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Nurse practitioner

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212 papers 500 to 1000 followers
By Stan Marchuk Nurse Practitioner, working in area of Nephrology in a large urban teaching center
https://www.readbyqxmd.com/read/28766986/the-untapped-potential-of-the-nurse-practitioner-workforce-in-reducing-health-disparities
#1
Lusine Poghosyan, J Margo Brooks Carthon
The growing nurse practitioner (NP) workforce represents a significant supply of primary care providers, who if optimally utilized, are well-positioned to improve access to health care for racial and ethnic minorities. However, many barriers affect the optimal utilization of NPs in primary care delivery. These barriers may also prevent NPs from maximally contributing to efforts to reduce racial and ethnic health disparities. Our review of the empirical and health policy literature sought to elucidate factors that affect NPs' potential and ability to narrow or eliminate health disparities...
January 1, 2017: Policy, Politics & Nursing Practice
https://www.readbyqxmd.com/read/28683019/mentoring-nurse-practitioners-in-a-hospital-setting
#2
Rodica S Pop
BACKGROUND: Nursing philosophy is the foundation of nurse practitioner (NP) training. However, NP practice is based on the medical care model. Thus, the necessity of mediating between these two approaches is often problematic for new NPs who are transitioning into their new roles. Mentoring has been used successfully to facilitate role transition and role understanding for nurses, NPs, and physicians. However, mentoring has been rarely studied in NPs. PURPOSE: The purpose of this study was to develop a theory of mentoring for new NPs in a hospital setting...
August 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28660736/how-to-write-abstracts-for-manuscripts-presentations-and-grants-maximizing-information-in-a-30-s-sound-bite-world
#3
Patricia F Pearce, Laurie Anne Ferguson
BACKGROUND AND PURPOSE: Exponential growth of published conference and manuscript material, increasingly available electronic access, and heightened expectations for short, quick, and available information have propelled the written abstract into a position of extreme importance for nurse practitioners (NPs). NPs can leverage their abstract writing, to maximize exposure of their work, through presentations, publications, and grants. The purpose of this article is to detail the significance of abstract use and relevance for NPs, and to provide useful details and helpful hints for writing effective and strategic abstracts in a heavily electronic and 30-s sound bite world...
June 29, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28649770/precepting-nurse-practitioner-students-a-new-view-results-of-two-national-surveys-of-nurse-practitioner-preceptors
#4
Mary Ellen Roberts, Kathy J Wheeler, Diane O Tyler, Diane L Padden
PURPOSE: The aim of two national studies was to identify characteristics of nurse practitioners (NPs) who precept and the benefits, incentives, and barriers associated with the NP preceptor role. METHODS: Stratified randomized sampling was used to invite a representative number of NPs from each state to participate in a 2015 survey and a follow-up survey in 2016. These descriptive, exploratory studies distributed electronic questionnaires to 5000 randomly selected NPs in the 2015 survey and 40,000 NPs in the 2016 survey...
June 26, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28592467/supplementing-intensivist-staffing-with-nurse-practitioners-literature-review
#5
Tracie White, Justin Kokiousis, Stephanie Ensminger, Maria Shirey
In the United States, providing health care to critically ill patients is a challenge. An increase in patients older than 65 years, a decrease in critical care physicians, and a decrease in work hours for residents cause intensivist staffing issues. In this article, use of nurse practictioners to fill the intensive care unit intensivist staffing gap is assessed and evidence-based recommendations are identified to better incorporate nurse practitioners as part of intensive care unit intensivist staffing. The literature reveals that when nurse practitioners are part of a staffing model, outcomes are either positively impacted or no different from physician outcomes...
