Archives: Articles
Clinical Ladder to Professional Advancement Program. An Evolutionary Process
Since the early 1970s, clinical ladder programs have been a method of defining, recognizing, and rewarding nursing practice. As clinical practice in an institution grows and evolves, so must the program that supports the development of the practitioner. An in-depth evaluation of one clinical ladder program was conducted to determine if it was reflective of […]
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Application of the Critical Pathway and Integrated Case Teaching Method to Nursing Orientation
Background: Nursing staff development programs must be responsive to current changes in healthcare. New nursing staff must be prepared to manage continuous change and to function competently in clinical practice. Method: The orientation pathway, based on a case management model, is used as a structure for the orientation phase of staff development. The integrated case is incorporated […]
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A Nurse Practitioner Residency Pilot Program: A Journey of Learning
A collaborative team developed a year long residency experience for a staff nurse transitioning to a nurse practitioner role in the Veterans Affairs system. To assist others desiring to provide support, networking, and infrastructure to those transitioning into new roles, the authors discuss strengths and weaknesses of the pilot and lessons learned related to defining […]
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Assessing the Need for Family Nurse Practitioners–The Florida Experience
This article presents results of a descriptive study designed to assess the need for Family Nurse Practitioners (FNPs) in Florida. The need for FNPs was examined within the context of the current crisis in access to health care in the United States and in Florida, where unique features of the state’s population and economy combined […]
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Replacing Residents with Midlevel Practitioners: A New York City-Area Analysis
Reducing the number of residency positions in U.S. teaching hospitals poses special problems for New York City-area hospitals, which rely heavily on residents to deliver patient care services. This study analyzes the costs of replacing residents with midlevel practitioners under proposals considered in 1994 by Congress to limit the number of first-year training positions and […]
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A Guide to Utilizing Physician Assistants. These Valuable Assets to your Practice must be Closely Supervised
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Outcomes of an Osteoporosis Disease-Management Program Managed by Nurse Practitioners
Purpose: To detail the outcomes of an osteoporosis disease-management program where nurse practitioners (NPs) have taken a leadership role in screening, diagnosing, and treating patients at risk for osteoporosis. Data sources: An electronic medical record (EMR) was used to collect demographic, pharmacy, dual x-ray absorptiometry (DXA) scan, and fracture data from a population of over 625,000 patients […]
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Performance Evaluation and Patient Outcomes Monitored by Nurse Practitioners and Certified Nurse-Midwives in Florida
In this descriptive survey study, four elements of performance evaluation of advanced practice nurses (APNs) currently in clinical practice were examined: evaluation frequency, evaluation responsibility, evaluation parameters, and monitored patient outcomes. Questionnaires were mailed to 2,093 APNs living in Florida and licensed by the Florida State Board of Nursing. Eight hundred twenty-two usable surveys were […]
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Developing an Advanced Nurse Practitioner Service in Emergency Care: Attitudes of Nurses and Doctors
Aim: This paper reports a study to determine the attitudes of nurses, doctors and general medical practitioners towards the development of an advanced nurse practitioner service within an emergency department. Background: The role of advanced nurse practitioner in emergency care has emerged in a number of countries, and has brought with it confusion about titles, […]
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