Archives: Articles


Advanced Practice Nursing Scope of Practice for Hospitals, Acute Care/Critical Care, and Ambulatory Care Settings: A Primer for Clinicians, Executives, and Preceptors

Advanced practice registered nurses (APRNs), including certified nurse practitioners (CNPs), clinical nurse specialists (CNSs), certified registered nurse anesthetists (CRNAs), and certified nurse midwives (CNMs), represent a growing segment of health care professionals who provide care to patients in various settings. Although opportunities for APRNs are expanding, questions about the specific role components and scope of […]

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Negotiation Strategies for ACNP Practice

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Educational Options for Acute Care Nurse Practitioner Practice

During the Acute Care Interest Group Forum held on June 18, 2005, at the American Academy of Nurse Practitioner’s Conference, it was identified that information on educational options for acute care nurse practitioner (ACNP) practice was needed, particularly for NPs who may have had other educational preparation but who were now working in acute care […]

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Longitudinal Survey of Acute Care Nurse Practitioner Practice: Year 1

This article reports on the results of an ongoing survey among acute care nurse practitioners (ACNPs)as part of a 5-year longitudinal study in progress exploring role aspects and issues in practice of this new practitioner in advanced practice nursing. The role of the ACNP is progressing, and responses from 619 ACNPs 1 year after they […]

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Patient Satisfaction with Nurse Practitioner Service in a Rural Setting

Purpose: To determine the level of patient satisfaction with service provided by nurse practitioners (NP) to rural patients. Data sources: Original research utilizing the Nurse Practitioner Satisfaction Instrument (NPSI), developed by the researcher and completed by a convenience sample of 93 rural patients. Conclusions: Overall there was a high level of patient satisfaction with NP […]

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An Explanatory Model of Nurse Practitioner Job Satisfaction

Job satisfaction influences employee retention, worker productivity, and performance quality. To retain qualified nurse practitioners (NPs), health administrators must identify sources of job satisfaction and dissatisfaction. Herzberg’s dual‐factor theory of job satisfaction addresses extrinsic and intrinsic work‐related factors. Expansion of the model to include global job satisfaction and individual differences provided a broad framework for […]

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Job Satisfaction of Nurse Practitioners: An Analysis using Herzberg’s Theory

The current sociopolitical and economic forces affecting health care may lead to job dissatisfaction among nurse practitioners, according to results of a South Carolina study. A mailed survey that consisted of the Index of Job Satisfaction and the Minnesota Satisfaction Questionnaire–Short Form was used to test Herzberg’s dual-factor theory of job satisfaction. A response rate […]

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Nurse practitioners in medical rehabilitation settings: A description of practice roles and patterns

NPs increasingly function in medical rehabilitation settings as independent or collaborative care providers. This article describes their roles at a large rehabilitation institute in acute care consultation/liaison, acute rehabilitation, and ambulatory settings. The organization has experienced greater physician efficiency and practice scope, without erosion of subjective or objective quality measures and outcomes. The authors provide […]

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Physician Extenders are Part of the Team in the ’90s

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Comparison of Past and Current Barriers to Novice Nurse Practitioner Practice: The California Perspective

Novice nurse practitioners (NPs) face unique obstacles to practice. Few studies examine factors influencing early NP clinical performance. Therefore, this research project was designed to collect data from members of an NP professional organization who were asked to identify barriers encountered within the first 3 years of practice. Responses were received from 243 beginning and […]

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