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Advanced Practice Registered Nurse Practitioner

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https://www.readbyqxmd.com/read/28579285/the-experience-of-advanced-practice-nurses-in-us-emergency-care-settings
#1
Lisa A Wolf, Altair M Delao, Cydne Perhats, Michael D Moon, Margaret J Carman
INTRODUCTION: Little information has been published regarding the actual practice, training, and validation of basic skills and competencies needed by the advanced practice registered nurse (APRN) in the emergency care setting. The purpose of this study was to (1) identify skills being performed by APRNs practicing in emergency care settings (2); explore types of training; and (3) describe competency validation. Additionally, we explored frequency of skill use and facilitators and barriers to performing a skill to the full extent of training and education...
June 1, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/28570303/current-status-of-fellowship-programs-for-advanced-practice-registered-nurses-in-the-nurse-practitioner-role
#2
Carlos Alberto Camal Sanchez
Students completing an advanced practice RN program for practice as a nurse practitioner may seek options for further advancement. Although postgraduate clinical fellowship programs exist, information about such programs is not readily available. This article offers a resource for faculty to assist graduate students in finding advanced practice RN nurse practitioner fellowship programs in the United States.
May 31, 2017: Nurse Educator
https://www.readbyqxmd.com/read/28483137/expanded-roles-of-registered-nurses-in-primary-care-delivery-of-the-future
#3
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/28463869/emergency-nurse-practitioner-core-educational-content
#4
Jennifer Wilbeck, Eric Roberts, Susanna Rudy
Increasing numbers of patients are presenting to national emergency departments (EDs). This is occurring simultaneously with reductions in providers along with ED closures, creating a significant gap in emergency care. According to the advanced practice registered nurse consensus model, specialty-specific knowledge and practice build upon generalist nurse practitioner (NP) population foci. Although the National Organization of Nurse Practitioner Faculties provides guidelines for educational programs at the NP population level, determination of core specialty knowledge lies with specialty organizations...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28457775/experiences-of-rural-and-remote-nurses-assisting-with-disasters
#5
Judith C Kulig, Kelly Penz, Chandima Karunanayake, Martha L P MacLeod, Sharleen Jahner, Mary Ellen Andrews
BACKGROUND: Globally, disasters are on the rise. Nurses play a significant role in responding to such events but little is known about rural and remote nurses' experiences. METHODS: A national cross-sectional survey of regulated nurses (registered nurses, registered psychiatric nurses, licensed practical nurses and nurse practitioners) in rural and remote Canada provided the data (n=2465) for the logistic regression of predictors of assisting with a disaster event within the last five years...
May 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28383334/advancing-nursing-practice-management-of-neuropathic-pain-with-capsaicin-8-without-physician-supervision
#6
Joanne O'Brien, Joseph Keaveny, Valerie Pollard, Linda Elizabeth Nugent
PURPOSE/AIMS: The purpose of this study was to examine the management of patient's neuropathic pain with capsaicin 8% in a nurse-led clinic when administered by 1 registered advanced nurse practitioner without physician supervision. DESIGN: A longitudinal, single-group, descriptive research design was used to assess pain scores and quality of life 3 times over 3 months after treatment. METHODS: Patients with a diagnosis of neuropathic pain were assessed and treated with capsaicin 8% by 1 advanced nurse practitioner with prescriptive authority in a nurse-led clinic...
May 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/28383331/the-path-to-advanced-practice-licensure-for-clinical-nurse-specialists-in-washington-state
#7
Heather Schoonover
PURPOSE: The aim of this study was to provide a review of the history and process to obtaining advanced practice licensure for clinical nurse specialists in Washington State. Before 2016, Washington State licensed certified nurse practitioners, certified nurse midwives, and certified nurse anesthetists under the designation of an advanced registered nurse practitioner; however, the state did not recognize clinical nurse specialists as advanced practice nurses. The work to drive the rule change began in 2007...
