Archives: Articles
Effects of the Acute Care Nurse Practitioner Role on Epilepsy Monitoring Outcomes
This study demonstrated the effectiveness of the implementation of the Acute Care Nurse Practitioner (ACNP) role in the management of patients with seizure disorders in an Epilepsy Monitoring Unit. Findings indicated that the ACNP, functioning in an expanded role in the epilepsy program, can make a substantial contribution to organizational outcomes. This is achieved through […]
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Growth and Development of the Nurse Practitioner Role around the Globe
The role of the Nurse Practitioner, which began in the United States in the 1960s, has expanded dramatically around the world. There is a great need for develop- ment of this role to address the need for health promotion, disease prevention, and to provide for evidence based care to the underserved populations of the world. […]
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The Role of Advanced Practice Providers in Pediatric Otolaryngology Academic Practices
Objective: The goal of this study was to examine the roles of Physician Assistants (PAs) and Nurse Practitioners (NPs) in pediatric academic otolaryngology programs to provide a better understanding of their scope of practice, levels of autonomy, clinical duties, teaching opportunities and research participation. Design: An anonymous web-based electronic survey tool was sent to all […]
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Initiation of a Neonatal Nurse Practitioner Competency Activity in Needle Thoracostomy
Pneumothorax is a potentially life-threatening condition in a neonate, requiring emergency intervention. The neonatal nurse practitioner (NNP) must be able to respond quickly and competently to prevent significant potential complications or death. The purpose of this practice improvement project was to implement procedure review for NNP competency maintenance in needle thoracostomy for a tension pneumothorax […]
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Development of the Role of Director of Advanced Practice Nursing
Advanced practice nurses (APNs) are integral to cost-effective delivery of health care in large health care organizations. Development of the leadership position of director of advanced practice nurses in a large teaching institution provides leadership to APNs in various settings, contributes to staff satisfaction, facilitates increased professional growth, and provides improved quality and fiscal outcomes. […]
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Reimbursement for Acute Care Nurse Practitioner Services
Until the passage of the Balanced Budget Act of 1997, acute care nurse practitioners could not be directly reimbursed for inpatient services provided to Medicare patients. With the enactment of this legislation, acute care nurse practitioners may now be directly compensated for care provided. The historical and contextual issues that surround reimbursement for nursing and […]
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Patient Satisfaction with Primary Care: Does Type of Practitioner Matter?
The objective of this study was to evaluate the association of patient satisfaction with type of practitioner attending visits in the primary care practice of a managed care organization (MCO). We conducted a retrospective observational study of 41,209 patient satisfaction surveys randomly sampled from visits provided by the pediatrics and adult medicine departments from 1997 […]
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Use of Midlevel Practitioners to Achieve Labor Cost Savings in the Primary Care Practice of an MCO
Objective. To estimate the savings in labor costs per primary care visit that might be realized from increased use of physician assistants (PAs) and nurse practitioners (NPs) in the primary care practices of a managed care organization (MCO). StudySetting/DataSources. Twenty-sixcapitatedprimarycarepracticesofagroup model MCO. Data on approximately two million visits provided by 206 practitioners were extracted from […]
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Increasing Physician Productivity using a Physician Extender: A Study in an Outpatient Group Practice at the Mayo Clinic
Physician extenders (PE) can perform some tasks usually performed by a physician. Time recouped by physicians using a PE may increase physician productivity and physician professional satisfaction. A prospective study was completed using a PE in an outpatient general medical group practice setting to reduce physician indirect patient care, such as responding to patient telephone […]
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