Archives: Articles
You and Midlevel Providers–A Good Fit?
Some primary-care doctors swear by midlevel providers; others swear at them. As a Medical Economics’ survey makes clear, the younger the doctor and the fewer years he has been in practice, the more likely he/she is to use a nurse practitioner or physician assistant. Benefits of midlevel providers are presented. Before calling a headhunter or […]
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A Delphi Study to Validate an Advanced Practice Nursing Tool
Aim: This paper is a report of a study conducted to validate an instrument for measuring advanced practice nursing role delineation in an international contemporary health service context using the Delphi technique. Background: Although most countries now have clear definitions and competency standards for nurse practitioners, no such clarity exists for many advanced practice nurse roles, leaving […]
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The Experience of Role Transition in Acute Care Nurse Practitioners in Taiwan Under the Collaborative Practice Model
The role of the acute care nurse practitioner in Taiwan has changed significantly since the 1990s due in significant part to a shortage of interns and resident physicians in acute care settings. The first year of professional practice represents an important transitional year during which new professionals develop their competency to provide high-quality care to […]
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Payment Regulations for Advanced Practice Nurses: Implications for Primary Care
The shortage of primary care providers (PCPs) in the United States may be worsened with health reform if more individuals receive health insurance coverage. Previous research suggests that Advanced Practice Registered Nurses (APRNs) can provide as high quality care and achieve the same health outcomes as physicians. However, APRNs are usually reimbursed at lower rates […]
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Nurse Practitioners’ Communication Styles and their Impact on Patient Outcomes: An Integrated Literature Review
Purpose: The purpose of this review was to examine the published research from 1999 to 2005 describing nurse practitioner (NP)-patient interactions and to determine the best practice to enhance patient outcomes. Data sources: Databases searched included Academic Search Elite, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Health Source Consumer Edition, Health Source Nursing/Academic Edition, Medline, […]
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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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Physician Extenders Impact Trauma Systems
Background: The implementation of revised surgical resident work hours has led many teaching hospitals to integrate health care extenders into the trauma service. We undertook this review to assess the effectiveness of these individuals in meeting the goals of the work hour restrictions and whether they impact other hospital and patient outcomes. Methods: During the year 2002, […]
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Expanding Acute Care Nurse Practitioner Practice: Focus on Emergency Department Practice
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Advanced Practice Nurses in Emergency Care Settings: A Demographic Profile
Very little is known about clinical nurse specialists and nurse practitioners (advance practice nurses [APNs]) who practice in emergency care settings. The Advanced Practice Committee of the ENA sought to determine a profile of these individuals. Methods: Surveys were distributed to all registrants at 2 ENA conferences and posted on the ENA Web site. This survey […]
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