Group items tagged

This article describes the similarities between Midwifery practice and palliative care. The authors state that historically Midwives have been involved in the "cradle to grave" process. They argue Midwives are well suited to provide palliative care.

Nurse anesthetists, nurse midwives, and nurse practitioners, also referred to as advanced practice registered nurses (APRNs), provide and coordinate patient care and they may provide primary and specialty health care. The scope of practice varies from state to state.

This article touches on a topic of particular interest to me, specifically how APRN's can help fill a critical shortage of primary care providers in HIV medicine. The article validates that APRN's (NP's) are more than capable of providing high quality care to those living with HIV. Moreover, we are well positioned to fill the provider shortage that is only expected to grow over the next decade and beyond.

As NPs, many of us who have not practiced as nurses, it might be difficult to get your foot in the door of that first job. This is a personal strategy that I came up with to try and help mitigate that for myself, I'm obviously hoping that it works! For those of us who know where we want to work, for me that's in HIV medicine, I think it's important to develop the competencies that your employer will be looking for when you walk in the door. This article does a nice job of laying those out for entry level NPs looking to get into HIV medicine. What I'm trying to do is add as many of these skills to my resume while I'm attending school. My hope is that will give me an edge over NPs that I'm competing with who may not have been in the specialty specific time. If you can identify your desired areas of practice then its just a matter of looking for opportunities to add to your skillset. Look for faculty that have a shared interest, see if you can work on a research project with them. Look for nursing organizations in that specialty. There are two HIV specific organizations for APRNs looking to get into HIV medicine (ANAC and AAHIV). Join them and start networking. Take as much CNE as you can in your specialty topic - much of its free and can be done online at your own pace.

This observational study utilizes census data and geographic distribution of providers to illustrate current trends in distribution of providers, relative to uninsured patients and areas of limited access. Further, they discuss the policy changes aimed at bolstering access to primary care providers, specifically NP's, as a short term solution to a deficit in primary care providers. Additionally, the researchers explore distribution of APRNs, relative to scope of practice restrictiveness.

This article talks about how the use of acute care nurse practitioner helps hospitals deliver better care because the APRNs are able to draw from past experiences in order to provide the best care to their patients.

This article looks at the impact APRNs in the Emergency Department have on cost, quality of care, satisfaction and wait times. The study concludes that Emergency Nurse Practitioners have a positive influence on quality of care, satisfaction and wait times in the ER, but is inconclusive on their impact on cost.

This article discusses the benefits and pit-falls to autonomous primary care Nurse practitioner practice and advocates for cost effective improvements to our healthcare system. The research suggests that Nurse practitioners who practice independently report greater job satisfaction, improved patient outcomes and provide low cost, high quality services that are equal or superior to primary care physicians. Unfortunately, current healthcare reimbursement models, policies and reluctant physicians have created barriers to autonomous NP practices. The author suggests that autonomous practice requires further research across the U.S, the establishment of a well-defined model and the evaluation of patient outcomes, in order to determine whether the present day Nurse Practitioner requires future collaborative agreements with physicians, in order to provide quality patient care across the United States.

This article discusses the challenges in standardizing the APRN scope and practice in order to increase the mobility between states for practicing APRNs. It also would increase access to APRN care nationwide. After the signing of the Affordable Care Act, there was an increase in care provided and the need for nurse practitioners increased with that.The Federal Trade Commission found that mandatory physician supervision for nurse practitioners led to higher costs and reduced quality of care.

This article describes entry-level competencies for NPs practicing in emergency care - it was the first to define these competencies which is key since the roles of APRNs have expanded. A Nurse Practitioner (NP) Validation Work Team was formed and a Delphi study was conducted to verify and gain consensus on professional and clinical competencies for NPs in emergency care.

Probably posted before me. At any rate I'm attempting some effort here.

Personally I think NP residencies are a very important vehicle for transitioning into practice, and should be financially supported by the government the same way that medical residencies are supported!

Found this an interesting perspective because of the increasing demand for primary care providers.

A Theoretical Model of The Transition to the Primary Care Nurse Practitioner Role

Great article about the evolution of ACNP

The article discusses the challenges that newly graduated primary care nurse practitioners are facing during their first year of practice and also discuss how to overcome them.

J Prof Nurs. 2015 Jul-Aug;31(4):340-50. doi: 10.1016/j.profnurs.2015.02.007. Epub 2015 Feb 28. Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't The articles explore the benefits of interdisciplinary care models and shows evidence of the importance and benefits of an interdisciplinary model of care. It highlights how intentional interdisciplinary practice can yield outcomes that are beyond the ability of a single professional to produce and further affirms that nursing can play a pivotal role in developing and implementing these care models and in leading these IPCP teams.

This article is a comprehensive overview of dementia care; scroll about 1/3rd down for multidisciplinary teamwork which is later captured in the discussion about treatment options as well.

This article provides an in-depth look at the scope of practice of acute care nurse practitioners. It touches on the history of the nurse practitioner role and how the acute role was developed from there. It also states that the first acute care nurse practitioners to be established were NNPs.

Thanks so much for finding this article! Exactly what I needed, and seeing as I was searching for stuff a couple hours and didnt find this, I know it wasnt easy, so thanks!