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Nurse practitioner productivity

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https://www.readbyqxmd.com/read/27855723/exceeding-the-recruitment-target-in-a-primary-care-paediatric-trial-an-evaluation-of-the-choice-of-moisturiser-for-eczema-treatment-comet-feasibility-randomised-controlled-trial
#1
Kingsley Powell, Victoria J Wilson, Niamh M Redmond, Daisy M Gaunt, Matthew J Ridd
BACKGROUND: Recruiting to target in randomised controlled trials of investigational medicinal products (CTIMPs) in primary care and paediatric populations is notoriously difficult. More evidence is needed for effective recruitment strategies in these settings. We report on the impact of different recruitment strategies used in the Choice of Moisturiser in Eczema Treatment (COMET) study - a feasibility trial comparing the effectiveness of four emollients for the treatment of childhood eczema - recruiting via general practitioner (GP) surgeries...
November 17, 2016: Trials
https://www.readbyqxmd.com/read/27843815/deregulation-of-allopathic-prescription-and-medical-practice-in-india-benefits-and-pitfalls
#2
EDITORIAL
Raman Kumar, Pritam Roy
In the background of debates on Universal Health Coverage, skill transfer from the medical practice license holders to other health-care providers such as nurse practitioner has become a global norm. In India, where the world's largest numbers of medical graduates are produced, this discussion is expanding to extremes and serious suggestions are coming forward for the development of legal framework for allowing dentists, homeopaths, pharmacists, and half duration trained doctors; permission to issue allopathic prescription...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27790862/a-critical-analysis-of-the-failure-of-nurses-to-raise-concerns-about-poor-patient-care
#3
Marc Roberts
The occurrence of poor patient care is emerging as one of the most significant, challenging, and critical issues confronting contemporary nursing and those responsible for the provision of health care more generally. Indeed, as a consequence of the increased recognition of the manner in which nurses can be implicated in the occurrence of poor patient care, there has been sustained critical debate that seeks to understand how such healthcare failings can occur and, in particular, why nurses seemingly fail to intervene, raise concerns, and effectively respond to prevent the occurrence and continuation of such poor patient care...
October 28, 2016: Nursing Philosophy: An International Journal for Healthcare Professionals
https://www.readbyqxmd.com/read/27773346/clinical-productivity-of-primary-care-nurse-practitioners-in-ambulatory-settings
#4
Ying Xue, Jane Tuttle
BACKGROUND: Nurse practitioners are increasingly being integrated into primary care delivery to help meet the growing demand for primary care. It is therefore important to understand nurse practitioners' productivity in primary care practice. PURPOSE: We examined nurse practitioners' clinical productivity in regard to number of patients seen per week, whether they had a patient panel, and patient panel size. We further investigated practice characteristics associated with their clinical productivity...
September 22, 2016: Nursing Outlook
https://www.readbyqxmd.com/read/27708823/what-are-health-professionals-intentions-toward-using-research-and-products-of-research-in-clinical-practice-a-systematic-review-and-narrative-synthesis
#5
Ben Appleby, Carolyn Roskell, William Daly
AIM: To explore health professionals' intentional behaviour and what determines their intention to use products of research in clinical practice. BACKGROUND: Trying to get research and products of research into clinical practice is an enduring problem. A clearer picture is emerging as to how individual practitioners respond toward practical problems of changing clinical practice, but this does not include health professionals' intentions to use products of research and what influences their intentions...
July 2016: Nursing Open
https://www.readbyqxmd.com/read/27641609/perceptions-of-traditional-complementary-and-alternative-medicine-among-conventional-healthcare-practitioners-in-accra-ghana-implications-for-integrative-healthcare
#6
Irene A Kretchy, Harry A Okere, Joseph Osafo, Barima Afrane, Joseph Sarkodie, Philip Debrah
OBJECTIVE: Integrative medicine refers to ongoing efforts to combine the best of conventional and evidence-based complementary therapies. While this effort for collaboration is increasing, traditional complementary and alternative medicine (TM-CAM) remains poorly integrated into the current healthcare system of Ghana. At present, it is not clear if practitioners of mainstream medicine favor integrative medicine. The present study, therefore, sought to explore the perceptions of conventional healthcare professionals on integrative medicine...
September 2016: Journal of Integrative Medicine
https://www.readbyqxmd.com/read/27619968/the-impact-of-substituting-general-practitioners-with-nurse-practitioners-on-resource-use-production-and-health-care-costs-during-out-of-hours-a-quasi-experimental-study
#7
Mieke Van Der Biezen, Eddy Adang, Regi Van Der Burgt, Michel Wensing, Miranda Laurant
BACKGROUND: The pressure in out-of-hours primary care is high due to an increasing demand for care and rising health-care costs. During the daytime, substituting general practitioners (GPs) with nurse practitioners (NPs) shows positive results to contribute to these challenges. However, there is a lack of knowledge about the impact during out-of-hours. The current study aims to provide an insight into the impact of substitution on resource use, production and direct health-care costs during out-of-hours...
