Archives: Articles
The Impact of Surgical Physician Assistants on the Delivery of Modern Healthcare
This article will examine the impact of the use of physician extenders, specifically physician assistants and surgical physician assistants, on various pertinent healthcare issues. These issues include cost containment strategies, physician productivity, reimbursement, liability, manpower issues, and continuity and quality of patient care.
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Characterizing Nurse Practitioner Practice by Sampling Patient Encounters: An APRNet Study
Purpose: The purpose of this study was to characterize nurse practitioners’ (NPs’) practice by using reports of patient encounters to more accurately reflect practice patterns than has been previously performed. This study was part of a larger primary care practice survey by a consortium of 20 practice-based research networks (PBRNs). Therefore, comparisons, when appropriate, were […]
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Utilization of Nurse Practitioners to Increase Patient Access to Primary Healthcare in Canada–Thinking Outside the Box
In the past decade, all Canadian provinces and territories have launched various team-based primary healthcare initiatives designed to improve access and continuity of care. Nurse practitioners (NPs) are increasingly becoming integral members of primary healthcare teams across the country. This paper draws on the results of a scoping review of the literature and qualitative key […]
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Beginning Employment: A Guide for the New Nurse Practitioner.
You have successfully passed your national certification boards and are ready to seek employment. Just as the process from graduation to employment was a sequence of events, so is the process of beginning employment. This phase requires information on employment contracting, reimbursement, and coding, as well as insurance and hospital credentialing. The transition into this next […]
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A Competency-Based Orientation Program for the Clinical Nurse Specialist.
The lack of experienced RNs, combined with significant growth in key service areas, required managers to examine traditional hiring and orientation processes at the Washington Hospital Center. The authors discuss the development of a competency-based framework to bring new graduate nurses into specialty nursing areas, including cardiology and high-risk obstetrics.
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Lessons Learned in Developing and Implementing the Nurse Practitioner Role in an Urban Canadian Emergency Department
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Evaluating the Quality of Care Delivered by an Emergency Department Fast Track Unit with both Nurse Practitioners and Doctors
Aims: This paper is a report of a study of quality of care delivered by an emergency department fast track unit where both doctors and an emergency nurse practitioner treated patients. Background: Fast track units were established in Australian emergency departments to meet the needs of low complexity emergency department patients. Few studies have reported […]
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What are the Professional Development and Mentorship Needs of Advanced Practice Nurses?
This study investigated the professional development and mentorship needs of an existing group of advanced practice nurses. A prospective mixed-methods design included a survey followed by focus groups. The Strong Model (M. H. Ackerman, L. Norsen, B. Martin, J. Wiedrich, and H. Kitzman, 1996) recently provided a framework for the survey and discussions. It consists […]
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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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