Archives: Articles
Physician Assistants and Nurse Practitioners: Rural-Urban Settings and Reimbursement for Services
Evidence based on productivity measures, salaries and costs of medical education indicates that physician assistants and nurse practitioners are cost-effective. Managed care suggests that health maintenance organizations (HMOs) would seek to utilize these professionals. Moreover, underserved rural areas would utilize physician assistants and nurse practitioners to provide access. This study examined the role of payment […]
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Attaining Role Confirmation in Nurse Practitioner Practice
Although nurse practitioners (NPs) as a collective group have reached the stage of role confirmation, in new settings they must transition through several phases of role development. The role confirmation issues for a team of NPs who were hired to work in a large academic teaching hospital in the Southeastern part of the United States […]
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Autonomous Ambulatory Care by Nurse Practitioners and Physician Assistants in Office-Based Settings
Data from the 1997 National Ambulatory Medical Care Survey were used to examine the autonomous provision of ambulatory medical care by nurse practitioners (NPs) and physician assistants (PAs) in physician-managed office-based settings. An estimated 6.81 million office visits involved autonomous care by NPs and PAs, for an overall rate of 2.55 visits per 100 persons. […]
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The Doctor of Nursing Practice: Looking Back, Moving Forward
In 2004, the American Association of Colleges of Nursing (AACN) began what promises to be at least a decade long conversation about advanced practice nursing education, when they adopted the position to move the current level of preparation necessary for advanced nursing practice roles from the master’s degree to the doctoral level by the year […]
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The Struggle for Recognition: The Nurse Practitioner in New South Wales, Australia
Recognition of clinical expertise seems to be a worldwide struggle for nurses. In New South Wales (NSW), Australia, nurse practitioners (NPs) are currently struggling for formal recognition of their position. The role of NP is seen as a means of fulfilling the desire of expert nurses for optimal autonomy and recognition in the health care […]
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The Potential for Nurse Practitioners in Health Care Reform
In Canada, health care reform is underway to address escalating costs, access and quality of care issues, and existing personnel shortages in various health disciplines. One response of the nursing profession to these stimuli has been the development of the advanced practice nurse, namely, the nurse practitioner (NP). NPs are in an excellent position to […]
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Physician Assistants and Nurse Practitioners
Educational and certification requirements for registered nurses and nurse practitioners are not uniform. As our paper indicated, nurse practitioners are licensed registered nurses with advanced education ranging from 9 to 24 months of supervised clinical training, generally leading to a Master’s degree. However, as Maffie-Lee and colleagues indicate, many nurses obtain advanced training to become […]
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Creating an Organizational Model to Support Advanced Practice
The growing number of advanced practice providers in hospital systems has necessitated the establishment of centralized coordinating centers to manage core functions related to regulatory requirements and credentialing and to provide resources for research and evidence-based practice and practice model innovation. The Margaret D. Sovie Center for Advanced Practice was created at the University of […]
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A Comparative Study of Nursing Home Resident Outcomes Between Care Provided by Nurse Practitioners/Physicians Versus Physicians Only
Objectives: The objective of this study was to determine if outcomes of care for nursing home residents differ between two groups of providers: nurse practitioners/physicians and physicians only. Design: We conducted a retrospective chart review covering the 12-month period from September 1, 1997, until August 31, 1998. Setting: We studied eight nursing homes in central Texas. Participants: Two hundred […]
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