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nurse practitioner regulation

Hui-Ju Chiu, Shiow-Luan Tsay, Heng-Hsin Tung
BACKGROUND AND PURPOSE: The purpose of the article is to clarify and describe nurse practitioner (NP) scope-of-practice regulations, including the process of establishing the regulations, and the concepts of supervision, collaboration, and protocol as well as to illustrate the positive impact of NPs in Taiwan. METHODS: A literature review was conducted to understand physician involvement, NP scope of practice, and written practice protocol. A simultaneous review of authoritative regulations, related to local statutes and regulations in the United States, was conducted...
September 28, 2016: Journal of the American Association of Nurse Practitioners
Nancy Carter, Esther Sangster-Gormley, Jenny Ploeg, Ruth Martin-Misener, Faith Donald, Abigail Wickson-Griffiths, Sharon Kaasalainen, Carrie McAiney, Kevin Brazil, Alan Taniguchi, Lori Schindel Martin
The aim of this paper is to explore the role and activities of nurse practitioners (NPs) working in long-term care (LTC) to understand concepts of access to primary care for residents. Utilizing the "FIT" framework developed by Penchanksy and Thomas, we used a directed content analysis method to analyze data from a pan-Canadian study of NPs in LTC. Individual and focus group interviews were conducted at four sites in western, central and eastern regions of Canada with 143 participants, including NPs, RNs, regulated and unregulated nursing staff, allied health professionals, physicians, administrators and directors and residents and family members...
2016: Nursing Leadership
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
M Magalhães-Sant'Ana, S J More, D B Morton, A Hanlon
Ethics is key to the integrity of the veterinary profession. Despite its importance, there is a lack of applied research on the range of ethical challenges faced by veterinarians. A three round Policy Delphi with vignette methodology was used to record the diversity of views on ethical challenges faced by veterinary professionals in Ireland. Forty experts, comprising veterinary practitioners, inspectors and nurses, accepted to participate. In round 1, twenty vignettes describing a variety of ethically challenging veterinary scenarios were ranked in terms of ethical acceptability, reputational risk and perceived standards of practice...
September 9, 2016: Veterinary Record
Alison Wainwright, Tracy Klein, Chris Daly
In 2012, Canada passed legislation giving nurse practitioners (NPs) authority to prescribe controlled drugs and substances. Steps toward safe implementation by the nursing regulatory body in British Columbia included development of controlled drugs and substances prescribing competencies for use in educating and authorizing NPs for this new scope. In this article, we discuss the development and refinement of the competencies, specifically their application to nursing regulation in British Columbia. Methods include incorporation of the Competency Outcome Performance Assessment Model as a guiding theoretical framework...
August 29, 2016: Policy, Politics & Nursing Practice
Beth C Diehl, Karen Frank
BACKGROUND: The Maryland Regional Neonatal Transport Program performs 800 transports annually. Historically transports utilized a neonatal nurse practitioner or neonatal transport nurse and 2 medics. A regulatory ruling at the state level mandated change in team composition. This institution elected to educate neonatal intensive care unit (NICU) staff nurses to become the providers for transports and to respond to deliveries requiring the NICU team. These nurses became the transport-delivery room nurse...
August 16, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Kate Davis, Sarahlouise White, Matthew Stephenson
BACKGROUND: A healthy workplace culture enables nurses to experience valuable learning in the workplace. Learning in the workplace enables the provision of evidence-based and continuously improving safe patient care, which is central to achieving good patient outcomes. Therefore, nurses need to learn within a workplace that supports the implementation of evidence-based, professional practice and enables the best patient outcomes; the influence of workplace culture may play a role in this...
June 2016: JBI Database of Systematic Reviews and Implementation Reports
Keri Elizabeth Zug, Silvia Helena De Bortoli Cassiani, Joyce Pulcini, Alessandra Bassalobre Garcia, Francisca Aguirre-Boza, Jeongyoung Park
OBJECTIVE: to identify the current state of advanced practice nursing regulation, education and practice in Latin America and the Caribbean and the perception of nursing leaders in the region toward an advanced practice nursing role in primary health care to support Universal Access to Health and Universal Health Coverage initiatives. METHOD: a descriptive cross-sectional design utilizing a web-based survey of 173 nursing leaders about their perceptions of the state of nursing practice and potential development of advanced practice nursing in their countries, including definition, work environment, regulation, education, nursing practice, nursing culture, and perceived receptiveness to an expanded role in primary health care...
