (ITEC-CHF) improves patients' compliance, and associated health and economic outcomes. METHODS AND ANALYSIS: An open multicentre randomised controlled trial has been designed...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28964502/international-practice-settings-interventions-and-outcomes-of-nurse-practitioners-in-geriatric-care-a-scoping-review
#11
REVIEW
Krista S Chavez, Andrew A Dwyer, Anne-Sylvie Ramelet
OBJECTIVES: To identify and summarize the common clinical settings, interventions, and outcomes of nurse practitioner care specific to older people. DESIGN: Scoping review of the international published and grey literature. DATA SOURCES: A structured literature search was conducted of CINAHL, EMBASE, MEDLINE, Google Scholar, and Cochrane Collaboration and Joanna Briggs Institute databases. REVIEW METHODS: Following the Arksey and O'Malley framework, randomized controlled and quasi-experimental studies of Masters-prepared nurse practitioners providing care for patients over 65 years were included...
September 18, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28962558/better-health-durham-protocol-for-a-cluster-randomized-trial-of-better-in-community-and-public-health-settings
#12
Lawrence Paszat, Rinku Sutradhar, Mary Ann O'Brien, Aisha Lofters, Andrew Pinto, Peter Selby, Nancy Baxter, Peter D Donnelly, Regina Elliott, Richard H Glazier, Robert Kyle, Donna Manca, Mary-Anne Pietrusiak, Linda Rabeneck, Nicolette Sopcak, Jill Tinmouth, Becky Wall, Eva Grunfeld
BACKGROUND: The Building on Existing Tools to Improve Chronic Disease Prevention and Screening (BETTER) cluster randomized trial in primary care settings demonstrated a 30% improvement in adherence to evidence-based Chronic Disease Prevention and Screening (CDPS) activities. CDPS activities included healthy activities, lifestyle modifications, and screening tests. We present a protocol for the adaptation of BETTER to a public health setting, and testing the adaptation in a cluster randomized trial (BETTER HEALTH: Durham) among low income neighbourhoods in Durham Region, Ontario (Canada)...
September 29, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28960236/national-structural-survey-of-veterans-affairs-home-based-primary-care-programs
#13
Jurgis Karuza, Suzanne M Gillespie, Tobie Olsan, Xeuya Cai, Stuti Dang, Orna Intrator, Jiejin Li, Shan Gao, Bruce Kinosian, Thomas Edes
OBJECTIVES: To describe the current structural and practice characteristics of the Department of Veterans Affairs (VA) Home-Based Primary Care (HBPC) program. DESIGN: We designed a national survey and surveyed HBPC program directors on-line using REDCap. PARTICIPANTS: We received 236 surveys from 394 identified HBPC sites (60% response rate). MEASUREMENTS: HBPC site characteristics were quantified using closed-ended formats...
September 27, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28899259/delivery-of-hiv-antiretroviral-therapy-adherence-support-services-by-hiv-care-providers-in-the-united-states-2013-to-2014
#14
John Weiser, Linda Beer, John T Brooks, Kathleen Irwin, Brady T West, Christopher C Duke, Garrett W Gremel, Jacek Skarbinski
BACKGROUND: Little is known about clinicians' adoption of recommendations of the International Association of Providers of AIDS Care and others for supporting adherence to antiretroviral therapy (ART). METHODS: We surveyed a probability sample of US HIV care providers to estimate the percentage offering 3 ART adherence support services to most or all patients and assessed the characteristics of providers offering all 3 services (comprehensive support) to most or all patients...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28886738/gaps-in-care-for-patients-with-memory-deficits-after-stroke-views-of-healthcare-providers
#15
Eugene Yee Hing Tang, Christopher Price, Blossom Christa Maree Stephan, Louise Robinson, Catherine Exley
BACKGROUND: Stroke is a common cause of physical disability but is also strongly associated with cognitive impairment and a risk for future dementia. Despite national clinical guidelines, the service provided for stroke survivors with cognitive and memory difficulties varies across localities. This study critically evaluated the views of healthcare professionals about barriers and facilitators to their care. METHODS: Seventeen semi-structured individual interviews were conducted by a single interviewer with both primary and secondary care clinicians in regular contact with stroke-survivors...