May 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/28177585/hospital-acquired-pressure-injuries-the-significance-of-the-advanced-practice-registered-nurse-s-role-in-a-community-hospital
#8
Candice Irvin, Elizabeth Sedlak, Christine Walton, Susan Collier, Esther I Bernhofer
BACKGROUND AND PURPOSE: Hospital-acquired pressure injuries (HAPIs) continue to be a persistent problem in the acute care arena. The purpose of this retrospective quality improvement study was to examine if the introduction of nurse practitioners (NPs), as wound care consultants (WCCs), without other interventions, impacted the HAPI rates in a community hospital. METHODS: A retrospective, comparison design was used; 48 months of HAPI data (May 2010-2014) reported on the monthly National Database for Nursing Quality Indicators (NDNQI) survey was abstracted from hospital records...
April 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28141609/identification-and-management-of-human-trafficking-victims-in-the-emergency-department
#9
REVIEW
Lisa M Hachey, Julia C Phillippi
Health care practitioners serve an important role in identification and assistance of human trafficking victims. Advanced practice registered nurses, including certified nurse midwives, clinical nurse specialists, and nurse practitioners, are in a unique position to interact with persons trafficked and seen in the clinical setting, yet they require knowledge to identify the signs of human trafficking. Lack of training and education has been identified as a barrier for health care professionals to recognize human trafficking victims and implement needed health care services (; )...
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28132618/developing-trainee-advanced-nurse-practitioners-in-clinical-environments
#10
Sara Morgan
Teaching and mentorship are fundamental parts of registered nurses' roles, and learning should be managed and promoted in clinical practice to ensure excellence. This article reflects on, and critically analyses, the developing relationship between the author, who is an advanced nurse practitioner (ANP) and practice educator, and an experienced nurse undertaking an ANP level 7 programme of study. The article describes the supervision and mentorship of the student ANP in an emergency department, in the context of the 'facilitation of learning' and 'evaluation of learning' domains of the Nursing and Midwifery Council (NMC) Standards to Support Learning and Assessment in Practice ( NMC 2008 )...
January 30, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/27913033/nurse-practitioner-prescribing-in-australia-a-comprehensive-literature-review
#11
REVIEW
Jacqueline Fong, Thomas Buckley, Andrew Cashin, Lisa Pont
BACKGROUND: In Australia, the nurse practitioner (NP) obtained prescriptive authority in some jurisdictions in 2001. One of the key aspects in which the scope of NPs differs from Registered Nurses (RNs) relates to the legal privilege to prescribe medications. Although NPs have had prescriptive authority in Australia since 2001, with access to the Commonwealth subsidy scheme (PBS) since 2010, little is known about NPs prescriptive patterns or outcomes of prescriptive practice. AIM: The aim of this scoping review was to examine the extent, range and nature of research conducted in relation to NP prescribing in the Australian health context as well as identify gaps in the existing literature...
November 29, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/27854427/full-practice-authority-for-advanced-practice-registered-nurses-is-a-gender-issue
#12
Nancy Rudner Lugo
In the United States, Advanced Practice Registered Nurse (APRN) regulations are determined at the state level, through legislation and rule making. The lack of an evidence base to APRN regulation has resulted in a patchwork of varied regulations and requirements for nurse practitioners. The author begins this article by reviewing the history of the Equal Rights Amendment (ERA) in the United States and describing her study that assessed APRN fullpractice authority in states that ratified the ERA versus states that opposed it...
May 4, 2016: Online Journal of Issues in Nursing
https://www.readbyqxmd.com/read/27769020/between-two-roles-experiences-of-newly-trained-nurse-practitioners-in-surgical-care-in-sweden-a-qualitative-study-using-repeated-interviews
#13
Eva Jangland, Pia Yngman Uhlin, Erebouni Arakelian
The position of Nurse Practitioner is a new role in Nordic countries. The transition from a registered nurse to the Nurse Practitioner role has been reported to be a personal challenge. This study, guided by the Nordic theoretical model for use in the education of advanced practice nurses, represents a unique opportunity to describe this transition for newly graduated Nurse Practitioners in an interprofessional surgical care team in Sweden. The aim was to explore how the first Nurse Practitioners in surgical care experienced the transition into a new role and what competences they used in the team...
November 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/27765469/patellar-dislocation-not-the-bees-knees
#14
Martin Duignan, Mary McGibney
BACKGROUND: Patellar dislocations are common, particularly in the adolescent polulation. Registered Advanced Nurse Practitioners are healthcare professionals who can appropriately manage these injuries to minimise the risk of chronicity. METHODS: This is a case study which uses a clinical examplar from the authors practice focusing on the assessment, diagnosis and managment of patellar dislocations. Particular reference is made of the significance of the MPFL. RESULTS: This paper highlights the importance of recognition of appropriate management of patellar dislocations in the ED setting...