August 8, 2016: Revista Latino-americana de Enfermagem
Chloe Maxwell-Smith, Sarah J Hardcastle, Nik Zeps, Martin S Hagger, Cameron Platell
BACKGROUND: Lifestyle factors including inadequate physical activity may contribute to increased risk of developing cardiovascular disease in colorectal cancer survivors. Identification of the barriers to physical activity is important for forming an evidence base of factors to target in future physical activity programs aimed at improving cardiovascular health in this population. METHODS: Colorectal cancer survivors (N = 24) from St John of God Subiaco Hospital participated in semi-structured interviews about their current physical activity behaviours and perceived barriers to physical activity...
August 1, 2016: Psycho-oncology
Eduard Vrdoljak, Gyorgy Bodoky, Jacek Jassem, Razvan A Popescu, Jozef Mardiak, Robert Pirker, Tanja Čufer, Semir Bešlija, Alexandru Eniu, Vladimir Todorović, Kateřina Kubáčková, Galia Kurteva, Zorica Tomašević, Agim Sallaku, Snezhana Smichkoska, Žarko Bajić, Branimir I Šikić
: : The incidence of many cancers is higher in Western European (WE) countries, but mortality is frequently higher in Central and Eastern European (CEE) countries. A panel of oncology leaders from CEE countries participating in the South Eastern European Research Oncology Group (SEEROG) was formed in 2015, aiming to analyze the current status and trends of oncology care in CEE and to propose recommendations leading to improved care and outcomes. The SEEROG panel, meeting during the 11th Central European Oncology Congress, proposed the following: (a) national cancer control plans (NCCPs) required in all CEE countries, defining priorities in cancer care, including finance allocation considering limited health care budgets; (b) national cancer registries, describing in detail epidemiological trends; (c) efforts to strengthen comprehensive cancer centers; (d) that multidisciplinary care should be mandated by the NCCPs; (e) that smaller hospitals should be connected to multidisciplinary tumor boards via the Internet, providing access to specialized expertise; (f) nationwide primary prevention programs targeting smoking, obesity, and alcohol consumption and centrally evaluated secondary prevention programs for cervical, colorectal, and breast cancers; (g) prioritize education for all involved in cancer care, including oncology nurses, general practitioners, and palliative care providers; (h) establish outpatient care in day hospitals to reduce costs associated with the current inpatient model of care in CEE countries and to improve patients' quality of life; (i) long-term pharmacoeconomic evaluations of new therapies in CEE countries; (j) increase national oncology budgets in view of the higher mortality rates in CEE compared with WE countries; and (k) CEE countries urgently need help from the European Union to increase and monitor overall investment in cancer care...
July 8, 2016: Oncologist
Gary R Simonds
INTRODUCTION: American health care continues to undergo profound changes at a breakneck speed. Future challenges show no signs of abating. We feel the next generation of health care providers and administrators should be well informed on the many facets of nonclinical health care (regulation, delivery, socioeconomics) to guide health care systems and public servants toward better, more efficient care. We suspect that few possess even rudimentary knowledge in these fields. METHODS: We constructed a 40-question Nonclinical Health Care Delivery aptitude test covering diverse subjects such as economics, finance, public health, governmental oversight, insurance, coding/billing, study design and interpretation, and more...
August 2016: Neurosurgery
Fatmata Jalloh, Matthew D Tadlock, Stacy Cantwell, Timothy Rausch, Hande Aksoy, Heidi Frankel
BACKGROUND: Acute care nurse practitioners have been successfully integrated into inpatient settings. They perform invasive procedures in the intensive care unit and other acute care settings. Although their general scope of practice is regulated at the state level, local and regional scope of practice is governed by hospitals. OBJECTIVE: To determine if credentialing and privileging of these nurses for invasive procedures varies depending on the institution. METHODS: Personnel in medical staff offices of 329 hospitals were surveyed by telephone with 6 questions...
July 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
Linda Ld Zhong, Nan-Nan Shi, Liang Dai, Tat Chi Ziea, Bacon Ng, Xu-Dong Tang, Zhao-Xiang Bian, Ai-Ping Lu
Stomach pain in Chinese medicine (CM) is a very common disorder in clinical practice and it has been listed as one of the pilot three conditions in Hong Kong to develop evidence-based CM clinical practice guidelines (CM CPGs). The aim of this stomach Pain CPG is to summarize the treatment methods of stomach pain with CM and evaluate reasonably, then to guide local licensed CM practitioners and provide beneficial reference for social medical decision makers and patients. In this manuscript, we defifi ned stomach pain in CM and the category of chronic gastritis in Western medicine...
