keyword
Keywords Expanding Nurse Practitioner s...

Expanding Nurse Practitioner scope of practice

https://read.qxmd.com/read/35485967/systemic-barriers-and-facilitators-to-the-transition-of-registered-nurse-to-nurse-practitioner-in-canada-a-scoping-review
#21
REVIEW
Mohamed Toufic El Hussein, Calla Ha
BACKGROUND: The scope of practice of nurse practitioners (NPs) is expanding, and an increasing number of registered nurses (RNs) are advancing their careers to become NPs. Nurse practitioners are prepared to improve access to high-quality care and enhance care standards. The barriers and facilitators in the transition of RNs to NPs have been seldom studied in the Canadian context. OBJECTIVE: To conduct a scoping review to identify systemic barriers and facilitators affecting Canadian RN experience in transitioning to independent practice as NPs...
June 1, 2022: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/35481597/country-level-mentoring-for-advanced-practice-nursing-a-case-study
#22
JOURNAL ARTICLE
Lori A Spies, Helen Fox-Mccloy, Kelley Kilpatrick, Orsolya Habil Máté, Mary K Steinke, Debbie Leach, Michal Noonan, Karen Brennan, Rose Clarke Nanyonga, József Betlehem, Krista Jokiniemi
AIM: To describe the mentoring process between the ICN Advanced Practice Nurse Network practice subgroup and the University of Pécs to support the emerging advanced practice role in Hungary, and explore the creation of a mentoring algorithm for faculty and other key stakeholders worldwide who wish to develop advanced practice nursing programs. BACKGROUND: Advanced practice nurses provide comprehensive clinical care and expand access to care in more than 70 countries...
April 28, 2022: International Nursing Review
https://read.qxmd.com/read/35393294/improving-the-quality-and-content-of-discharge-summaries-on-acute-medicine-wards-a-quality-improvement-project
#23
JOURNAL ARTICLE
Phoebe Scarfield, Thomas David Shepherd, Caitriona Stapleton, Alexandra Starks, Ellen Benn, Sara Khalid, Bryony Dayment, Alex Moate, Sandra Mohamed, Jasmine Lee
Discharge summaries are important medical documents that summarise a patient's hospital admission. The Royal College of Physicians provides standardised guidance on the content of discharge summaries, given their important role as a handover document to general practitioners (GPs). Our project started in June 2020 on an acute medical ward, where significant variation had been noted in the quality and content of discharge summaries. A multidisciplinary team (MDT) was formed including doctors, nurses and hospital/community pharmacists, as well as a patient representative, to ensure active patient co-design...
April 2022: BMJ Open Quality
https://read.qxmd.com/read/35388648/heath-care-transition-planning-a-potpourri-of-perspectives-from-nurses
#24
JOURNAL ARTICLE
Cecily L Betz, Jennifer E Mannino, Jennifer A Disabato, Victoria Marner
PURPOSE: Nurses have important roles as members of the healthcare transition (HCT) planning interdisciplinary team. Nursing's scope of practice and framework of care brings a distinctive and complementary approach to this expanding field in pediatric care. It is therefore relevant to better understand the extent to which pediatric nurses are involved with the provision of HCT services and model development. DESIGN AND METHODS: This was a qualitative analysis of a national survey of pediatric nurses...
April 6, 2022: Journal for Specialists in Pediatric Nursing: JSPN
https://read.qxmd.com/read/34923317/nurse-practitioners-perception-of-temporary-full-practice-authority-during-a-covid-19-surge-a-qualitative-study
#25
JOURNAL ARTICLE
Monica O'Reilly-Jacob, Jennifer Perloff, Roya Sherafat-Kazemzadeh, Jane Flanagan
BACKGROUND: At the beginning of the COVID-19 pandemic in the United States, 22 state governors temporarily waived physician supervision of nurse practitioners to expand access to health care during the state of emergency. OBJECTIVE: We examined the nurse practitioner perception of the simultaneous scope of practice changes and the exigent pandemic demands during the initial COVID-19 surge in Massachusetts. METHODS: Qualitative descriptive design using content analysis of open-ended responses to a web-based survey of Massachusetts nurse practitioners conducted in May & June 2020...
