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nurse practitioner regulation

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https://www.readbyqxmd.com/read/29781698/a-middle-range-model-for-improving-quality-of-nursing-education-in-malawi
#1
Thokozani M Bvumbwe, Ntombifikile G Mtshali
BACKGROUND:  Despite a global consensus that nurses and midwives constitute the majority and are a backbone of any country's health workforce system, productive capacity of training institutions remains low and still needs more guidance. This study aimed at developing a middle-range model to guide efforts in nursing education improvements. OBJECTIVE:  To explore challenges facing nursing education in Malawi and to describe efforts that are being put in place to improve nursing education and the process of development of a model to improve nursing education in Malawi...
March 22, 2018: Curationis
https://www.readbyqxmd.com/read/29757918/regulation-of-pediatric-intensive-care-unit-nurse-practitioner-practice-a-national-survey
#2
Kristin Hittle Gigli, Mary S Dietrich, Peter I Buerhaus, Ann F Minnick
PURPOSE: To describe the extent to which organizational regulation of pediatric intensive care unit (PICU) nurse practitioner (NP) practice and prescriptive authority aligns with state scope-of-practice (SSOP) regulations, to examine differences between PICU medical directors' and NPs' report of regulation, and to describe organizational-level restriction of PICU NP practice. METHODS: A 34-item national, quantitative cross-sectional descriptive survey of US PICU medical directors and NPs included demographic, institutional characteristics, and PICU NP regulation and role-related questions...
January 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29757847/organophosphate-insecticide-exposure-a-clinical-consideration-of-chlorpyrifos-regulation
#3
Alexa Colgrove Curtis, Barbara Sattler
BACKGROUND AND PURPOSE: In March 2017, the Environmental Protection Agency (EPA) reversed course on a proposal to ban the agricultural use of the organophosphate (OP) insecticide chlorpyrifos (CPF). The purpose of this article is to examine the evidence leading to this controversial decision and provide clinically applicable health promotion guidance for nurse practitioners on CPF exposure and risk reduction measures. METHODS: Environmental Protection Agency documents on CPF regulation and corresponding research referenced within the EPA reports are reviewed...
May 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29752645/a-tale-of-two-countries-innovation-and-collaboration-aimed-at-changing-the-culture-of-medicine-in-uruguay
#4
Juan J Dapueto, Mercedes Viera, Charles Samenow, William H Swiggart, Jeffrey Steiger
This is a case study of a program to address professionalism at the Universidad de la República in Uruguay. We describe a five-year ongoing international collaboration. Relevant characteristics of the context, the program components, activities, and results were analyzed. The expected outcomes were to introduce standards of professional practices in the curricula of medical students and residents and the implementation of a program that might lead to a significant change in the culture of medicine in the University...
May 11, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/29703627/the-impact-of-nurse-practitioner-regulations-on-population-access-to-care
#5
Donna Felber Neff, Sul Hee Yoon, Ruth L Steiner, Ilir Bejleri, Michael D Bumbach, Damian Everhart, Jeffrey S Harman
BACKGROUND: By 2025, experts estimate a significant shortage of primary care providers in the United States, and expansion of the nurse practitioner (NP) workforce may reduce this burden. However, barriers imposed by state NP regulations could reduce access to primary care. PURPOSE: The objectives of this study were to examine the association between three levels of NP state practice regulation (independent, minimum restrictive, and most restrictive) and the proportion of the population with a greater than 30-min travel time to a primary care provider using geocoding...
March 8, 2018: Nursing Outlook
https://www.readbyqxmd.com/read/29588917/a-national-needs-assessment-of-canadian-nurse-practitioners-regarding-cannabis-for-therapeutic-purposes
#6
Lynda G Balneaves, Abeer Alraja, Daniel Ziemianski, Fairleth McCuaig, Mark Ware
Introduction: In Canada, the Access to Cannabis for Medical Purposes Regulations (ACMPR) has given nurse practitioners (NPs) the power to authorize cannabis for therapeutic purposes (CTP) to eligible patients. This expansion in NPs' scope of practice underscores the importance of delivering balanced, evidence-based education on cannabis to NPs. The aim of this national study was to assess NPs' knowledge and practice gaps related to CTP to inform the development of future education resources that increase NPs' clinical competence and improve patient care related to medical cannabis...
