Archives: Articles


Development of the Misener Nurse Practitioner Job Satisfaction Scale

The purpose of this study was to construct a reliable and valid instrument to measure job satisfaction among nurse practitioners (NP). The methodological approach consisted of a literature review and modification of an extant instrument (Mueller/McCloskey, 1990) to reflect primary care, followed by augmentation and validation of the items suggested by nurse practitioner faculty members […]

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A Controlled Trial of Nurse Practitioners in Neonatal Intensive Care

Objective: To compare a clinical nurse specialist/neonatal practitioner (CNS/NP) team with a pediatric resident team in the delivery of neonatal intensive care. Design: Randomized, controlled trial. Setting: A 33-bed tertiary-level neonatal intensive care unit. Patients: Of 821 infants admitted to the neonatal intensive care unit between September 1991 and September 1992, 414 were randomized to […]

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Federal Reimbursement of Advanced Practice Nurses’ Services Empowers the Profession

In recent years, advanced practice nurses have achieved authority for the direct payment of their services under the four federal health programs–Medicare, Medicaid, Civilian Health and Medical Program of Uniformed Services, and the Federal Employee Health Benefit Plan. This article describes the importance of direct reimbursement and the barriers that have been overcome in achieving […]

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MDs Acknowledging Value of Physician Extenders

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Billing for NP Services: What you Need to Know

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Structure and Process of Outcomes Research for Nurse Practitioners

Purpose: To present a framework for nurse practitioners (NPs) who wish to engage in outcomes research. Data source: Review of scientific literature on the design of outcomes research. Conclusion: The structure and process of outcomes research includes both the research protocol and the decisions related to designing and implementing a study. Each identified step of […]

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Physician Assistant and Nurse Practitioner Utilization in Academic Medical Centers

The purpose of this study was to collect information on the utilization of physician assistants (PAs) and nurse practitioners (NPs) in academic health centers. Data were gathered from a national sample of University HealthSystem Consortium member academic medical centers (AMCs). PAs and NPs have been integrated into most services of respondent AMCs, where they are […]

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Productivity Assessment of Physician Assistants and Nurse Practitioners in Oncology in an Academic Medical Center

Purpose: Demand for oncologists will increase dramatically over the next 15 years. Physician assistants (PAs) and Nurse practitioners (NPs) have been identified as one solution to meet the projected shortages in oncology. It has previously been reported that 56% of oncologists work with PAs and NPs, more than two thirds of whom believe it benefits […]

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Physician Assistant and Nurse Practitioner Utilization in Radiation Oncology within an Academic Medical Center

The purpose of this study was to collect information on the utilization of physician assistants (PAs) and nurse practitioners (NPs) in academic health centers. Data were gathered from a national sample of University HealthSystem Consortium member academic medical centers (AMCs). PAs and NPs have been integrated into most services of respondent AMCs, where they are […]

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Trends in Midlevel Provider Utilization in Emergency Departments from 1997 to 2006

Objectives: The objective was to quantify the expansion of midlevel provider (MLP) practice in U.S. emergency departments (EDs) over the past decade. Specifically, we sought to quantify the absolute number of patients seen by MLPs, the annual growth rate of patients seen by MLPs, and the expansion in the proportion of EDs using MLPs. Methods: […]

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