Archives: Articles
The Business Management Preceptorship within the Nurse Practitioner Program
Changes in health care reimbursement practices have affected the way in which primary health care is provided. To be successful, nurse practitioners must have a proficient understanding of basic business functions, including accounting, finance, economics, marketing, and reimbursement practices. Yet, many graduates of nurse practitioner programs are not adequately prepared to make fundamental business decisions. […]
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Survey of Advanced Practice Student Clinical Preceptors
Most nursing schools use preceptors to provide critical elements of practice, instruction, and supervision. It is important to understand the factors influencing preceptors to volunteer their time and expertise. The purpose of this survey of advanced practice student clinical preceptors was twofold: to determine the barriers to and motivators for providing clinical mentoring and evaluation, […]
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Billing Basics for Physician Assistants and Nurse Practitioners
In recent years, physicians have increasingly looked to nonphysician practitioners (NPPs) as a resource for delivering care to patients. While historically more prevalent in primary care groups, nonphysician practitioners have expanded their presence within medical subspecialty and surgical groups as well. Along with planning for appointment scheduling, credentialing, and introducing the nonphysician provider to patients […]
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Training Clinicians to be Preceptors: An Application of Kolb’s Theory
The use of adult learning theory can provide advanced practice registered nurses (APRNs) with concrete strategies for developing skills as preceptors in clinical settings. These same principles can also strengthen continuing education programs. We present ways in which the Clinical Training Center for Family Planning uses Kolb’s Adult Learning Theory to structure a preceptor training […]
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Outcomes Manager: A Role for the Advanced Practice Nurse
Outcomes management offers the advanced practice nurse an opportunity to lead interdisciplinary providers in the restructuring of health care services across the continuum of care. Within an outcomes management framework, the advanced practice nurse functions as an attending nurse for a population of patients by overseeing interdisciplinary care delivery and outcomes measurement and refining standardized […]
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Nurse Practitioner Roles in Pediatric Emergency Departments: A National Survey
Objective: Emergency department (ED) visits continue to climb in the United States despite numerous primary care initiatives. A variety of staffing models including the utilization of nurse practitioners (NPs) and physician assistants (PAs) and the use of fast-track or express care are alternative methods of caring for the ED patients with less acute illness. Our objectives […]
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Clinical Nurse Specialists in California: Who Claims the Title?
State nursing practice acts granting legal authority to advanced practice nurses vary widely, with many states not recognizing clinical nurse specialists (CNSs). This survey identified characteristics of registered nurses claiming the CNS title in California. A literature-based survey tool was designed, piloted, and distributed to 209,846 nurses in California, with instructions to return the survey […]
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Onboarding Nurse Practitioners: A Healthcare System Approach to Interprofessional Education
The Future of Nursing report1 underscores the belief that nurses can play a vital role in patient care outcomes. Among many things, the report discusses nurses practicing to the fullest extent of their education, nurse/physician collaboration, and team approaches. The issues addressed in the report are relevant at all levels of nursing but have unique […]
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Nurse Practitioner Reimbursement
This article addresses problems related to nurse practitioner reimbursement and the Rural Health Clinic Services Act of 1977. An overview of payor policies prior to the passage of P.L. 95-2 10 is presented, followed by a discussion of some of the difficulties in implementing the statute.
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