June 23, 2016: Chinese Journal of Integrative Medicine
Shahin Shooshtari, Beverley Temple, Celeste Waldman, Sneha Abraham, Héléne Ouellette-Kuntz, Nicholas Lennox
BACKGROUND: No standardized tool is used in Canada for comprehensive health assessments of adults with intellectual disabilities. This study was conducted to determine the feasibility of implementing the Comprehensive Health Assessment Program (CHAP) in Manitoba, Canada. METHOD: This was a qualitative study using a purposive sample of physicians, nurse practitioners, support workers and families. Data were collected through individual interviews and focus groups and were analysed using content analysis...
June 9, 2016: Journal of Applied Research in Intellectual Disabilities: JARID
Omenaa Boakye, Arden Birney, Esther Suter, Leah Adeline Phillips, Victoria Ym Suen
PURPOSE: This study explored which health care providers could be involved in centralized intake for patients with nonspecific low back pain to enhance access, continuity, and appropriateness of care. METHODS: We reviewed the scope of practice regulations for a range of health care providers. We also conducted telephone interviews with 17 individuals representing ten provincial colleges and regulatory bodies to further understand providers' legislated scopes of practice...
2016: Journal of Multidisciplinary Healthcare
Andrew Scanlon, Andrew Cashin, Julianne Bryce, John G Kelly, Tom Buckely
AIMS: To explore the legislative and regulatory constraints that defines nurse practitioner scope of practice within the Australian context. BACKGROUND: Nurse practitioners have been endorsed to practice in Australia for over 13 years. However, despite this lengthy period, there still remains confusion amongst newly endorsed nurse practitioners and their employers as to what determines the scope of their practice in Australia. DESIGN: A review of available policy and regulatory documents related to the Australian operational requirements for nurse practitioner scope of practice cited within or referred to by the Nursing and Midwifery Board of Australia...
2016: Collegian: Journal of the Royal College of Nursing, Australia
Hilary Barnes, Claudia B Maier, Danielle Altares Sarik, Hayley Drew Germack, Linda H Aiken, Matthew D McHugh
Increasing patient demand following health care reform has led to concerns about provider shortages, particularly in primary care and for Medicaid patients. Nurse practitioners (NPs) represent a potential solution to meeting demand. However, varying state scope of practice regulations and Medicaid reimbursement rates may limit efficient distribution of NPs. Using a national sample of 252,657 ambulatory practices, we examined the effect of state policies on NP employment in primary care and practice Medicaid acceptance...
May 13, 2016: Medical Care Research and Review: MCRR
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
Mary T Bouchaud, Beth Ann Swan
PROBLEM: With an evolving focus on primary, community-based, and patient-centered care rather than acute, hospital-centric, disease-focused care, and recognition of the importance of coordinating care and managing transitions across providers and settings of care, registered nurses need to be prepared from a different and broader knowledge base and skills set. A culture change among nurse educators and administrators and in nursing education is needed to prepare competent registered nurses capable of practicing from a health promotion, disease prevention, community- and population-focused construct in caring for a population of patients who are presenting health problems and conditions that persist across decades and/or lifetimes...
April 22, 2016: Nursing Forum
Robert Ignoffo, Katherine Knapp, Mitchell Barnett, Sally Yowell Barbour, Steve D'Amato, Lew Iacovelli, Jasen Knudsen, Susannah E Koontz, Robert Mancini, Ali McBride, Dayna McCauley, Patrick Medina, Cindy L O'Bryant, Sarah Scarpace, Steve Stricker, James A Trovato
PURPOSE: With an aging US population, the number of patients who need cancer treatment will increase significantly by 2020. On the basis of a predicted shortage of oncology physicians, nonphysician health care practitioners will need to fill the shortfall in oncology patient visits, and nurse practitioners and physician assistants have already been identified for this purpose. This study proposes that appropriately trained oncology pharmacists can also contribute. The purpose of this study is to estimate the supply of Board of Pharmacy Specialties-certified oncology pharmacists (BCOPs) and their potential contribution to the care of patients with cancer through 2020...
April 2016: Journal of Oncology Practice
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