2018: Cannabis and Cannabinoid Research
https://www.readbyqxmd.com/read/29503607/effect-of-somatic-experiencing-resiliency-based-trauma-treatment-training-on-quality-of-life-and-psychological-health-as-potential-markers-of-resilience-in-treating-professionals
#7
Neal E Winblad, Michael Changaris, Phyllis K Stein
Background: Individuals who treat trauma are at significant risk of vicarious traumatization and burnout. Somatic Experiencing® (SE®) is a resiliency-focused trauma treatment modality designed to address autonomic nervous system (ANS) dysregulation and its impacted physical health and mental health symptoms e.g., anxiety, depression, post-traumatic stress disorder, migraines, fibromyalgia, and chronic fatigue, etc. The SE® training supports the development of clinical skills to reduce physical health/mental health symptoms as well as increase clinician resilience...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29465212/exploring-emergency-nurse-practitioners-perceptions-of-their-role
#8
Sue Bagley
Since the 1980s, the emergency nurse practitioner (ENP) role has evolved as increasing socioeconomic pressures and changing government policy have led to new working practices in emergency departments. Similarly, a lack of consensus regarding educational support for ENPs and the regulation of ENP training, mean that variations remain in the scope of practice, role description and academic requirements for ENPs. AIM: To explore ENPs' perceptions of their changing role, including their educational requirements and whether their training needs are being met...
February 21, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29443434/expanding-the-abortion-provider-workforce-a-qualitative-study-of-organizations-implementing-a-new-california-policy
#9
Molly Frances Battistelli, Sara Magnusson, M Antonia Biggs, Lori Freedman
CONTEXT: Access to abortion care in the United States varies according to multiple factors, including location, state regulation and provider availability. In 2013, California enacted a law that authorized nurse practitioners (NPs), certified nurse-midwives (CNMs) and physician assistants (PAs) to provide first-trimester aspiration abortions; little is known about organizations' experiences in implementing this policy change. METHODS: Beginning 10 and 24 months after implementation of the new law, semistructured interviews were conducted with 20 administrators whose five organizations trained and employed NPs, CNMs and PAs as providers of aspiration abortions...
March 2018: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/29396884/recognition-and-assessment-of-resident-deterioration-in-the-nursing-home-setting-a-critical-ethnography
#10
Bridget Laging, Amanda Kenny, Michael Bauer, Rhonda Nay
AIMS AND OBJECTIVES: To explore the recognition and assessment of resident deterioration in the nursing home setting. BACKGROUND: There is a dearth of research exploring how nurses and personal-care-assistants manage a deteriorating nursing home resident. DESIGN: Critical ethnography. METHODS: Observation and semi-structured interviews with 66 participants (general medical practitioners, nurses, personal-care-assistants, residents and family members) in two Australian nursing homes...
April 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29280361/cardiovascular-disease-and-omega-3s-prescription-products-and-fish-oil-dietary-supplements-are-not-the-same
#11
REVIEW
Adina S Gutstein, Tina Copple
BACKGROUND AND PURPOSE: Despite achievement of optimal low-density lipoprotein cholesterol (LDL-C) control with statin therapy, patients with elevated triglycerides (TGs) and residual cardiovascular risk are commonly encountered in clinical practice. METHODS: We present information from completed and ongoing clinical trials examining Rx omega-3s for TG-lowering and omega-3 dietary supplements to highlight important differences affecting patient management for nurse practitioners...
December 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29217143/team-work-and-collaborative-practice-agreements-among-pharmacists-and-nurse-practitioners
#12
Kylee A Funk, Krystalyn K Weaver
OBJECTIVES: The authors share their knowledge about partnering and establishing collaborative practice agreements with nurse practitioners. State laws and regulations were reviewed that affect pharmacists' ability to fully partner with nurse practitioners. SUMMARY: Nurse practitioners' role in primary care is growing, and, in many states, nurse practitioners practice independently. Collaborative practice agreements (CPAs) enable pharmacists to work with prescribers more efficiently...
January 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29185641/development-and-regulation-of-advanced-nurse-practitioners-in-the-uk-and-internationally
#13
Rachel King, Angela Tod, Tom Sanders
The NHS in the UK is under increasing pressure as a result of financial and recruitment issues, as well as an ageing population. Nursing has continued to adapt to this challenging time. Over the past few years, the advanced nurse practitioner (ANP) role has been implemented widely in primary and secondary care. However, the ANP role has lacked consistency in scope of practice, training and regulation. This article summarises the development of the ANP role in the UK and internationally, and issues relating to regulation...
