Archives: Articles
Full Practice Authority–Effecting Change and Improving Access to Care: The Nevada Journey
Purpose: In 2013, Nevada shifted from a collaborative practice model to full practice authority. Given the challenges many states still face, this article pro- vides an outline of the evolution of the “nurse practitioner” (NP) in Nevada. Reviewing the path Nevada took toward full practice authority, we hope to provide insight including lessons learned and […]
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Using Reflection to Enhance the Teaching and Learning of Midwifery Students
Preceptorship is a vital role in the development of both undergraduate and postgraduate midwifery students who require input and guidance from more experienced midwives. The preceptor acts as a professional role model to the student: teaching and supporting; providing a learning environment that enables confidence to develop through supervised safe practice; and assisting them to […]
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Advanced Practice in Neurocritical Care: An Innovative Orientation and Competency Model
The advanced registered nurse practitioner (ARNP) began in the 1960s as an alternative provider to meet the demands of an escalating healthcare resource deficit. As the role evolved and ARNPs demonstrated safe and effective care, these providers began to appear in critical care settings. It is believed that in the specialty of Neurocritical Care, about […]
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Progression of the Mental Health Nurse Practitioner Role in Australia
The guiding principle of health care is to serve the needs of the public. Healthcare services are therefore required to be increasingly flexible and open to new approaches to meet changing demands. They must also adjust and expand as new challenges are presented. Public awareness of mental health issues and the current demands placed on […]
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Outcomes from the Evaluation of an Emergency Department-Based Mental Health Nurse Practitioner Outpatient Service in Australia
Purpose: To evaluate an emergency department (ED)-based mental health nurse practitioner (MHNP) outpatient service in Sydney, Australia. Data sources: Data collection incorporated waiting times for follow-up outpatient appointments, two brief self-report measures (the K-10 measure of psychological distress and the General Self-Efficacy Scale), a satisfaction tool, and interviews conducted with a random selection of outpatients […]
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Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians. A Randomized Trial
Studies have suggested that the quality of primary care delivered by nurse practitioners is equal to that of physicians. However, these studies did not measure nurse practitioner practices that had the same degree of independence as the comparison physician practices, nor did previous studies provide direct comparison of outcomes for patients with nurse practitioner or […]
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The Critical Care Nurse Practitioner: An Advanced Practice Role for the Critical Care Nurse
Research provides compelling evidence that supports the current and future utilization of critical care nurse practitioners (CCNPs) in pivotal roles as providers of cost-effective, quality patient-centered care for critically ill and technology-dependent adults. This paper gives a historical perspective and describes the current national need for CCNPs to practice in expanded roles both within and […]
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Understanding Nurse Practitioner Autonomy
Purpose: This Gadamerian hermeneutic study was undertaken to understand the meaning of autonomy as interpreted by nurse practitioners (NPs) through their lived experiences of everyday practice in primary health care. Data sources: A purposive sample of nine NPs practicing in primary health care was used. Network sampling achieved a broad swath of primary care NPs […]
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