Archives: Articles


Emergency Nurse Practitioners’ Perceptions of their Role and Scope of Practice: Is it Advanced Practice?

There are multiple interpretations of the nurse practitioner role which appear to be shaped by discourses within and outside the profession and its regulatory body. This study aimed to explore and clarify the role and scope of practice of emergency nurse practitioners in a region in the United Kingdom and determine if they fulfil the […]

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Factors Influencing the Decision to use Nurse Practitioners in the Emergency Department

Introduction: Emergency department overcrowding is a serious problem nationwide. Of an estimated 14 million visits to hospital emergency departments, only 12.9% are considered emergent. Many emergency departments, however, employ only physicians despite the fact that nurse practitioners have a proven record of providing high quality, cost-effective care in the emergency department. The purpose of the […]

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Strengthening Hospital Preparedness for Chemical, Biological, Radiological, Nuclear, and Explosive Events: Clinicians’ Opinions regarding Physician/Physician Assistant Response and Training

Objectives: This research explores the attitudes of physicians and physician assistants (PA) regarding response roles and responsibilities as well as training opinions to understand how best to partner with emergency department physicians and to effectively apply scarce healthcare dollars to ensure successful emergency preparedness. Design: Physicians and PAs representing 21 specialties in two level I […]

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Cost-Effectiveness of Physician Assistants: A Review of Recent Evidence

Evidence on the cost-effectiveness of physician assistants has accumulated in diverse sources in recent years. In this analysis the findings of major studies which bear on the issue are assembled and evaluated. Numerous studies indicate that the utilization of physician assistants has a positive correlation with productivity measures; other studies reveal significant cost savings as […]

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The Obfuscation of Nurses, Physician Assistants and other Personnel as Physician Extenders

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Attitudes to the Use of Health Outcome Questionnaires in the Routine Care of Patients with Diabetes: A Survey of General Practitioners and Practice Nurses

Background: Despite the increasing availability of multidimensional health status and outcome measures of the patient’s physical and emotional functioning, and a number of national initiatives to promote their use, little is known about the attitudes and behaviour of general practitioners (GPs) and practice nurses (PNs) regarding their use in evaluating the effectiveness of health care. […]

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Ensuring Clinical Competency for NPs in Acute Care

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Post-Masters Certification Programs for Nurse Practitioners: Population Specialty Role Preparation

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Emergency Nurse Practitioners: The Views of Patients and Hospital Staff at a Major Acute Trust in the UK

Aim. The study reported in this paper aimed at exploring the views of staff and patients of a potential emergency nurse practitioner service in an acute trust in the UK. Background. The role of the nurse in emergency care has changed considerably in recent years, and the evolution of the emergency nurse practitioner role has […]

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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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