Archives: Articles
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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Informatics Competencies for Nurse Practitioners
Informatics knowledge and skills are essential if clinicians are to master the large volume of information generated in healthcare today. Thus, it is vital that informatics competencies be defined for nursing and incorporated into both curricula and practice. Staggers, Gassert, and Curran have defined informatics competencies for four general levels of nursing practice. However, informatics […]
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Evaluation of a Nurse Practitioner – Led Care Management Model in Reducing Inpatient Drug Utilization and Cost
NP care management model on the use of pharmaceutical resources, with a focus on antibiotics, among general medicine inpatients. Although studies have shown the effectiveness of care management by NPs, especially as reflected on length of stay and hospital cost, little is known about their impact on drug cost. The researchers utilized pharmaceutical claims data […]
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Nurse Practitioner Services: Three-Year Impact on Health Care Costs
In 2005, our initial analysis of the impact on health care costs (HCC) of providing on-site nurse practitioner (NP) services showed favorable results. We measured the effects of the NP program on HCC in two ways. Method 1 compared actual HCC for 2005 to 2007 versus projected HCC, the latter based on medical payments in […]
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