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/28561709/practice-model-for-advanced-practice-providers-in-oncology
#6
Jamie Cairo, Mary Ann Muzi, Deanna Ficke, Shaunta Ford-Pierce, Katrina Goetzke, Diane Stumvoll, Laurie Williams, Federico A Sanchez
According to ASCO, the number of practicing oncologists has remained stable despite growth demands, leading to an overall shortage in many areas of the country. Nurse practitioners and physician assistants are advanced practice providers (APPs) who can assist in the provision of support and care to patients with cancer, but the role of the APP in the oncology setting has not been well defined. There exists a variety of different practice patterns for APPs who work in oncology, and the lack of role definition and absence of an established practice model are considered leading causes of APP attrition...
2017: American Society of Clinical Oncology Educational Book
https://www.readbyqxmd.com/read/28332289/the-lived-experience-of-nurse-practitioners-practicing-within-the-transformational-advanced-professional-practice-model-a-phenomenological-study
#7
Elizabeth C Elliott, Marlene Walden, Anne Young, Lene Symes, Nina Fredland
PURPOSE: The purpose of this study was to describe the lived experiences of nurse practitioners (NPs) practicing within the Transformational Advanced Professional Practice (TAPP) Model, a professional practice model (PPM). DATA SOURCES: A descriptive phenomenological analysis using semistructured interviews of 11 NPs across multiple inpatient and outpatient clinical areas at Texas Children's Hospital. Member checking and theming data occurred using Colaizzi's Method concurrently with Mind Mapping technique...
June 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28299815/effects-of-substituting-nurse-practitioners-physician-assistants-or-nurses-for-physicians-concerning-healthcare-for-the-ageing-population-a-systematic-literature-review
#8
REVIEW
Marleen H Lovink, Anke Persoon, Raymond T C M Koopmans, Anneke J A H Van Vught, Lisette Schoonhoven, Miranda G H Laurant
AIMS: To evaluate the effects of substituting nurse practitioners, physician assistants or nurses for physicians in long-term care facilities and primary healthcare for the ageing population (primary aim) and to describe what influences the implementation (secondary aim). BACKGROUND: Healthcare for the ageing population is undergoing major changes and physicians face heavy workloads. A solution to guarantee quality and contain costs might be to substitute nurse practitioners, physician assistants or nurses for physicians...
March 16, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28302637/protocol-for-determining-primary-healthcare-practice-characteristics-models-of-practice-and-patient-accessibility-using-an-exploratory-census-survey-with-linkage-to-administrative-data-in-nova-scotia-canada
#9
Emily Gard Marshall, Richard J Gibson, Beverley Lawson, Frederick Burge
INTRODUCTION: There is little evidence on how primary care providers (PCPs) model their practices in Nova Scotia (NS), Canada, what services they offer or what accessibility is like for the average patient. This study will create a database of all family physicians and primary healthcare nurse practitioners in NS, including information about accessibility and the model of care in which they practice, and will link the survey data to administrative health databases. METHODS AND ANALYSIS: 3 census surveys of all family physicians, primary care nurse practitioners (ie, PCPs) and their practices in NS will be conducted...
March 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/28177585/hospital-acquired-pressure-injuries-the-significance-of-the-advanced-practice-registered-nurse-s-role-in-a-community-hospital
#10
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/27959307/the-nurse-practitioner-as-surgical-assistant
#11
Tracie White
No abstract text is available yet for this article.
July 2016: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/27913033/nurse-practitioner-prescribing-in-australia-a-comprehensive-literature-review
#12
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/19951771/the-neuroscience-acute-care-nurse-practitioner-role-development-implementation-and-improvement
#13
Susan Yeager
As the number and opportunities for acute care nurse practitioners (ACNPs) continue to increase, the successful integration of these providers into the health care setting becomes more of a challenge. This article outlines strategies for role development, implementation, and evaluation to optimize the performance of the neuroscience ACNP role. The concepts presented are applicable across all acute-care specialties that use ACNPs.