September 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28885951/providers-perspectives-on-barriers-and-facilitators-to-connecting-women-veterans-to-alcohol-related-care-from-primary-care
#16
Traci H Abraham, Eleanor T Lewis, Michael A Cucciare
BACKGROUND: Unhealthy drinking is relatively common among women U.S. military Veterans. Primary care is often the setting where patients first come into contact with the health care system, and providers in this setting play a critical role in connecting unhealthy drinkers to appropriate care. Little is known about primary care providers' perspectives on factors that affect whether women Veterans presenting to primary care with unhealthy drinking connect to alcohol-related care. Understanding factors that affect whether patients connect to alcohol-related care may improve providers' ability to support women Veterans with unhealthy drinking get needed care...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28870732/processes-and-outcomes-of-congestive-heart-failure-care-by-different-types-of-primary-care-models
#17
Yong-Fang Kuo, Deepak Adhikari, Chiemeziem G Eke, James S Goodwin, Mukaila A Raji
BACKGROUND: Having nurse practitioners (NPs) as primary care providers for patients with congestive heart failure (CHF) is 1 way to address the growing shortage of primary care physicians (PCPs). METHODS AND RESULTS: We used inverse probability of treatment weighted with propensity score to examine the processes and outcomes of care for patients under 3 care models. Approximately 72.9%, 0.8%, and 26.3% of CHF patients received care under the PCP model, the NP model, and the shared care model, respectively...
September 1, 2017: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/28867005/review-and-analysis-of-the-mental-health-nurse-incentive-program
#18
Brenda Happell, Chris Platania-Phung
Objective The aim of the present study was to review and synthesise research on the Mental Health Nurse Incentive Program (MHNIP) to ascertain the benefits and limitations of this initiative for people with mental illness, general practitioners, mental health nurses and the wider community.Methods An electronic and manual search was made of the research literature for MHNIP in May 2017. Features of studies, including cohorts and findings, were tabulated and cross-study patterns in program processes and outcomes were closely compared...
September 4, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28854916/the-quality-safety-and-governance-of-telephone-triage-and-advice-services-an-overview-of-evidence-from-systematic-reviews
#19
Rebecca Lake, Andrew Georgiou, Julie Li, Ling Li, Mary Byrne, Maureen Robinson, Johanna I Westbrook
BACKGROUND: Telephone triage and advice services (TTAS) are increasingly being implemented around the world. These services allow people to speak to a nurse or general practitioner over the telephone and receive assessment and healthcare advice. There is an existing body of research on the topic of TTAS, however the diffuseness of the evidence base makes it difficult to identify key lessons that are consistent across the literature. Systematic reviews represent the highest level of evidence synthesis...
August 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28845555/nurse-practitioner-led-transitional-care-interventions-an-integrative-review
#20
REVIEW
Kathlyen Mora, Xiomara M Dorrejo, Kimberly Mae Carreon, Sadia Butt
BACKGROUND AND PURPOSE: Chronically ill patients 65 and above have an increased risk of preventable readmission within 30 days of discharge from the hospital. The Transitional Care Model (TCM) introduced by Naylor and colleagues was implemented to improve the transition between hospital and home while decreasing readmissions. This article examines whether nurse practitioner (NP)- led TCM interventions as compared to standard care decrease hospital readmission rates in older adults. METHODS: A literature review was conducted from June 2016 to March 2017 using Cochrane Library, PubMed, Cumulative Index to Nursing and Health Literature (CINAHL) PLUS, Joanna Briggs Institute, and ProQuest Central to seek out the highest level of evidence...
August 28, 2017: Journal of the American Association of Nurse Practitioners
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