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Expanding Nurse Practitioner scope of practice

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https://www.readbyqxmd.com/read/27798780/knowing-your-limits-a-qualitative-study-of-physician-and-nurse-practitioner-perspectives-on-np-independence-in-primary-care
#1
Elena Kraus, James M DuBois
BACKGROUND: The shortage of primary care providers and the provisions of the Affordable Care Act (ACA) have spurred discussion about expanding the number, scope of practice (SOP), and independence of primary care nurse practitioners (NPs). Such discussions in the media and among professional organizations may insinuate that changes to the laws governing NP practice will engender acrimony between practicing physicians and NPs. However, we lack empirical, descriptive data on how practicing professionals view NP independence in primary care...
October 31, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27768985/the-impact-of-general-practice-nursing-care-on-patient-satisfaction-and-enablement-in-australia-a-mixed-methods-study
#2
Jane Desborough, Nasser Bagheri, Michelle Banfield, Jane Mills, Christine Phillips, Rosemary Korda
BACKGROUND: The numbers of nurses in general practice in Australia tripled between 2004 and 2012. However, evidence on whether nursing care in general practice improves patient outcomes is scarce. Although patient satisfaction and enablement have been examined extensively as outcomes of general practitioner care, there is little research into these outcomes from nursing care in general practice. The aim of this study was to examine the relationships between specific general practice characteristics and nurse consultation characteristics, and patient satisfaction and enablement METHODS: A mixed methods study examined a cross-section of patients from 21 general practices in the Australian Capital Territory...
October 17, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27639514/voices-emerging-from-the-shadows-radiologic-practitioners-experiences-of-challenging-conversations
#3
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
https://www.readbyqxmd.com/read/27601498/descriptive-cross-country-analysis-of-the-nurse-practitioner-workforce-in-six-countries-size-growth-physician-substitution-potential
#4
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...
September 6, 2016: BMJ Open
https://www.readbyqxmd.com/read/27287274/breast-cancer-screening-among-women-with-medicaid-2006-2008-a-multilevel-analysis
#5
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
https://www.readbyqxmd.com/read/27280014/expanding-clinical-roles-for-nurses-to-realign-the-global-health-workforce-with-population-needs-a-commentary
#6
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
https://www.readbyqxmd.com/read/27239161/educating-for-health-service-reform-clinical-learning-governance-and-capability-a-case-study-protocol
#7
Anne Gardner, Glenn Gardner, Fiona Coyer, Helen Gosby
BACKGROUND: The nurse practitioner is a growing clinical role in Australia and internationally, with an expanded scope of practice including prescribing, referring and diagnosing. However, key gaps exist in nurse practitioner education regarding governance of specialty clinical learning and teaching. Specifically, there is no internationally accepted framework against which to measure the quality of clinical learning and teaching for advanced specialty practice. METHODS: A case study design will be used to investigate educational governance and capability theory in nurse practitioner education...
2016: BMC Nursing
https://www.readbyqxmd.com/read/27232310/nps-why-are-they-so-successful
#8
Mike Walsh
It is no coincidence that interest in the nurse practitioner (NP) role lias expanded dramatically since the publication of the Scope of Practice ( 1 ). 'Hie nature of A&E nursing makes the role a logical development for many A&E nurses, hence the emergency nurse practitioner (ENP) has become more widespread in the recent past.
August 1, 1995: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/27166344/cultivating-the-role-of-nurse-practitioners-in-providing-primary-care-to-vulnerable-populations-in-an-era-of-health-care-reform
#9
Ying Xue, Orna Intrator
The evolving role of nurse practitioners (NPs) as primary care providers, especially for vulnerable populations, is central to the debate regarding strategies to address the growing need for primary care services. The current article provides policy recommendations for leveraging and expanding the historic role of NPs in caring for vulnerable populations, by focusing on three key policy levers: NP scope-of-practice regulation, distribution of the NP workforce, and NP education. These policy levers must go hand in hand to build a sufficient and equitably distributed NP workforce, to help meet the escalating need for primary care in an era of health-care reform...