February 2022: International Journal of Nursing Studies
https://read.qxmd.com/read/34679111/the-expanding-movement-of-primary-care-physicians-operating-at-the-first-line-of-healthcare-delivery-systems-in-sub-saharan-africa-a-scoping-review
#26
JOURNAL ARTICLE
Kéfilath Bello, Jan De Lepeleire, Jeff Kabinda M, Samuel Bosongo, Jean-Paul Dossou, Evelyn Waweru, Ludwig Apers, Marcel Zannou, Bart Criel
INTRODUCTION: In sub-Saharan Africa (SSA), the physicians' ratio is increasing. There are clear indications that many of them have opted to work at the first-line of healthcare delivery systems, i.e. providing primary care. This constitutes an important change in African healthcare systems where the first line has been under the responsibility of nurse-practitioners for decades. Previous reviews on primary care physicians (PCPs) in SSA focused on the specific case of family physicians in English-speaking countries...
2021: PloS One
https://read.qxmd.com/read/34468043/bibliometric-analysis-of-the-doctor-of-nursing-practice-dissertations-in-the-proquest-dissertations-and-theses-database
#27
JOURNAL ARTICLE
Xiuxiu Shi, Ying Zhou, Zheng Li
AIMS: To examine the distributed characteristics and explore the research themes of Doctor of Nursing Practice (DNP) dissertations during the past two decades. DESIGN: A descriptive statistical and visualization bibliometric analysis was conducted. METHODS: Doctor of Nursing Practice dissertations submitted between January 2005 and June 2021 were collected from the ProQuest Dissertations and Theses database. A descriptive statistical analysis was conducted to calculate the distribution of the DNP dissertations by granting institution and the published year of publications...
September 1, 2021: Journal of Advanced Nursing
https://read.qxmd.com/read/34432595/an-update-on-billing-and-coding-for-the-psychiatric-mental-health-nurse-practitioner
#28
JOURNAL ARTICLE
Brayden N Kameg, Kirstyn Kameg
Nurse practitioners (NPs) possess expert clinical knowledge that can be optimized to ensure delivery of high-quality care. In the United States, NP scope of practice is generally expanding. With expanding scope of practice comes increased revenue potential, and in some cases, entrepreneurial opportunities for NPs. Therefore, NPs must be familiar with current procedural terminology codes to ensure appropriate billing and maximize reimbursement from payers. [ Journal of Psychosocial Nursing and Mental Health Services, 60 (2), 11-13...
February 2022: Journal of Psychosocial Nursing and Mental Health Services
https://read.qxmd.com/read/34275527/alignment-of-nurse-practitioner-educational-preparation-and-scope-of-practice-in-united-states-emergency-departments-a-systematic-review-of-the-literature
#29
JOURNAL ARTICLE
Tener Goodwin Veenema, Roberta P Lavin, Clifton P Thornton, Sarah Schneider-Firestone, Stella Seal
INTRODUCTION: National debate persists surrounding the expanded use of nurse practitioners in the emergency department. Current understanding of the alignment of nurse practitioner educational preparation and practice parameters in United States emergency departments is inchoate. The objective of this review was to seek evidence to support that nurse practitioner education and training align with current practices in the emergency department. METHODS: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided systematic review of the existing literature was conducted of 4 relevant databases...
July 2021: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://read.qxmd.com/read/34101273/nurse-practitioner-scope-of-practice-and-the-prevention-of-foot-complications-in-rural-diabetes-patients
#30
JOURNAL ARTICLE
Danny R Hughes, Candice Filar, David T Mitchell
PURPOSE: Diabetic foot ulcers afflict a quarter of type-2 diabetes mellitus patients and are associated with higher mortality rates among people with diabetes. Routine primary and preventive care is essential to both prevent and treat foot ulcers before they can contribute to further adverse outcomes. One approach for expanding this care to people with diabetes in rural communities is increasing the practice authority of nurse practitioners. This study examines whether the presence of nurse practitioner practice authority is associated with fewer foot ulcer complications in rural populations as measured through the incidence of foot debridement-a common procedure for addressing severe diabetic foot ulcers...
