Archives: Articles
New Kid on the Block: Mentoring and Networking as Survival Strategies for Novice NPs
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Preparing the Next Generation of Nurse Practitioners
Creative solutions are required to grow the nurse practitioner (NP) workforce essential to meet the health needs of the nation. NP programs are best served by filling NP faculty positions with practicing NPs. Clinical practice changes rapidly. Continued immersion in the clinical world allows faculty to present up-to-the minute practice guidelines and to realistically present […]
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Multifactorial Intervention with Nurse Practitioners does not change Cardiovascular Outcomes in Patients with Chronic Kidney Disease
Strict implementation of guidelines directed at multiple targets reduces vascular risk in diabetic patients. Whether this also applies to patients with chronic kidney disease (CKD) is uncertain. To evaluate this, the MASTERPLAN Study randomized 788 patients with CKD (estimated GFR 20-70 ml/min) to receive additional intensive nurse practitioner support (the intervention group) or nephrologist care […]
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An Analysis of Pediatric Nurse Practitioner Utilization in Various Employment Settings
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Nurse Practitioners & Reimbursement
Nursing’s Agenda for Health Care Reform (1991) embraces primary health care as the focus of a restructured health care system. As part of this reformed system, consumers would access the most cost-effective providers in community-based settings. Removal of financial and regulatory barriers that limit consumer access to providers, such as lack of direct reimbursement by […]
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Overcoming Barriers to the Employment and Utilization of the Nurse Practitioner
A national longitudinal cohort study of nurse practitioners and their employers conducted during 1973–1976 provided data on barriers to the development of the nurse practitioner role in primary care. Nearly 90 per cent of the 500 primary care nurse practitioners responding and 75 per cent of the 407 employers responding reported encountering one or more […]
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Lessons Learned from Advanced Practice Nursing Payment
For more than 25 years, advanced practice nurses have been incrementally included as a part of the health care financing structure. Following physician payment revisions at the federal level, advanced practice nurses were overtly recognized as Medicare providers and have participated in the establishment of current procedural terminology codes and the subsequent relative work values […]
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Nurse Practitioner Services: Content and Relative Work Value
The resource-based relative value scale is used to quantify work for reimbursement of services in the Medicare Fee Schedule. This pilot study explored use of the resource-based relative value scale for services provided by nurse practitioners. Estimation of relative work values for office visits by nurse practitioners was consistent with the Medicare Fee Schedule. Content […]
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Comparison of Nurse Practitioner and Family Physician Relative Work Values
Purpose: With the enactment of the Balanced Budget Act of 1997, American nurse practitioners were granted direct Medicare reimbursement for Part B services. Payment structures in fee‐for‐service and managed care systems are physician‐based, leading to difficulties in constructing payments for other health care professionals. The purpose of this pilot study was to examine the feasibility […]
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