February 2016: Policy, Politics & Nursing Practice
https://www.readbyqxmd.com/read/27148997/midwifing-the-end-of-life-expanding-the-scope-of-modern-midwifery-practice-to-reclaim-palliative-care
#10
REVIEW
Cheri Van Hoover, Lisa Holt
Historically, midwives held an important role in society as cradle-to-grave practitioners who eased individuals, families, and communities through difficult transitions across the life span. In the United States, during the first half of the 20th century, physicians assumed care for people during birth and death, moving these elements of the human experience from homes into the hospital setting. These changes in practice resulted in a dehumanization of birth and death experiences and led to detachment from what it means to be human among members of society...
May 2016: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/27111783/premedical-students-attitudes-toward-primary-care-medicine
#11
Elizabeth A Beverly, Delia A Wietecha, Kelly Nottingham, Laura J Rush, Timothy D Law
BACKGROUND: Expanded insurance coverage will likely increase the demand for primary care physicians in the United States. Despite this demand, the number of medical students planning to specialize in primary care is decreasing. OBJECTIVE: To explore premedical students' attitudes toward the primary care specialty. METHODS: Students enrolled in premedicine at a large Midwestern university were invited to complete the Primary Care Attitudes Survey (Cronbach α=...
May 1, 2016: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/26807051/limits-of-search-filter-development
#12
Nancy L Wilczynski, Cynthia Lokker, Kathleen Ann McKibbon, Nicholas Hobson, R Brian Haynes
OBJECTIVE: The research attempted to develop search filters for biomedical literature databases that improve retrieval of studies of clinical relevance for the nursing and rehabilitation professions. METHODS: Diagnostic testing framework compared machine-culled and practitioner-nominated search terms with a hand-tagged clinical literature database. RESULTS: We were unable to: (1) develop filters for nursing, likely because of the overlapping and expanding scope of practice for nurses in comparison with medical professionals, or (2) develop filters for rehabilitation, because of its broad scope and the profession's multifaceted understanding of "health and ability...
January 2016: Journal of the Medical Library Association: JMLA
https://www.readbyqxmd.com/read/26767480/care-coordination-and-the-expansion-of-nursing-scopes-of-practice
#13
Y Tony Yang, Mark R Meiners
Nurse practitioners can ease increased pressure on primary care shortage while providing a cost-effective and high-quality alternative to certain physician services. However, scope-of-practice laws are restrictive and their modification remains a source of controversy. Clearly, there is a need for new thinking around the scope of practice debate. This article conducted a review of literature and laws concerning the nursing scope of practice, as well as the outcomes of nurse-led care coordination models. It also examined different manifestations of the controversy that arises in scope of practice debates...
2014: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/26766758/expanding-the-role-of-psychiatric-mental-health-nurse-practitioners-in-a-state-psychiatric-system-the-new-hampshire-experience
#14
Alexander de Nesnera, Diane E Allen
Psychiatric mental health nurse practitioners (PMHNPs) are assuming increasing clinical responsibilities in the treatment of individuals with mental illness as the shortage of psychiatrists and their maldistribution continues to persist in the United States. States vary widely in their statutes and administrative rules delineating PMHNP's scope of practice. This column describes the legislative process of incremental changes in New Hampshire statute and rules changes over the past 15 years that have significantly expanded PMHNP's ability to treat individuals with mental illnesses in the state mental health system...
May 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/26629725/canadian-contraception-consensus-part-2-of-4
#15
Amanda Black, Edith Guilbert, Dustin Costescu, Sheila Dunn, William Fisher, Sari Kives, Melissa Mirosh, Wendy V Norman, Helen Pymar, Robert Reid, Geneviève Roy, Hannah Varto, Ashley Waddington, Marie-Soleil Wagner, Anne Marie Whelan, Carrie Ferguson, Claude Fortin, Maria Kielly, Shireen Mansouri, Nicole Todd
OBJECTIVE: To provide guidelines for health care providers on the use of contraceptive methods to prevent pregnancy and on the promotion of healthy sexuality. OUTCOMES: Guidance for Canadian practitioners on overall effectiveness, mechanism of action, indications, contraindications, non-contraceptive benefits, side effects and risks, and initiation of cited contraceptive methods; family planning in the context of sexual health and general well-being; contraceptive counselling methods; and access to, and availability of, cited contraceptive methods in Canada...
