Archives: Articles
A Survey of Oncology Advanced Practice Nurses in Ontario: Profile and Predictors of Job Satisfaction
The purpose of this study was to examine role structures and processes and their impact on job satisfaction for oncology advanced practice nurses (APNs) in Ontario. APNs caring for adult, paediatric or palliative patients in integrated regional cancer programs, tertiary care hospitals or community hospitals and agencies were invited to complete a mailed self-report questionnaire. […]
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The Acute Care Nurse Practitioner in Collaborative Practice
Nurse-physician relationships remain, for the most part, hierarchical in nature. A hierarchical structure allows the person at the top, most notably the physician, the highest level of authority and power for decision making. Other health care providers are delegated various tasks related to the medical plan of care. One role of nonmedical health care providers, […]
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Third-Party Reimbursement for Nurse Practitioners’ Services on Trauma Teams: Working Through a Maze of Issues
Third-party payers reimburse for physician services performed by nurse practitioners, if the services are within the scope of practice of a nurse practitioner and the payers’ rules are followed. However, some hospitals and trauma services have been reluctant to bill the services of nurse practitioners they employ or to hire nurse practitioners, because the rules […]
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The Midlevel Practitioner Role: One Medical Center’s Experience
Numerous trends in the current health-care environment have converged to produce an increased emphasis on the role of the midlevel practitioner. Financial constraints head the list, including a mandate for the best care at the lowest rates and a resulting shift from costly specialists to primary care providers. The desire to conserve human and technologic […]
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Full Practice Authority for Nurse Practitioners Increases Access and Controls Cost [Policy Brief]
Full Practice Authority for Nurse Practitioners Increases Access and Controls Cost [Technical Appendix]
With the Affordable Care Act expanding coverage for millions of Americans over the next several years, increasing the supply of primary care available is essential. It is difficult, however, to rapidly increase the number of primary care practitioners, especially primary care physicians and advanced practice nurses. Therefore, immediate term access and affordability challenges must be […]
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