2016: BMC Family Practice
https://www.readbyqxmd.com/read/27576357/interprofessional-collaboration-in-nursing-homes-interprof-a-grounded-theory-study-of-general-practitioner-experiences-and-strategies-to-perform-nursing-home-visits
#8
Nina Fleischmann, Britta Tetzlaff, Jochen Werle, Christina Geister, Martin Scherer, Siegfried Weyerer, Eva Hummers-Pradier, Christiane A Mueller
BACKGROUND: Interprofessionalism, considered as collaboration between medical professionals, has gained prominence over recent decades and evidence for its impact has grown. The steadily increasing number of residents in nursing homes will challenge medical care and the interaction across professions, especially nurses and general practitioners (GPs). The nursing home visit, a key element of medical care, has been underrepresented in research. This study explores GP perspectives on interprofessional collaboration with a focus on their visits to nursing homes in order to understand their experiences and expectations...
2016: BMC Family Practice
https://www.readbyqxmd.com/read/27540192/review-of-independent-nurse-prescribing-in-a-paediatric-cystic-fibrosis-cf-and-respiratory-population
#9
Gabis Chana, Michelle Tabberner, Wendy Nixon, Sue Frost, Leslie Barrett, Maya Desai, Lucy Paskin
AIM: With pressures on junior doctors' availability in the NHS, non-medical prescribing is topical. Independent Nurse Prescribers (INPs) can prescribe any licensed medicine for any medical condition within their level of competence.1 An audit was undertaken of the four INPs employed by the Respiratory Department evaluating current prescribing practices. METHOD: The requirement for this audit was identified by the multidisciplinary team (MDT) and Trust approval was obtained...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27532873/does-primary-care-diabetes-management-provided-to-medicare-patients-differ-between-primary-care-physicians-and-nurse-practitioners
#10
May Nawal Lutfiyya, Lisa Tomai, Bianca Frogner, Frank Cerra, Daniel Zismer, Stephen Parente
AIMS: The aim of this study was to answer the overall question: Does primary care diabetes management for Medicare patients differ in scope and outcomes by provider type (physician or nurse practitioner)? BACKGROUND: In the USA as well as globally, there is a pressing need to address high healthcare costs while improving healthcare outcomes. Primary health care is one area where healthcare reform has received considerable attention, in part because of continued projections of primary care physician shortages...
August 17, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27531410/vaccination-program-in-a-resource-limited-setting-a-case-study-in-the-philippines
#11
Sarocha Chootipongchaivat, Varit Chantarastapornchit, Wantanee Kulpeng, Joyce Anne Ceria, Niña Isabelle Tolentino, Yot Teerawattananon
OBJECTIVE: Implementing national-level vaccination programs involves long-term investment, which can be a significant financial burden, particularly in resource-limited settings. Although many studies have assessed the economic impacts of providing vaccinations, evidence on the positive and negative implications of human resources for health (HRH) is still lacking. Therefore, this study aims to estimate the HRH impact of introducing pneumococcal conjugate vaccine (PCV) using a model-based economic evaluation...
September 14, 2016: Vaccine
https://www.readbyqxmd.com/read/27504717/positional-plagiocephaly-reduces-parental-adherence-to-sids-guidelines-and-inundates-the-health-system
#12
A Martiniuk, J Jacob, N Faruqui, W Yu
BACKGROUND: This study sought to better understand parent, grandparent and clinician views of prevention, treatment and costs of plagiocephaly. METHODS: A qualitative study was conducted using focus groups and semi-structured interviews. A grounded theory approach was taken to build theories from the qualitative data collected. A subjectivist epistemological orientation was taken under the paradigm of positivism. RESULTS: Ninety-one parents, 6 grandparents and 24 clinicians were recruited from the community as well as primary and tertiary care clinics...
August 9, 2016: Child: Care, Health and Development
https://www.readbyqxmd.com/read/27494430/nurse-practitioner-caseload-in-primary-health-care-scoping-review
#13
REVIEW
Ruth Martin-Misener, Kelley Kilpatrick, Faith Donald, Denise Bryant-Lukosius, Jennifer Rayner, Ruta Valaitis, Nancy Carter, Patricia A Miller, Véronique Landry, Patricia Harbman, Renee Charbonneau-Smith, R James McKinlay, Erin Ziegler, Sarah Boesveld, Alyson Lamb
OBJECTIVES: To identify recommendations for determining patient panel/caseload size for nurse practitioners in community-based primary health care settings. DESIGN: Scoping review of the international published and grey literature. DATA SOURCES: The search included electronic databases, international professional and governmental websites, contact with experts, and hand searches of reference lists. Eligible papers had to (a) address caseload or patient panels for nurse practitioners in community-based primary health care settings serving an all-ages population; and (b) be published in English or French between January 2000 and July 2014...
