Archives: Articles
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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Who is Caring for the Underserved? A Comparison of Primary Care Physicians and Nonphysician Clinicians in California and Washington
Purpose: Little is known about whether different types of physician and nonphysician primary care clinicians vary in their propensity to care for underserved populations. The objective of this study was to compare the geographic distribution and patient populations of physician and nonphysician primary care clinicians. Methods: This study was a cross-sectional analysis of 1998 administrative and survey […]
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The Economic Benefit for Family/General Medicine Practices Employing Physician Assistants
Objective: To measure the economic benefit of a family/general medicine physician assistant (PA) practice. Study design: Qualitative description of a model PA practice in a family/general medicine practice office setting, and comparison of the financial productivity of a PA practice with that of a non-PA (physician-only) practice. Methods: The study site was a family/general medicine […]
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Use of Midlevel Providers in US EDs, 1993 to 2005: Implications for the Workforce
Objective: The aim of the study was to evaluate use of physician assistants (PAs) and nurse practitioners (NPs) in US emergency departments (EDs). Methods: We analyzed visits from the 1993 to 2005 National Hospital Ambulatory Medical Care Survey, seen by midlevel provider (MLP), and compared characteristics of MLP visits to those seen by physicians only. […]
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Communication and Outcomes of Visits Between Older Patients and Nurse Practitioners
Background: Effective patient-clinician communication is at the heart of good healthcare and may be even more vital for older patients and their nurse practitioners (NPs). Objectives: The objectives of this study were to examine 1)contributions of older patients’ and NPs’ characteristics and the content and relationship components of their communication to patients’ proximal outcomes (satisfaction and intention […]
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A Contemporary Analysis of Medicolegal Concerns for Physician Assistants and Nurse Practitioners
The utilization of-PAs and NPs to expand the supply of traditional physician services to the public, at reduced costs, as proposed by President Nixon in 1971, has in 1994 become a national mandate. There is an increasing demand for the “traditional” physician services, which can be efficiently and cost effectively performed by nonphysician practitioners, such […]
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