Archives: Articles
New Directions for Nurse Practitioners and Physician Assistants in the Era of Physician Shortages
During the past 35 years, the roles for nurse practitioners (NPs) and physician assistants (PAs) have evolved in parallel with the roles that physicians have come to play. Shifting needs in primary care and expanding opportunities in specialty medicine have been the dominant trends. Future directions will be influenced additionally by the deepening physician shortage. […]
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Physician Assistant Program Medical Directors’ Opinions of an Entry-Level Physician Assistant clinical doctorate degree
The purpose of this study was to assess physician assistant (PA) program medical directors’ opinions related to an entry-level clinical doctorate degree for PAs. Methods: After a review of relevant literature, a 16-question survey regarding the PA clinical doctorate degree was developed and distributed to all PA program medical directors. Twelve questions contained statements to […]
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Independent Extended Supplementary Nurse Prescribers, their Prescribing Practice and Confidence to Educate and Assess Prescribing Students
No other country in the world has such extended prescribing rights for nurses as the United Kingdom. Concerns surround the move of nursing towards a medical model of care, and the level of medical practice support required by trainee prescribers. To provide an overview of the nurses adopting the role of independent extended supplementary prescriber, […]
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Investigation of Nurse Practitioner-Patient Interactions: Using the Nurse Practitioner Rating Form
Primary care has become a major focus of health care reform. To create the most effective delivery of primary care services by nurse practitioners (NPs), researchers, clinicians, and administrators must continue to develop knowledge about the structure, process, and outcomes of NP primary care patient encounters. Few measures of NP-patient care encounters exist. This exploratory […]
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Pediatric Intensivist Extenders in the Pediatric ICU
This article explores the use of physician extenders in the pediatric ICU setting. The Libby Zion case is highlighted because of its impact on the use of manpower in the hospital setting. The history of physician extenders, including the hospitalist, physician assistant (PA), and nurse practitioner (NP), is discussed. Findings indicate a positive impact within […]
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PAs/NPs: Forging Effective Partnerships in Managed Care Systems
Three issues have dominated national health policy discussions over the past three decades–how to control health expenditures, how to improve access to care, and how to ensure delivery of high-quality health services. Cost remains the principal societal concern today. An important new dimension in this debate, however, is a critical examination of the impact of […]
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The Impact of Nurse Anesthetists on Anesthesiologist Productivity
The rapid growth in Medicare Part B spending on physicians has sparked a renewed debate on ways of increasing physician productivity. This study concentrates on anesthesiologists, presenting original survey data on the variation in productivity defined in terms of patients, anesthesia hours, base and time units, and revenues. Supervising nurse anesthetists are estimated to raise […]
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Quality and Safety Education for Advanced Nursing Practice
The Quality and Safety Education for Nurses (QSEN) project is a national initiative to transform nursing education to integrate quality and safety competencies. This article describes a two-year process to generate educational objectives related to quality and safety competency development in graduate programs that prepare advanced practice nurses in clinical roles. Knowledge, skills, and attitudes for each […]
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