Archives: Articles
Stakeholders’ Conceptualizations of the Nurse Practitioner Role in the Pediatric Emergency Department
In Quebec, as in the rest of Canada, the increasing service demands placed on emergency departments (EDs), and the dwindling resources of physicians, nurses and trainees, have obliged those managing EDs to question whether new roles need to be introduced. Increasing acuity and complexity of care, coupled with rising numbers of pediatric patients seeking care […]
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Shaping the Advanced Practice Psychiatric-Mental Health Nursing Role: A Futuristic Model
As advanced practice psychiatric-mental health nursing has transitioned from earlier models of practice, elements of clinical specialist and psychiatric nurse practitioner roles are being blended to produce a new type of practitioner. The challenge of preserving mental health expertise while expanding advanced practice primary and primary mental health care competencies is addressed in several nursing […]
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The Productivity and Cost-Efficiency of Models for Involving Nurse Practitioners in Primary Care: A Perspective Analysis from Queueing Analysis
To develop simple stylized models for evaluating the productivity and cost-efficiencies of different practice models to involve nurse practitioners (NPs) in primary care, and in particular to generate insights on what affects the performance of these models and how.The productivity of a practice model is defined as the maximum number of patients that can be […]
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The Role of Nurse Practitioners in Reinventing Primary Care
Nurse practitioners are the principal group of advanced- practice nurses delivering primary care in the United States. We reviewed the current and projected nurse practitioner workforce, and we summarize the available evidence of their contributions to improving primary care and reducing more costly health resource use. We recommend that nurse practice acts—the state laws governing […]
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Nurse Practitioners and Physicians: A Collaborative Practice
The rapid evolution of health care delivery within the United States has created increased opportunities for nurse practitioners (NPs) to work in a variety of challenging advanced practice roles and to impact the quality of health care. The NP role was originally developed to meet a perceived shortage of primary care physicians, especially for underserved […]
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Anesthesia Provider Model, Hospital Resources, and Maternal Outcomes
Objective: Determine the ability of anesthesia provider model and hospital resources to explain maternal outcome variation. Data source/study setting: 1,141,641 obstetrical patients from 369 hospitals that reported at least one live birth in 2002 in six representative states. Study design: Logistic regression of death, anesthesia complication, nonanesthesia maternal complication, and obstetrical trauma for all patients […]
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Pregnancy Outcome for Adolescents Receiving Prenatal Care by Nurse Practitioners in Extended Roles
The outcome of teenage pregnancy when managed in a specialized antenatal program resembles the patterns associated with young adults rather than the outcomes of teenagers in a general clinic. Based on a recent University of California study, this seems to result from three major factors: early prenatal care, nursing management in primary care, and special […]
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Characteristics of Patient Visits to Nurse Practitioners and Physician Assistants in Hospital Outpatient Departments
Many authors have described differences between nurse practitioners and physician assistants. Most studies have compared physician with nonphysician providers’ practice. Few studies have compared nurse practitioners and physician assistants, and none has used a national data base. This exploratory, atheoretical research examined which of the following characteristics predicted patients being seen by nurse practitioners and […]
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