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Nurse practitioner as primary care provider

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https://www.readbyqxmd.com/read/29319251/time-to-revisit-recommendations-on-doctor-to-population-ratio-in-india
#1
Madhav G Deo
A buzzword in Indian press and amongst the policy makers is that India is short of the WHO recommended doctor to population ratio of 1:1000. The recommendations were formulated to facilitate programs to achieve some of the health related UN-Millennium Development Goals (MDGs). Infections and malnutrition, which can be comfortably handled by a basic MBBS doctor, were the dominant health issues at the time of the formulation of the MDGs. However, all countries worldwide are going through health epidemiological transition and health impact of the non-communicable disorders (NCDs) can be no more ignored even by the low income nations...
October 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/29310901/why-do-we-not-want-to-recommend-influenza-vaccination-to-young-children-a-qualitative-study-of-australian-parents-and-primary-care-providers
#2
Ruby Biezen, Danilla Grando, Danielle Mazza, Bianca Brijnath
INTRODUCTION: Influenza vaccination has been shown to be safe and effective against influenza and in the prevention of complicating secondary respiratory illnesses. However, its uptake in young children remains low. This study explored the views, attitudes and practices of parents and primary care providers (PCPs) on their knowledge and acceptance of influenza vaccination in children under 5. METHODS: Using a cross-sectional qualitative research design, we conducted 30 in-depth interviews with PCPs (i...
January 5, 2018: Vaccine
https://www.readbyqxmd.com/read/29310746/nurse-practitioner-s-perceptions-of-the-impact-of-the-nurse-practitioner-led-clinic-model-on-the-quality-of-care-of-complex-patients
#3
Roberta Heale, Susan James, Elizabeth Wenghofer, Marie-Luce Garceau
Aim To evaluate the organizational processes that influence the quality of care for patients with multimorbidity at nurse practitioner-led clinics (NPLCs). BACKGROUND: People are living longer, most with one or more chronic diseases (mulitmorbidity) and primary healthcare for these patients has become increasingly complex. One response was the establishment of new models of primary healthcare. NPLCs are an example of a model developed in Ontario, Canada, which feature nurse practitioners as the primary care providers practicing within an interprofessional team...
January 9, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29305048/the-current-state-of-knowledge-perception-and-practice-in-diabetes-management-during-fasting-in-ramadan-by-healthcare-professionals
#4
Sueziani B Zainudin, Aslena B Hussain
AIMS: Obligatory Ramadan fasting is challenging in the management of Muslims with diabetes due to increased risk of complications from altered meals and activities. This study aimed to evaluate the knowledge, perception and practice of healthcare professionals in diabetes management during fasting and the outcome of education on management. MATERIALS AND METHODS: We surveyed healthcare professionals enrolled in pre-Ramadan education involving an endocrinologist, diabetes specialized nurse and dietician...
December 28, 2017: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/29240660/healthcare-provider-views-on-transitioning-from-task-shifting-to-advanced-practice-nursing-in-tanzania
#5
Joanes Faustine Mboineki, Weihong Zhang
BACKGROUND: The Tanzanian health sector suffers from shortages of healthcare workers as well as uneven distribution of healthcare workers in urban and rural areas. Task shifting-delegation of tasks from professionals to other healthcare team members with less training, such as medical attendants-is practiced, compromising quality of care. Advanced practice nursing is underutilized. OBJECTIVE: The purpose of this study was to explore the views of nurses and physicians on current responses to shortages of healthcare workers and the potential for utilization of advanced practice nurses...
January 2018: Nursing Research
https://www.readbyqxmd.com/read/29229053/management-of-back-pain-related-disorders-in-a-community-with-limited-access-to-health-care-services-a-description-of-integration-of-chiropractors-as-service-providers
#6
Peter C Emary, Amy L Brown, Douglas F Cameron, Alexander F Pessoa, Jennifer E Bolton
OBJECTIVE: The purpose of this study was to evaluate a chiropractic service for back pain patients integrated within a publicly funded, multidisciplinary, primary care community health center in Cambridge, Ontario, Canada. METHODS: Patients consulting for back pain of any duration were referred by their medical doctor or nurse practitioner for chiropractic treatment at the community health center. Patients completed questionnaires at baseline and at discharge from the service...
November 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29216748/quality-of-care-for-patients-with-diabetes-and-mulitmorbidity-registered-at-nurse-practitioner-led-clinics
#7
Roberta Heale, Elizabeth Wenghofer, Susan James, Marie-Luce Garceau
Background Nurse Practitioner-Led Clinics are a new model of primary healthcare in Ontario. Nurse Practitioner-Led Clinics are distinctive in that nurse practitioners are the primary care providers working with an interprofessional team. There have been no evaluations of the quality of care within the Nurse Practitioner-Led Clinic model. Purpose Evaluation of the Nurse Practitioner-Led Clinic model, specifically for complex clinical presentations, will provide insights that may be used to inform improvements to the delivery of care in the Nurse Practitioner-Led Clinics...
January 1, 2017: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29210535/assessment-care-and-management-of-patients-with-red-eye
#8
Susan Watkinson, Ramesh Seewoodhary
Red eye is a common ocular presentation in primary care, and there are several challenges that healthcare practitioners may encounter when caring for such patients. The main ocular conditions that can give rise to red eye are: primary acute angle closure glaucoma, acute iritis, dry eye, blepharitis and conjunctivitis. Red eye can be classified as sight-threatening or non-sight-threatening. Many patients presenting with painless red eye and normal vision usually recover well. However, when red eye is associated with pain, photophobia, watering and blurred vision, it is potentially sight-threatening and must be addressed urgently...
