Archives: Articles
The Acute Care Nurse Practitioner and Management of Common Health Problems: A Proposal
The acute care nurse practitioner, an emerging role in acute healthcare settings, is responsible for managing acutely ill patients with multiple acute and chronic health problems. There are variations in acute care nurse practitioner specialty practices but the complexity and potential progression of the acutely ill patient’s status require the use of a multidisciplinary approach […]
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Surgical Mortality and Type of Anesthesia Provider
Although estimates of anesthesia-related deaths today are as low as 1 in 200,000 to 300,000 cases, questions remain about surgical patients’ safety related to types of anesthesia providers. We studied the effect of type of anesthesia provider on mortality rates of Medicare patients undergoing 8 different surgical procedures. Risk-adjusted mortality rates were analyzed for 404,194 […]
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Surgical Mortality and Type of Anesthesia Provider
Although estimates of anesthesia-related deaths today are as low as 1 in 200,000 to 300,000 cases, questions remain about surgical patients’ safety related to types of anesthesia providers. We studied the effect of type of anesthesia provider on mortality rates of Medicare patients undergoing 8 different surgical procedures. Risk-adjusted mortality rates were analyzed for 404,194 […]
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Outcomes-Based Trial of an Inpatient Nurse Practitioner Service for General Medical Patients
Although teaching hospitals are increasingly using nurse practitioners (NPs) to provide inpatient care, few studies have compared care delivered by NPs and housestaff or the ability of NPs to admit and manage unselected general medical patients. In a Midwest academic teaching hospital 381 patients were randomized to general medical wards staffed either by NPs and […]
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The Role and Effectiveness of a Nurse Practitioner Led Critical Care Outreach Service
Research measuring the effectiveness of critical care outreach (CCOR) has been mixed. The objective of this paper is to describe the role and effectiveness of a nurse practitioner (NP) led critical care outreach service (CCORS). Using a comparative study design, data on the number of intensive care unit (ICU) readmissions <72 h were analysed 12 […]
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Advancing Recertification for Nurse Anesthetists in an Environment of Increased Accountability
The nurse anesthesia profession has been an advocate of credentialing since 1945 when the certification program and initial requirements were introduced. Substantial changes have evolved in the credentialing of health professionals over recent years to include documentation of initial and continuing competence while promoting patient safety. The National Board of Certification and Recertification for Nurse […]
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Inpatient Rehabilitation: Physiatric and Nurse Practitioner Admission Assessment of Stroke Patients and their Rehabilitation Outcomes
The purpose of this study was to compare outcomes in stroke patients with two different methods of admission to an inpatient unit. Patients’ outcomes were studied for 3 years. Admission screening was performed either by a physiatrist (group I, n = 93) or by a nurse practitioner (group II, n = 100). All admission decisions […]
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Nurse Practitioner Role, Independent Practice, and Teamwork in Primary Care
Primary care nurse practitioner (NP) workforce represents a substantial supply of primary care providers able to meet the demand for care. However, many barriers influence NP practice and care. This study conducted a survey of NPs in New York state to better understand NPs’ role, independent practice, and teamwork in primary care organizations. Overall, 278 […]
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Acceptance of Physician Assistants and Nurse Practitioners in Trauma Centers
Objective: Census data published by professional organiza- tions indicate an upward trend in the number of physician assistants (PAs) working in many specialty fields, including the subspecialty of trauma surgery. As the role of hospital- based PAs and nurse practitioners (NPs) continues to evolve, greater understanding of these roles will help identify future employment trends […]
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