September 2022: Journal of Rural Health
https://read.qxmd.com/read/34074952/health-care-costs-associated-with-primary-care-physicians-versus-nurse-practitioners-and-physician-assistants
#31
JOURNAL ARTICLE
Suja S Rajan, Julia M Akeroyd, Sarah T Ahmed, David J Ramsey, Christie M Ballantyne, Laura A Petersen, Salim S Virani
BACKGROUND: Significant primary care provider (PCP) shortage exists in the United States. Expanding the scope of practice for nurse practitioners (NPs) and physician assistants (PAs) can help alleviate this shortage. The Department of Veterans' Affairs (VA) has been a pioneer in expanding the role of NPs and PAs in primary caregiving. PURPOSE: This study evaluated the health care costs associated with VA patients cared for by NPs and PAs versus primary care physicians (physicians)...
May 31, 2021: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/34007908/exploring-opportunities-pathways-for-advanced-practice-radiation-therapy-roles-in-the-united-states
#32
JOURNAL ARTICLE
Samantha Skubish, Clodagh Starrs, Danielle McDonagh
The evolution of practice of Radiation Therapy in the United States (U.S.) is inevitable. The scope of a radiation therapists role has progressed with advancing technology, implementation of special procedures and patient care requirements. Internationally, Canada, Australia and the United Kingdom have formalized this evolution through the Advanced Practice Radiation Therapist (APRT) role to provide new models of care, to meet growing demands in the practice of Radiation Oncology, to increase efficiency, decrease cost and retain skilled staff (Harnett et al...
March 2021: Technical innovations & patient support in radiation oncology
https://read.qxmd.com/read/34006804/advance-practice-provider-transformational-leadership-structure-a-model-for-change
#33
JOURNAL ARTICLE
Bonnie Proulx
BACKGROUND: The role of the advanced practice provider (APP) is rapidly expanding in healthcare, whereas infrastructure to support it is not keeping pace. A large academic healthcare organization implemented the role of a director of APPs; supported by the C-suite, one who understands scope of practice, revenue models, and compliance and addresses engagement and retention to meet this challenge. This article chronicles the implementation of innovative success strategies, supporting APPs across a large academic health system, employing more than 1000 APPs, which has led to improvements in APP-generated revenue, patient access, engagement, and alignment...
June 1, 2021: Journal of Nursing Administration
https://read.qxmd.com/read/33990171/estimating-the-effect-of-the-new-york-state-nurse-practitioners-modernization-act-on-care-received-by-medicaid-patients
#34
JOURNAL ARTICLE
Edward Joseph Timmons, Conor Norris, Grant Martsolf, Lusine Poghosyan
The demand for primary care services may surpass the supply of primary care providers, exacerbating challenges with access, quality, and cost in the U.S. health care system. Expanding the supply of, and access to, nurse practitioner (NP) care has been proposed as one method to alleviate these challenges. New York State (NYS) changed its regulatory environment for NPs in 2015. We estimate the impact of expanded NP scope of practice (SOP) regulations in NYS on total care days received by Medicaid beneficiaries from 2015 to 2018 using a model derived from national historical data from 1999 to 2011...
August 2021: Policy, Politics & Nursing Practice
https://read.qxmd.com/read/33896426/improving-primary-health-care-for-residents-living-in-assisted-living-evidence-for-practice-and-policy
#35
JOURNAL ARTICLE
Patricia Cann, Rose McCloskey
The fact that there is a large and growing number of older Canadians has generated a sense of urgency in improving seniors' access to health and long-term care services. Many provincial health care systems have engaged in a range of reforms to help older adults remain healthy and independent. Although many transformational changes have taken place across Canada to improve primary care, variations exist across provinces and territories in terms of older adults' access to primary health care. Opportunities exist for provinces to learn from successful reforms implemented in other Canadian jurisdictions...
