Group items tagged

This article shows how individuality in the APRN roles are critical to good patient care

The article provides a good comprehensive timeline of the history of Advanced Practice Nurse specialties.

Well written easy to understand article clearly maps out requirements and varying options for process to become AGACNP

Well written easy to understand article clearly maps out requirements and varying options for process to become AGACNP

Here is a recent commentary written by two nursing professors from the University of Pennsylvania SON about nurse residency programs. Until reading this article, I was not aware that the IOM recommends residency programs for nurses who complete an advanced practice degree program. Currently, data illustrates that these programs improve practitioner confidence and strengthen NP role identity; however, there is a lack of data showing the impact of these programs on patient outcomes. These professors believe that residences should not be mandated but rather encouraged.

Article showing an application of teamwork in a primary care setting to develop a behavior health intervention. See the abstract below! J Am Board Fam Med. 2015 Sep-Oct;28 Suppl 1:S21-31. doi: 10.3122/jabfm.2015.S1.150042. Abstract PURPOSE: This paper sought to describe how clinicians from different backgrounds interact to deliver integrated behavioral and primary health care, and the contextual factors that shape such interactions. METHODS: This was a comparative case study in which a multidisciplinary team used an immersion-crystallization approach to analyze data from observations of practice operations, interviews with practice members, and implementation diaries. The observed practices were drawn from 2 studies: Advancing Care Together, a demonstration project of 11 practices located in Colorado; and the Integration Workforce Study, consisting of 8 practices located across the United States. RESULTS: Primary care and behavioral health clinicians used 3 interpersonal strategies to work together in integrated settings: consulting, coordinating, and collaborating (3Cs). Consulting occurred when clinicians sought advice, validated care plans, or corroborated perceptions of a patient's needs with another professional. Coordinating involved 2 professionals working in a parallel or in a back-and-forth fashion to achieve a common patient care goal, while delivering care separately. Collaborating involved 2 or more professionals interacting in real time to discuss a patient's presenting symptoms, describe their views on treatment, and jointly develop a care plan. Collaborative behavior emerged when a patient's care or situation was complex or novel. We identified contextual factors shaping use of the 3Cs, including: time to plan patient care, staffing, employing brief therapeutic approaches, proximity of clinical team members, and electronic health record documenting behavior. CONCLUSION: Primary care and behavioral health clinicians, through their interactions, c

Scope of practice for Gerontological NP

This document (from the Gerontological Advanced Practice Nurses Association) reviews NP scope of practice, gerontological NP scope of practice, and the merging of the adult and gerontology NP specialties.

This is a lengthy piece but has some great perspectives regarding policy for APRN's. Speaks about restrictive physician supervision and scope of practice.

This article begins by informing us that the first APRN was in 1877. The article defines an APRN discusses APRNs history, scope of practice, different specialties and their role and educational requirements along with our future needs in Oncology and the importance of our input in the business of healthcare. It ends with the emphasis that our importance must be documented and communicated to healthcare decision makers and we need to collaborate with physicians and administrators and negotiate with business makers to change healthcare reform.

This article addresses the importance of Nurse Practitioners in the work force. Currently, there is an ever growing healthcare worker shortage, especially in light of health reform coverage expansions in 2014. This article goes on to address the disparities found in state licensing and the scope of practice of Advanced Practice Registered Nurse.

This article discusses the effects of states' scope of practice laws and payment policies on the role of NPs in the primary care setting.

This article made me reflect on why I first pursued an advanced nursing degree, which will certainly be a question that we are asked throughout our careers.

Discusses challenges faced by new NP grads as they transition from student to NP.

This article describes feeling like a fraud once in a new role as an advanced practice nurse. It also speaks to how this is a normal feeling and suggests different ways to cope with these feelings to make the transition easier.

This article describes the orientation process used in a pediatric cardiac center for APNs to increase confidence in skills, knowledge of role, mentorship, and NP retention during the first year of practice.

A great example from another state (Ohio). This is a large literature review research study they conducted in an effort to influence policy change and broaden APRN scope of practice in the state.

Hi All- This report provides a lot of great information about the role of the APRN in providing primary care in Georgia with citations to a lot of the information we have learned about in classes.

My intended area of practice is in HIV nursing. In my last post I provided a link to the competencies needed to be an advanced practice nurse in the field, and I talked a little bit about steps I'm taking to close that gap. To hopefully move me along the continuum from novice to expert. I thought this article was interesting and provided a broader approach in how nurses might use residency program for exactly that purpose. The article talks about DNPs but it is no different for the MSN prepared nurse. It seems that residencies may become more the norm in the future - and that might be good for all, new nurses and patients alike.