Archives: Articles
Patient Outcomes Comparable for Primary Care Physicians, Independent Nurse Practitioners
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Growth and Change in the Physician Assistant Workforce in the United States, 1967-2000.
The physician assistant (PA) profession grew rapidly in the 1970s and 1990s. As acceptance of PAs in the health care system increased, roles for PAs in specialty care took shape and the scope of PA practice became more clearly defined. This report describes key elements of change in the demography and distribution of the PA […]
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National Estimates of Physician Assistant Productivity
Analysis of productivity data from a nationally representative sample of physician assistants (PAs) showed that PAs performed 61.4 outpatient visits per week compared with 74.2 visits performed by physicians, for an overall physician full-time equivalent (FTE) estimate of 0.83. However, productivity of PAs varies strongly across practice specialty and location, with generalist PAs performing more […]
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The Contribution of Nurse Practitioners and Physician Assistants to Generalist Care in Washington State
Objective. To quantify the total contribution to generalist care made by nurse practitioners (NPs) and physician assistants (PAs) in Washington State. Data Sources. State professional licensure renewal survey data from 1998–1999. Study Design. Cross-sectional. Data on medical specialty, place of practice, and outpatient visits performed were used to estimate productivity of generalist physicians, NPs, and […]
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Utilization and scope of practice of nurse practitioners and physician assistants in Montana
Purpose: To explore the licensing, certification, governance and education requirements of nurse practitioners (NPs) and physician assistants (PAs) in the state of Montana. Services provided and privileges retained in employment were also analyzed. Data Sources: This was a descriptive study using a survey of rural hospital administrators (N=34). Conclusions: Survey results show that 92.5% of PAs in Montana […]
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The Role of the Clinical Nurse Specialist in Promoting Evidence-Based Practice and Effecting Positive Patient Outcomes
Clinical nurse specialists (CNSs) are vital members of the healthcare delivery leadership team. The knowledge and ex- pertise of the CNS is germane to the quality of care a patient receives. More than 50 CNSs practice at Massachusetts Gen- eral Hospital (the state’s first Magnet hospital), where they share their clinical skills, mentor staff through […]
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An Exploration of Staff Knowledge on the Nurse Practitioner’s Role in the Emergency Department
Background: The role of the Nurse Practitioner (NP) was introduced to the Emergency Department (ED) at a metropolitan hospital in Melbourne, Australia in July 2004. Aims: The aims of the study were to explore staff knowledge of the NP role. Methods: A survey was used to elicit the information from the ED staff. The survey used was […]
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A Clinical Internship Model for the Nurse Practitioner Programme
Nurse practitioners in Victoria, Australia must be prepared to Masters level before seeking nurse practitioner (NP) endorsement. The challenge from a university curriculum development perspective was to develop a programme that prepares the NP theoretically and clinically for their advanced practice role. The aim of this discussion paper is to outline how the internship model […]
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Diabetes Care Processes and Outcomes in Patients treated by Nurse Practitioners or Physicians
Purpose: The purpose of this study was to compare selected diabetes care processes and outcomes of nurse practitioners (NPs) and physicians (MDs) in the primary care of adults with type 2 diabetes. Methods: Adults with type 2 diabetes and no regular source of primary care were enrolled from the emergency room and randomized to an […]
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