April 26, 2021: Canadian Journal on Aging
https://read.qxmd.com/read/33795054/the-role-of-advanced-practice-providers-in-urology
#36
REVIEW
Deepak A Kapoor
The nation's undersupply of urology services disproportionately affects Medicare beneficiaries compared to the general population. Advanced Practice Providers (APPs), most commonly nurse practitioners and physician assistants may be a vehicle to meet this need. The increased use of APPs in urology is hampered by physician discomfort with delegating responsibility to APPs. This discomfort may be compounded by complexities with billing issues and interstate variation in scope of practice regulations. To expand access to urological services while simultaneously ensuring service quality, it is imperative that urologists engage with APPs individually and as a specialty...
May 2021: Urologic Clinics of North America
https://read.qxmd.com/read/33792414/the-association-between-scope-of-practice-regulations-and-nurse-practitioner-prescribing-of-buprenorphine-after-the-2016-opioid-bill
#37
JOURNAL ARTICLE
Thuy Nguyen, Ulrike Muench, Barbara Andraka-Christou, Kosali Simon, W David Bradford, Joanne Spetz
This article examines the relationship between federal regulations, state scope-of-practice regulations on nurse practitioners (NPs), and buprenorphine prescribing patterns using pharmacy claims data from Optum's deidentified Clinformatics Data Mart between January 2015 and September 2018. The county-level proportion of patients filling prescriptions written by NPs was low even after the 2016 Comprehensive Addiction and Recovery Act (CARA), 2.7% in states that did not require physician oversight of NPs, and 1...
April 1, 2021: Medical Care Research and Review: MCRR
https://read.qxmd.com/read/33733852/leadership-and-management-for-nurses-working-at-an-advanced-level
#38
JOURNAL ARTICLE
Cate Wood
Leadership and management form a key part of advanced clinical practice (ACP) and work in synergy with the other pillars of advanced practice. Advanced clinical practitioners focus on improving patient outcomes, and with application of evidence-based practice, using extended and expanded skills, they can provide cost-effective care. They are equipped with skills and knowledge, allowing for the expansion of their scope of practice by performing at an advanced level to assist in meeting the needs of people across all healthcare settings and can shape healthcare reform...
March 11, 2021: British Journal of Nursing: BJN
https://read.qxmd.com/read/33720111/competencies-and-scope-of-practice-of-nurse-practitioners-in-primary-health-care-a-scoping-review-protocol
#39
JOURNAL ARTICLE
Margarithe Charlotte Schlunegger, Simona Aeschlimann, Rebecca Palm, Maya Zumstein-Shaha
OBJECTIVE: The objective of this scoping review is to explore existing literature about nurse practitioners' competencies and scope of practice in primary health care in order to examine and conceptually map the evidence and identify gaps in the literature. INTRODUCTION: To meet growing health care needs, current primary health care models have expanded to include nurse practitioners. The integration of nurse practitioners in primary health care is challenging. This is mainly due to the lack of a unified definition of the role, competences, or clear criteria to determine scope of practice...
March 11, 2021: JBI evidence synthesis
https://read.qxmd.com/read/33605989/medicaid-reimbursement-for-pharmacist-services-a-strategy-for-the-pharmacy-profession
#40
JOURNAL ARTICLE
Pamela Schweitzer, Mark Atalla
PURPOSE: Reimbursement for pharmacist services is complex due to a different set of rules for each payer. State legislatures, regulators, and professional licensing bodies have expanded the scope of practice for pharmacists in many states, representing a significant opportunity for third-party payers, including the Centers for Medicare and Medicaid Services, to enable and expand patient access to, and receipt of, care from pharmacists. This paper will introduce the term "other licensed practitioner" and describe how a state Medicaid program may include covered services provided by a pharmacist practitioner using the Medicaid state plan amendment process...
February 19, 2021: American Journal of Health-system Pharmacy: AJHP
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