October 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27477372/sunscreen-compliance-with-regional-clinical-practice-guidelines-and-product-labeling-standards-in-new-zealand
#14
Matthias E Sporer, Joanna E Mathy, John Kenealy, Jon A Mathy
INTRODUCTION For general practitioners, practice nurses and community pharmacists in New Zealand, a core duty is to educate patients about sun protection. We aimed to evaluate compliance of locally available sunscreens with regional clinical practice guidelines and sunscreen labelling standards, to assist clinicians in advising consumers on sunscreen selection. METHODS We audited all sunscreens available at two Auckland stores for three New Zealand sunscreen retailers. We then assessed compliance with accepted regional clinical practice guidelines for sun protection from the New Zealand Guidelines Group...
March 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27456216/aristotle-for-nursing
#15
Peter Allmark
: This article aims: (1) to introduce the wider philosophy of Aristotle to nurses and healthcare practitioners; (2) to show that Aristotle's philosophical system is an interdependent whole; and (3) to defend its plausibility and usefulness despite its ancient and alien origins. Aristotle's system can be set out as a hierarchy, with metaphysics at the top and methodology running throughout. Beneath metaphysics are the sciences, with theoretical, practical and productive (or craft) sciences in hierarchical order...
July 25, 2016: Nursing Philosophy: An International Journal for Healthcare Professionals
https://www.readbyqxmd.com/read/27351641/pa-and-np-productivity-in-the-veterans-health-administration
#16
Eileen A Moran, Edesha Basa, Jian Gao, Denni Woodmansee, Peter L Almenoff, Roderick S Hooker
This study assessed the 2014 clinical productivity of 5,959 physician assistants (PAs) and nurse practitioners (NPs) in the US Department of Veterans Affairs' Veterans Health Administration (VHA). Total work relative value units divided by the direct clinical full-time equivalent measured annual productivity, and correlated factors were examined using weighted analysis of variance. PAs and NPs in adult primary care roles were more productive than those in other specialties. Both providers were more productive in rural than in nonrural settings and less productive in teaching than nonteaching hospitals...
July 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/27332498/front-matter
#17
(no author information available yet)
On behalf of the Scientific Program Committee, I extend a warm welcome to the IMIA-NI members, students, practitioners, informatics researchers, industry partners, and others interested in health and nursing informatics who have come to attend the NI 2016, 13th International Congress on Nursing Informatics. NI 2016 is a biennial conference of the IMIA-NI and the leading scientific meeting for health and nursing informatics research and practice. NI 2016 presents work not only from the discipline of nursing but also from many other disciplines and specialties including both basic and applied informatics...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27332245/harmonising-nursing-terminologies-using-a-conceptual-framework
#18
Kay Jansen, Tae Youn Kim, Amy Coenen, Virginia Saba, Nicholas Hardiker
The International Classification for Nursing Practice (ICNP®) and the Clinical Care Classification (CCC) System are standardised nursing terminologies that identify discrete elements of nursing practice, including nursing diagnoses, interventions, and outcomes. While CCC uses a conceptual framework or model with 21 Care Components to classify these elements, ICNP, built on a formal Web Ontology Language (OWL) description logic foundation, uses a logical hierarchical framework that is useful for computing and maintenance of ICNP...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27310034/feasibility-of-human-factors-immersive-simulation-training-in-ophthalmology-the-london-pilot
#19
George M Saleh, James R Wawrzynski, Kamran Saha, Phillip Smith, Declan Flanagan, Melanie Hingorani, Clinton John, Paul Sullivan
IMPORTANCE: Human factors training can enhance teamworking and reduce error. It is used regularly in certain medical disciplines, but its use has not been established for ophthalmology to our knowledge. OBJECTIVE: To explore the feasibility of providing immersive simulation human factors training for ophthalmic surgical teams. DESIGN, SETTING, AND PARTICIPANTS: Prospective scenario-based simulation and concept description at University College London Hospital and Moorfields Eye Hospital, London, England, from December 12, 2013, to March 13, 2014...
August 1, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27249776/oncology-advanced-practitioners-bring-advanced-community-oncology-care
#20
Wendy H Vogel
Oncology care is becoming increasingly complex. The interprofessional team concept of care is necessary to meet projected oncology professional shortages, as well as to provide superior oncology care. The oncology advanced practitioner (AP) is a licensed health care professional who has completed advanced training in nursing or pharmacy or has completed training as a physician assistant. Oncology APs increase practice productivity and efficiency. Proven to be cost effective, APs may perform varied roles in an oncology practice...
2016: American Society of Clinical Oncology Educational Book
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