December 2009: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/18813084/developing-an-advanced-practice-nursing-credentialing-model-for-acute-care-facilities
#14
REVIEW
Ruth M Kleinpell, Marilyn Hravnak, Barbara Hinch, Jane Llewellyn
Credentialing of advanced practice registered nurses (APRNs) in acute care settings is an essential practice, but care must be taken to ensure that full utilization of the scope of practice and capacity of APRNs is attained. The process of credentialing and privileging involves the verification of required education, licensure, and certification to practice as an APRN along with the recognition of the scope of the individual APRN's practice based on training, education, and practice setting. Nursing administrators are challenged with ensuring that APRNs are credentialed and privileged and that appropriate mechanisms exist within the institution for promoting recognition of the scope of practice of APRNs...
October 2008: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27792867/nurse-practitioner-research-agenda-roundtable-october-2015
#15
Mary Ellen Roberts, Mary Jo Goolsby
This is a report of the 2015 nurse practitioner (NP) Research Agenda Roundtable hosted by the Fellows of the American Association of Nurse Practitioners. A consensus was reached on four major categories where the need for research is greatest: 1) policy and regulation, 2) practice models, 3) education, and 4) workforce. Specific gaps in the existing body of research on NPs as essential elements of the broader health care environment were identified.
January 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/27767363/the-role-of-advanced-practice-registered-nurses-in-the-completion-of-physician-orders-for-life-sustaining-treatment
#16
Sophia A Hayes, Dana Zive, Betty Ferrell, Susan W Tolle
BACKGROUND: The Physician Orders for Life-Sustaining Treatment (POLST) Paradigm records advance care planning for patients with advanced illness or frailty as actionable medical records. The National POLST Paradigm Task Force recommends that physicians, advanced practice registered nurses (APRNs), and physician assistants (PAs) be permitted to execute POLST forms. OBJECTIVE: To investigate the percentage of Oregon POLST forms signed by APRNs, and examine the obstacles faced by states attempting to allow APRNs to sign POLST forms...
April 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27717240/attitudes-toward-evidence-based-clinical-decision-support-tools-to-reduce-exposure-to-ionizing-radiation-the-canadian-ct-head-rule
#17
Raymond Zakhari, Susan E Sterrett
BACKGROUND AND PURPOSE: A large degree of variation in clinical practice exists among clinicians evaluating and treating individuals with minor head injuries. Noncontrast head computerized tomography (CT) scans are commonly used to assess for intracranial damage in patients presenting with head injury. This practice is not supported by the evidence and poses harm to patients by increasing exposure to ionizing radiation. This form of radiation exposure increases the risk of developing cancers over the course of the individual's life, and further strains the limited resources of the healthcare system...
December 2016: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/27742077/clinical-residency-training-is-it-essential-to-the-doctor-of-nursing-practice-for-nurse-practitioner-preparation
#18
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/27681516/nursing-peer-review-perceptions-and-practices-a-survey-of-chief-nurse-executives
#19
Kevin Whitney, Barbara Haag-Heitman, Margery Chisholm, Sharon Gale
OBJECTIVE: This study sought to understand chief nurse executive perceptions of nursing peer review (NPR) and current NPR practices in their organizations to provide insights and recommendations for the path forward to a robust NPR approach nationally. BACKGROUND: Nursing peer review is a key component of professional nursing practice focused on self-regulation and improving quality and safety. Despite its known benefits, NPR is not broadly disseminated, and how it is currently used and perceived is not well understood...
October 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27712615/integration-of-nurse-practitioners-using-a-change-management-framework-the-way-forward
#20
Grainne Lowe, Virginia Plummer, Leanne Boyd
Objective The aim of the present study was to investigate and describe the application of a change management theoretical framework in relation to nurse practitioner (NP) role integration.Methods A survey formed Phase 1 of a broader mixed-methods study to explore perceptions of the change process involved with integrating NPs into Australian health care settings. The stakeholder participants were NPs, nurse managers and nurse policy advisers.Results Key themes were identified adding information about how NPs, nurse managers and nurse policy advisers perceive the integration of NPs into Australian healthcare...
October 7, 2016: Australian Health Review: a Publication of the Australian Hospital Association
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