Archives: Articles
Anesthesia Staffing and Anesthetic Complications during Cesarean Delivery: A Retrospective Analysis
Background: Obstetrical anesthesia services may be provided by Certified Registered Nurse Anesthetists (CRNAs), anesthesiologists, or a combination of the two providers. Research is needed to assist hospitals and anesthesia groups in making cost-effective staffing choices. Objectives: To identify differences in the rates of anesthetic complications in hospitals whose obstetrical anesthesia is provided solely by CRNAs […]
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Advanced Practice Nurses in Integrated Health Care Systems
Changes in the health care delivery system are discussed with a view to those affecting the role and use of advanced practice nurses and particularly nurse practitioners who provide primary and reproductive care to women. Nurse practitioners are particularly well suited to function within integrated systems. They accomplish cost-containment strategies because of lower salaries or […]
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Determinants of Specialty Choice of Physician Assistants
Purpose: Although physician assistants (PAs) became part of the U.S. health scene in 1967 and have made important contributions to primary care, available information about the factors that may influence the career choices of this rapidly-growing group of health care providers is sparse. The intent of this analysis was to identify the main factors underlying […]
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Adding a Mid-Level Provider to a Group Practice. A Step-by-Step Guide
The demand for mid-level providers, especially physician’s assistants, is on the rise, according to authors Robin W. Singleton and Norman Kilburn, P.A., of Tyler and Co. They offer tips on determining need, finding and screening candidates, interviewing and extending the offer.
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Demographic Profiles of Certified Nurse–Midwives, Certified Registered Nurse Anesthetists, and Nurse Practitioners: Reflections on Implications for Uniform Education and Regulation
There is wide variability in regulatory authority, basic education requirements, and titling for nurses in advanced practice roles, that is, certified nurse–midwives (CNMs), certified registered nurse anesthetists (CRNAs), and nurse practitioners (NPs). There is current advocacy for a common identity for advanced practice nurses (APNs), including uniform entry into practice requirements (the doctor of nursing […]
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Advanced Care Nurse Practitioners can Safely Provide Sole Resident Cover for Level Three Patients: Impact on Outcomes, Cost and Work Patterns in a Cardiac Surgery Programme
Objectives: There are significant pressures on resident medical rotas on intensive care. We have evaluated the safety and feasibility of nurse practitioners (NPs) delivering first-line care on an intensive care unit with all doctors becoming non-resident. Previously, resident doctors on a 1:8 full-shift rota supported by NPs delivered first-line care to patients after cardiac surgery. […]
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Continuity of Care by Cardiothoracic Nurse Practitioners: Impact on Outcome
Objectives: There have been recent reports on increased mortality in British National Health Service hospitals during weekends. This study aimed to assess the impact on patient care following the introduction of nurse practitioner cover for the cardiothoracic ward, including weekends. Methods: Prospectively collected and validated data of patients operated on from January 2005 to October […]
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Nurse Practitioners in Primary Care. V. Development of the Utilization and Financial Index to Measure Effects of their Deployment
The new Utilization and Financial Index (UF-Index) was developed to measure the economic effects of deployment of new health professionals or of other changes in the provision of health services. By means of several steps, information on concurrent use of various categories of health service is converted into a single quantitative index. The index has […]
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