October 17, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27742077/clinical-residency-training-is-it-essential-to-the-doctor-of-nursing-practice-for-nurse-practitioner-preparation
#15
REVIEW
Doreen C Harper, Teena M McGuinness, Jean Johnson
BACKGROUND: The Doctor of Nursing Practice (DNP) degree positions nurse practitioners (NPs) and other advanced practice registered nurses, with clinical competencies similar to other disciplines requiring doctoral education (medicine, physical therapy, psychology, and pharmacy). In addition, all these disciplines also offer residencies. However, nursing is the only discipline that does not require a doctoral degree and/or have a systematic approach to residency training for advanced practice roles...
January 2017: Nursing Outlook
https://www.readbyqxmd.com/read/27663508/computer-assisted-client-assessment-survey-for-mental-health-patient-and-health-provider-perspectives
#16
Manuela Ferrari, Farah Ahmad, Yogendra Shakya, Cliff Ledwos, Kwame McKenzie
BACKGROUND: The worldwide rise in common mental disorders (CMDs) is posing challenges in the provision of and access to care, particularly for immigrant, refugee and racialized groups from low-income backgrounds. eHealth tools, such as the Interactive Computer-Assisted Client Assessment Survey (iCCAS) may reduce some barriers to access. iCCAS is a tablet-based, touch-screen self-assessment completed by clients while waiting to see their family physician (FP) or nurse practitioner (NP)...
September 23, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27493753/utilizing-clinical-pharmacists-to-improve-delivery-of-evidence-based-care-for-depression-and-anxiety-in-primary-care
#17
Amanda Locke, Norifumi Kamo
Access to mental health providers has become an increasingly common challenge for many patients with depression and anxiety disorders. Primary care providers often manage this gap in care and currently provide solo care without the assistance of other team members. In order to provide quality care that aligns with best practice, we developed a depression and anxiety disorder treatment pathway utilizing a multidisciplinary team based on each members' individual skill set, or skill-task alignment. The main change to treatment implemented by the pathway was the addition of a clinical pharmacist in the management of patient care...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27465446/educational-changes-to-support-advanced-practice-nursing-education
#18
Judy L LeFlore, Patricia E Thomas
Educational factors limit the number of advanced practice registered nurse (APRN) graduates to meet the growing workforce demands. Healthcare dynamics are necessitating a shift in how nursing education envisions, creates, and implements clinical learning opportunities. The current clinical education model in APRN programs continues to be the same as it was 45 years ago when the student numbers were much smaller. New approaches in graduate nursing education are needed to address the shortage of APRNs in primary and acute care areas...
July 2016: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/27275580/development-and-implementation-of-a-capstone-objective-structured-clinical-examination-in-nurse-practitioner-and-nurse-midwifery-programs
#19
Mary Benbenek, Mary Dierich, Jean Wyman, Melissa Avery, Catherine Juve, Jane Miller
Determining when advanced practice registered nurse students are safe and competent for beginning-level practice is challenging. This article describes the development and testing of a capstone objective structured clinical examination designed to evaluate the practice readiness of students enrolled in the family, adult-gerontology, women's health nurse practitioner, and nurse-midwifery tracks. Lessons learned from this process and how they were used to enhance the curricula are discussed.
November 2016: Nurse Educator
https://www.readbyqxmd.com/read/27270632/a-formative-program-evaluation-of-electronic-clinical-tracking-system-documentation-to-meet-national-core-competencies
#20
Lynette S Smith, M Laurie Branstetter
Electronic clinical tracking systems are used in many educational institutions of higher learning to document advanced practice registered nursing students' clinical experiences. Students' clinical experiences are constructed according to the National Organization of Nurse Practitioner Faculties core competencies. These competencies form a basis for evaluation of advanced practice registered nursing programs. However, no previous studies have evaluated the use of electronic clinical tracking systems to validate students' clinical experiences in meeting national core competencies...
September 2016: Computers, Informatics, Nursing: CIN
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