December 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29206262/sbirt-education-for-nurse-practitioner-students-integration-into-an-msn-program
#9
Jeanne Moore, Petra Goodman, Janet Selway, Elizabeth Hawkins-Walsh, Janet Merritt, Jill Dombrowski
BACKGROUND: Substance use disorders are a major public health problem. As primary care providers, nurse practitioners (NPs) must be proficient at screening, identifying, and intervening for at-risk patients. Screening, brief intervention, and referral to treatment (SBIRT) is a well-established, evidence-based model for teaching behavioral health skills to health care providers. It is vital that Master of Science in Nursing (MSN)-NP programs incorporate SBIRT into their curricula. METHOD: SBIRT content was mapped to 10 courses across an MSN-NP program...
December 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29190418/interventions-to-change-the-behaviour-of-health-professionals-and-the-organisation-of-care-to-promote-weight-reduction-in-children-and-adults-with-overweight-or-obesity
#10
REVIEW
Gerd Flodgren, Daniela C Gonçalves-Bradley, Carolyn D Summerbell
BACKGROUND: The prevalence of overweight and obesity is increasing globally, an increase which has major implications for both population health and costs to health services. This is an update of a Cochrane Review. OBJECTIVES: To assess the effects of strategies to change the behaviour of health professionals or the organisation of care compared to standard care, to promote weight reduction in children and adults with overweight or obesity. SEARCH METHODS: We searched the following databases for primary studies up to September 2016: CENTRAL, MEDLINE, Embase, CINAHL, DARE and PsycINFO...
November 30, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29190384/general-practitioner-and-nurse-prescriber-experiences-of-prescribing-antibiotics-for-respiratory-tract-infections-in-uk-primary-care-out-of-hours-services-the-unite-study
#11
S J Williams, A V Halls, S Tonkin-Crine, M V Moore, S E Latter, P Little, C Eyles, K Postle, G M Leydon
Background: Interventions are needed to reduce unnecessary antibiotic prescribing for respiratory tract infections (RTIs). Although community antibiotic prescribing appears to be decreasing in the UK, figures for out-of-hours (OOH) prescribing have substantially increased. Understanding the factors influencing prescribing in OOH and any perceived differences between general practitioner (GP) and nurse prescriber (NP) prescribing habits may enable the development of tailored interventions promoting optimal prescribing in this setting...
November 27, 2017: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/29183564/-lost-and-confused-parent-representative-groups-perspectives-on-child-and-family-health-services-in-australia
#12
Amiee Hesson, Cathrine Fowler, Chris Rossiter, Virginia Schmied
Consumer involvement in health care is widely accepted in policy and service delivery. Australia offers universal health services for families with children aged 0 to 5 years, provided by child and family health nurses and general practitioners. Services include, but are not limited to, monitoring and promoting child health and development, and supporting parents. This paper reports consumer representatives' perspectives on Australian parents' needs and experiences of child and family health services, identifying facilitators and barriers to service utilisation...
November 29, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29176341/community-based-home-health-programs-and-chronic-disease-synthesis-of-the-literature
#13
Tonya Vandiver, Tracy Anderson, Brittani Boston, Cynthia Bowers, Norma Hall
PURPOSE OF STUDY: This article reviewed and evaluated literature on the various community-based home health programs and their effectiveness at preventing hospital admissions in adults. The research question addressed is as follows: Do community-based home health programs decrease hospital admissions in adult patients with chronic disease? PRIMARY PRACTICE SETTING: The primary practice setting evaluated in this review of the literature was community-based home health programs...
January 2018: Professional Case Management
https://www.readbyqxmd.com/read/29175690/human-trafficking-education-for-nurse-practitioners-integration-into-standard-curriculum
#14
Rebecca M Lutz
BACKGROUND: Human trafficking is a crime resulting in serious negative health outcomes for the victims. To provide optimal care, thus improving health outcomes, healthcare providers must be able to identify victims as they seek care for acute and chronic physical illness, communicable diseases, sexually transmitted infections, and mental health disorders (Lederer and Wetzel, 2014; Oram et al., 2012). Unfortunately, healthcare providers lack appropriate knowledge of clues that would lead to victim identification...
November 16, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29170284/impact-of-multimorbidity-on-healthcare-professional-task-shifting-potential-in-patients-with-type-2-diabetes-in-primary-care-a-french-cross-sectional-study
#15
Irène Supper, Yann Bourgueil, René Ecochard, Laurent Letrilliart
OBJECTIVES: To estimate the transferability of processes of care from general practitioners (GPs) to allied healthcare professionals and the determinants of such transferability. DESIGN: French national cross-sectional multicentre study SETTING: 128 family practices providing supervised training for residents in general practice. PARTICIPANTS: All patients consulting with their GP over a total number of 20 days (ie, 1 day a week from December 2011 to April 2012)...
November 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29149507/registered-nurse-and-midwife-experiences-of-using-videoconferencing-in-practice-a-systematic-review-of-qualitative-studies
#16
REVIEW
Robyn A Penny, Natalie K Bradford, Danette Langbecker
AIM: To synthesise evidence of registered nurses' and midwives' experiences with videoconferencing and identify perceptions of the appropriateness, meaningfulness and feasibility of this technology in professional and clinical practice. BACKGROUND: Videoconferencing is a form of telehealth that can facilitate access to high quality care to improve health outcomes for patients and enable clinicians working in isolation to access education, clinical supervision, peer support and case review...
November 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29139608/current-state-of-screening-high-ace-youth-and-emerging-adults-in-primary-care
#17
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
#18
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
#19
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
#20
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
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