Group items tagged

This is an article from The Journal of Nurse Practitioners. The IOM is recommending a transition to practice (residency program) for new graduate nurse practitioners; along with a competency tool to assess the effectiveness of such program.

This article does a wonderful job of providing the historical background to the pediatric nurse practitioner profession. It touches upon some of the most memorable accomplishments that were achieved both in the specialty itself and the influential role it played on the profession of nurse practitioners in all specialties. This was a very beneficial resource that I utilized for my APRN infographic!

Hi i'm not sure that I posted on this site correctly... this article explores how relationships between midwives can impact student success in transitioning to the role of a CNM. :) -molly jobe

From this article, it acknowledges the importance of inter-professional collaboration. At the end of the residency program, NPs held a stronger appreciation for the roles of other health care professionals as well as the benefit from getting feedback from different specialties. NP fellows learned from each other's strengths and weakness and how to function as a team.

Exploring the transition from registered nurse to family nurse practitioner.

This article discusses the external and internal stressors a novice nurse practitioner will experience in the first few years of his, or her, career. It then discusses the four phases that an NP can expect to endure as they become more confident in the field. Many stressor come from aspects of the job that include billing, referrals and even ownership of ones role as a primary care provider. This piece offers mitigation to the previous stressors with the introduction of a mentor.

Meant to share this when we did our timelines. This was cited as a pinnacle article for the NP profession. It demonstrates that NPs give just as effective care as physicians in a primary care setting when given equal authority and responsibility. Research from JAMA - Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians - A Randomized Trial - ContextStudies have suggested that the quality of primary care delivered by nurse practitioners is equal to that of physicians.

Landmark article showing primary care from NP vs MD was not different.

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

This article discusses the evolution of the WHNP. While I am in the FNP program, I plan to specialize in women's health which is why I picked this article. The conclusion of this article notes that the WHNP is moving to becoming a focus area in a FNP or ANP curriculum (or at least that was the author's opinion in 2009). I have found programs which allow for a specialty in women's and gender-related health care such as the following at Columbia and University of Pennsylvania. (Columbia: http://nursing.columbia.edu/course-list/Womens-Health ; U Penn: http://www.nursing.upenn.edu/whcs/Pages/WHCNPProgram.aspx)

A 5 year study on ACNP's on the role in practice and how it was established.

Highlights mentorship as a key factor in flourishing as a new graduate NP.

This article reviewed several different studies on interdisciplinary care and looked for ways that we can improve on health care and implement better teamwork. What I found most interesting is that the article talks about how educating staff on the benefits of teamwork is seriously lacking. Two issues are emerging in health care as clinicians face the complexities of current patient care: the need for specialized health professionals, and the need for these professionals to collaborate. Interdisciplinary health care teams with members from many professions answer the call by working together, collaborating and communicating closely to optimize patient care.

This article finds two emerging issues that must be addressed to optimize patient care: "the need for specialized health professionals, and the need for these professionals to collaborate." In nursing we talk a lot about "continuity of care" and that a seamless transition between PCPs, specialists, in-patient, and out-patient services is not only good-practice but vital for thorough health care delivery and improving long term outcomes.

I really liked this article because it focused on crisis resource management in Emergency Medicine. Seven perceived barriers to effective team performance in the ED were listed with the number one barrier being communication between disciplines. Further, of 81 (nurses, physicians, and residents) 100% felt that effective communication and effective leadership were very important team management skills that could effect the outcome of a resuscitation. Additionally, the number one contributing factor to adverse resuscitation outcomes was poor communication (96.2% out of 79 participants). Though other barriers and contributing factors to adverse outcomes were identified, communication was reported as the most contributory. Coming from an emergency room myself, I totally love the aspect of interdisciplinary collaboration. In resuscitation you are working with the physician, the nurses, the techs, pharmacy, the lab, the radiology department--and following a successful resuscitation, you are collaborating with the intensivist/pulmonolgist, cardiologist, and potentially other specialists, as well as the ICU staff members. The patient is relying on effective communication and collaboration to obtain the best outcome possible. And this communication and collaboration is not the sole responsibility of the provider, but EVERYONE on the team!

This gives some of the highlights of Midwifery practice. Varney is also a great resource!