Archives: Articles
Outcomes, safety, and resource utilization in a collaborative care birth center program compared with traditional physician-based perinatal care
Objective: We compared outcomes, safety, and resource utilization in a collaborative management birth center model of perinatal care versus traditional physician-based care. Methods: We studied 2957 low-risk, low-income women: 1808 receiving collaborative care and 1149 receiving traditional care. Results: Major antepartum (adjusted risk difference [RD] = −0.5%; 95% confidence interval [CI] = −2.5, 1.5), intrapartum […]
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Nurse practitioners and physician assistants as primary care providers in institutional settings
Personal Journal of a Surgical Intensive Care Unit Nurse Practitioner
This article explores one nurse practitioner’s personal observations and experiences associated with developing the nurse practitioner role in a surgical intensive care unit.
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Toward National Comparable Nurse Practitioner Data: Proposed Data Elements, Rationale, and Methods
Federal funds have supported Nurse Practitioner (NP) education and the establishment of nurse-managed centers. Yet, important questions are raised about the quality and appropriate scope of NP care. Few NP-patient encounters are documented in the largest national surveys of ambulatory care, sponsored by the National Center for Health Statistics, due to sampling frames that are […]
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A Protocol for a Pragmatic Randomized Controlled Trial Evaluating Outcomes of Emergency Nurse Practitioner Service
Aim: To evaluate emergency nurse practitioner service effectiveness on outcomes related to quality of care and service responsiveness. Background: Increasing service pressures in the emergency setting have resulted in the adoption of service innovation models; the most common and rapidly expanding of these is the emergency nurse practitioner. The delivery of high quality patient care […]
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Evaluating Outcomes of the Emergency Nurse Practitioner Role in a Major Urban Emergency Department, Melbourne, Australia
An Exploration of the Perceptions of Emergency Physicians and Trainees, towards Emergency Nurse Practitioners in Australia
To explore Emergency Physicians perceptions towards the Emergency Nurse Practitioner role, specifically, examining their support, its perceived benefits, difficulties, impact in the clinical environment and proposed scope of practice. A survey was distributed to all members of the Australasian College of Emergency Medicine via Survey Monkey between August and November 2009. Statistical analysis of the […]
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Use of Physician Assistants in a Managed Health Care System
Kaiser Permanente Northwest Region is a prepaid group practice health maintenance organization. Among the employed are 65 physician assistants (PAs) who work in primary care and in certain subspecialties. Kaiser Permanente was one of the first managed health care systems to use PAs and has contributed to the historical documentation of their effectiveness. An interest […]
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Emergency Department Uses of Physician Assistants and Nurse Practitioners: A National Survey
A study was undertaken to determine the extent to which physician assistants (PAs) and/or nurse practitioners (NPs) are a source of health care delivery in emergency departments (EDs) in the United States. The National Hospital Ambulatory Medical Survey (NHAMCS) uses a multistage probability sample that examines patient visits within EDs. The sample included 437 hospitals […]
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