Archives: Articles
The Development of Leadership Outcome-Indicators Evaluating the Contribution of Clinical Specialists and Advanced Practitioners to Health Care: A Secondary Analysis
Aims: To report a secondary analysis of data collected from the case study phase of a national study of advanced practitioners and to develop leadership outcome-indicators appropriate for advanced practitioners. Background: In many countries, advanced practitioners in nursing and midwifery have responsibility as leaders for health care development, but without having leadership outcome measures available […]
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The Identification of Clinical and Professional Leadership Activities of Advanced Practitioners: Findings from the Specialist Clinical and Advanced Practitioner Evaluation Study in Ireland
Aim: To report a case study that identifies how leadership is enacted by advanced practitioners in nursing and midwifery and differentiates between clinical and professional leadership in advanced practice. Background: A national evaluation of advanced practitioners in nursing and midwifery was commissioned to inform policy makers’ decision-making about future developments in Ireland. Leadership is a […]
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How to Add a New Midlevel Provider to your Practice
The ever-changing environment of healthcare leads many practices to consider how they will control the cost of overhead, give access to their patients, and maintain or increase practice income. The solution may be to add a midlevel provider (MLP)–a Physician Assistant (PA) or Nurse Practitioner (NP)–to the staff. Both of these specialties train to see […]
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Examining Attitudes of Specialist Physicians regarding Physician Assistant Referrals
Referral of a patient from a primary care provider to a referral specialist physician for consultation is an important link in the continuum of patient care. Although the relationship between the physician assistant (PA) and supervising physician has been studied extensively, the effectiveness of the relationship between the primary care PA and the referral specialist […]
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Incorporation of the Competencies for the Physician Assistant Profession into Physician Assistant Education
The Competencies for the Physician Assistant Profession (Competencies) were developed and disseminated in 2006 by the American Academy of Physician Assistants (AAPA), the Physician Assistant Education Association (PAEA), the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), and the National Commission on Certification of Physician Assistants (NCCPA). They are based on the competencies […]
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Job Satisfaction of Advanced Practice Nurses in the Veterans Health Administration
Purpose: The purpose of this study was to describe the level of job satisfaction and barriers to practice for advanced practice nurses (APNs) employed by the Veterans Health Administration (VHA). Data sources: The Misener Nurse Practitioner Job Satisfaction Survey (MNPJSS) and an investigator-developed questionnaire were completed by a self-selected, convenience sample of 1,983 APNs who […]
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A Proof-of-Concept Implementation of a Unit-Based Advanced Practice Registered Nurse (APRN) Role. Structural Empowerment, Role Clarity and Team Effectiveness.
The quest for decreased cost of care and improved outcomes has created the need for highly effective clinical roles and teams. This article describes the role of a unit-based advanced practice registered nurse (APRN) within a proof-of-concept implementation of a new care delivery model, the Vanderbilt Anticipatory Care Team. Role clarity is central to both […]
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Clinical Nurse Specialists and Nurse Practitioners: Title Confusion and Lack of Role Clarity
Title confusion and lack of role clarity pose barriers to the integration of advanced practice nursing roles (i.e., clinical nurse specialist [CNS] and nurse practitioner [NP]). Lack of awareness and understanding about NP and CNS roles among the healthcare team and the public contributes to ambiguous role expectations, confusion about NP and CNS scopes of […]
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A Systematic Review of the Effectiveness of Advanced Practice Nurses in Long-Term Care
Aim: To report quantitative evidence of the effectiveness of advanced practice nursing roles, clinical nurse specialists and nurse practitioners, in meeting the healthcare needs of older adults living in long-term care residential settings. Background: Although studies have examined the effectiveness of advanced practice nurses in this setting, a systematic review of this evidence has not been conducted. […]
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