Archives: Articles
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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Patient Satisfaction of Young Adults in Rural Clinics: Policy Implications for Nurse Practitioner Practice
In an effort to increase primary care services to Medicare and Medicaid patients, the Rural Health Clinics Services Act of 1977 required collaborative practices to include mid-level providers such as nurse practitioners (NPs). As a result, NPs have increased access to primary care in many rural and underserved areas. Now, in an effort to improve […]
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Diabetes Care Processes and Outcomes in Patients Treated by Nurse Practitioners or Physicians
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. Adults with type 2 diabetes and no regular source of primary care were enrolled from the emergency room and randomized to an NP or […]
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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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Primary Care Outcomes in Patients treated by Nurse Practitioners or Physicians: Two-Year Follow-Up
This study reports results of the 2-year follow-up phase of a randomized study comparing outcomes of patients assigned to a nurse practitioner or a physician primary care practice. In the sample of 406 adults, no differences were found between the groups in health status, disease-specific physiologic measures, satisfaction or use of specialist, emergency room or […]
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