November 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26606712/canadian-contraception-consensus-part-1-of-4
#16
Amanda Black, Edith Guilbert, Dustin Costescu, Sheila Dunn, William Fisher, Sari Kives, Melissa Mirosh, Wendy V Norman, Helen Pymar, Robert Reid, Geneviève Roy, Hannah Varto, Ashley Waddington, Marie-Soleil Wagner, Anne Marie Whelan, Carrie Ferguson, Claude Fortin, Maria Kielly, Shireen Mansouri, Nicole Todd
OBJECTIVE: To provide guidelines for health care providers on the use of contraceptive methods to prevent pregnancy and on the promotion of healthy sexuality. OUTCOMES: Guidance for Canadian practitioners on overall effectiveness, mechanism of action, indications, contraindications, non-contraceptive benefits, side effects and risks, and initiation of cited contraceptive methods; family planning in the context of sexual health and general well-being; contraceptive counselling methods; and access to, and availability of, cited contraceptive methods in Canada...
October 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26565526/role-of-geography-and-nurse-practitioner-scope-of-practice-in-efforts-to-expand-primary-care-system-capacity-health-reform-and-the-primary-care-workforce
#17
John A Graves, Pranita Mishra, Robert S Dittus, Ravi Parikh, Jennifer Perloff, Peter I Buerhaus
BACKGROUND: Little is known about the geographic distribution of the overall primary care workforce that includes both physician and nonphysician clinicians--particularly in areas with restrictive nurse practitioner scope-of-practice laws and where there are relatively large numbers of uninsured. OBJECTIVE: We investigated whether geographic accessibility to primary care clinicians (PCCs) differed across urban and rural areas and across states with more or less restrictive scope-of-practice laws...
January 2016: Medical Care
https://www.readbyqxmd.com/read/26475528/impact-of-state-nurse-practitioner-scope-of-practice-regulation-on-health-care-delivery-systematic-review
#18
REVIEW
Ying Xue, Zhiqiu Ye, Carol Brewer, Joanne Spetz
BACKGROUND: One proposed strategy to expand primary care capacity is to use nurse practitioners (NPs) more effectively in health care delivery. However, the ability of NPs to provide care to the fullest extent of their education is moderated by state scope-of-practice (SOP) regulations. PURPOSE: The purpose of this study was to examine the impact of state SOP regulations on the following three key issues: (a) NP workforce, (b) access to care and health care utilization, and (c) health care costs...
January 2016: Nursing Outlook
https://www.readbyqxmd.com/read/26437048/nursing-roles-and-responsibilities-in-general-practice-three-case-studies
#19
Léonie Walker, Jill Clendon, Katherine Nelson
INTRODUCTION: Primary care nursing teams may now comprise registered nurses (usually termed practice nurses), nurse practitioners, physician assistants, enrolled nurses, and primary care practice assistants, clinical assistants, or nursing assistants. There is a need to understand how practitioners in the different roles work with patients in the changed environment. The aim of this study was to describe the different configurations of health professionals' skill-mix in three dissimilar primary care practices, their inter- and intra-professional collaboration and communication, and to explore the potential of expanded nursing scopes and roles to improve patient access...
September 2015: Journal of Primary Health Care
https://www.readbyqxmd.com/read/26373786/facilitators-and-barriers-in-expanding-scope-of-practice-findings-from-a-national-survey-of-irish-nurses-and-midwives
#20
Gerard M Fealy, Daniela Rohde, Mary Casey, Anne-Marie Brady, Josephine Hegarty, Catriona Kennedy, Martin McNamara, Pauline O'Reilly, Geraldine Prizeman
AIMS AND OBJECTIVES: The aim was to examine current scope of practice among nurses and midwives in Ireland. The objectives were to describe practitioners' self-reported facilitators and barriers to expanding scope of practice and to develop a scope of practice barriers scale. BACKGROUND: Regulatory authorities permit practice expansion, so long as it falls within accepted parameters of scope of practice. Enduring difficulties in relation to scope of practice include the difficulty of balancing practice restriction with practice expansion...
December 2015: Journal of Clinical Nursing
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