November 29, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29110649/associations-between-physical-activity-and-motivation-competence-functioning-and-apathy-in-inhabitants-with-mental-illness-from-a-rural-municipality-a-cross-sectional-study
#14
Anders Farholm, Marit Sørensen, Hallgeir Halvari, Torfinn Hynnekleiv
BACKGROUND: There is increasing evidence for physical activity (PA) having a positive impact on physical and mental health as well as illness symptoms in individuals with severe mental illness (SMI). However, individuals with SMI experience several barriers that makes it difficult to take advantage of the benefits associated with PA. One barrier consistently reported to impede PA is motivational issues. Thus, the main aim of the present study was to examine associations between PA and motivation for PA, perceived competence for PA, functioning, apathy, and demographic variables among individuals with SMI...
November 6, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/29090084/non-medical-prescribing-in-new-zealand-an-overview-of-prescribing-rights-service-delivery-models-and-training
#15
REVIEW
Rakhee Raghunandan, June Tordoff, Alesha Smith
AIM: In this paper, we aim to provide an updated source of information for nonmedical prescribing (NMP) in New Zealand (NZ). METHODS: A variety of NZ sources were used to collect data: legislation, policy documents and information from professional and regulatory organizations, and education providers. RESULTS: In NZ, the legal categories for prescribers include authorized, designated, and delegated prescribers. Authorized prescribers include dentists, midwives, nurse practitioners, and optometrist prescribers...
November 2017: Therapeutic Advances in Drug Safety
https://www.readbyqxmd.com/read/29077202/meta-synthesis-on-nurse-practitioner-autonomy-and-roles-in-ambulatory-care
#16
Pauline Wang-Romjue
BACKGROUND: Many healthcare stakeholders view nurse practitioners (NPs) as an important workforce resource to help fill the anticipated shortage of 20,400 ambulatory care physicians that is expected by 2020. Multiple quantitative studies revealed the attributes of NPs' practice autonomy and roles. However, there is no qualitative meta-synthesis that describes the experiences of NPs' practice autonomy and roles. AIM: To describe and understand the experiences of NPs regarding their practice autonomy and roles in various ambulatory settings through the exploration of existing qualitative studies: meta-synthesis...
October 27, 2017: Nursing Forum
https://www.readbyqxmd.com/read/29076013/hospital-staff-views-of-prescribing-and-discharge-communication-before-and-after-electronic-prescribing-system-implementation
#17
Pamela Ruth Mills, Anita Elaine Weidmann, Derek Stewart
Background Electronic prescribing system implementation is recommended to improve patient safety and general practitioner's discharge information communication. There is a paucity of information about hospital staff perspectives before and after system implementation. Objective To explore hospital staff views regarding prescribing and discharge communication systems before and after hospital electronic prescribing and medicines administration (HEPMA) system implementation. Setting A 560 bed United Kingdom district general hospital...
December 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28993304/barriers-and-facilitators-to-integration-of-physician-associates-into-the-general-practice-workforce-a-grounded-theory-approach
#18
Ben Jackson, Michelle Marshall, Susie Schofield
BACKGROUND: Physician associates (PAs) are described as one solution to workforce capacity in primary care in the UK. Despite new investment in the role, how effective this will be in addressing unmet primary care needs is unclear. AIM: To investigate the barriers and facilitators to the integration of PAs into the general practice workforce. DESIGN AND SETTING: A modified grounded theory study in a region unfamiliar with the PA role. METHOD: No a priori themes were assumed...
November 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28940197/prevalence-of-conscientious-objection-to-legal-abortion-among-clinicians-in-northern-ghana
#19
John K Awoonor-Williams, Peter Baffoe, Philip K Ayivor, Chris Fofie, Sheila Desai, Wendy Chavkin
OBJECTIVE: To assess the prevalence of conscientious objection (CO), motivations, knowledge of Ghana's abortion law, attitudes, and behaviors toward abortion provision among medical providers in northern Ghana, and measures to regulate CO. METHODS: Between June and November 2015, the present cross-sectional survey-based descriptive study measured prevalence, knowledge, and attitudes about CO among 213 eligible health practitioners who were trained in abortion provision and working in hospital facilities in northern Ghana...
January 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28929554/optimizing-patient-and-public-involvement-ppi-identifying-its-essential-and-desirable-principles-using-a-systematic-review-and-modified-delphi-methodology
#20
Rebecca L Baines, Sam Regan de Bere
BACKGROUND: There is international interest in the active involvement of patients and the public. However, consensus on how best to optimize its application is currently unavailable. OBJECTIVE: To identify and assess the underlying principles of patient and public involvement (PPI) in health and social care services, research, education and regulation across medicine, dentistry and nursing. DESIGN: A four-phase methodology: (i) an extensive systematic review of published and grey literature; (ii) inductive thematic analysis of review findings; (iii) development of best practice principles; and (iv) consensus testing of identified principles using a modified Delphi methodology...
February 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
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