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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.

Systematic review of literature on the impact of Nurse Practitioners in Emergency Departments. Limited evidence of high quality. Most high quality evidence conducted in English speaking countries outside the U.S. Evidence suggests NPs in EDs associated with quality care, improved patient satisfaction, reduced wait times. Insufficient evidence related to cost-effectiveness. #BecomingAPRN16

Birth centers run by midwives lead to better outcomes than hospital births

This is an interesting article that conducted a lit review to see how expanding the scope of practice for APRNs would affect health care delivery and costs in Ohio. Although it is specific to Ohio, the lit review they did highlights many benefits to full practice authority that could be generalized to any state.

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 resource is a research study analyzing the differences in cost and pediatric patient outcomes between hospital teams run by residents alone, PNP's alone and PNP/MD teams. Overall, the researches concluded that incorporating PNP's into hospital care can reduce costs for patients requiring certain treatments as well as provide care that is comparable to the care given by medical residents.

The author figures out the challenges in interdisciplinary teamwork among healthcare providers. These challenges are worth attention if we hope to do well in interdisciplinary teamwork.

This article discusses how interdisciplinary teamwork is experienced at three levels: healthcare professionals, patients, and healthcare organizations.

The points made by the author - reaching decisions collectively, making sure everyone is committed to the same purpose and goal, full participation, understanding the work of other disciplines - can be applied in any type of teamwork setting for successful outcomes. However, with healthcare the author points out that effective teamwork can lead to decreasing health care costs, improved patient safety, and decreasing workload through shared responsibilities. All areas that can allow for better patient care and more efficient use of time and financial resources.

Impact out of how PCNP's in palliative care are making a positive and sometimes neutral (no negative) impact in healthcare and healthcare cost. There are better articles (from abstract alone), but no full length available for some reason via Emory Database/CINAHL/google (just not free/inaccessible).

This article focuses on the Nurse Practitioners contribution to primary care. Randomized trials were performed to help us better understand how Nurse Practitioners compare to Primary Care Physicians in the eyes of patients. Conclusions showed that patients outcomes were equivalent in their satisfaction, physical, social and emotional functioning when compared to seeing a Physician versus a Nurse Practitioner. It was also found during the studies that lower costs of care was associated with NP's.

This systematic literature search article is in two parts: deinition and application of telehealth for APRNs and describes an approach for telehealth training for APRNs. APRNs can utilize telehealth technologies to improve patient access to care with cost-saving measures, collaborate with other disciplines, and remote patient monitoring. Students need to become competent and skilled with the evolving technologies and regulations to improve patient outcomes with limited resources to healthcare.

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 discusses the barriers to NP practice with the current healthcare reform by addressing the shortage of primary care providers and the limitations of APRN practice. Barriers that were emphasized include state practice and licensure, physician related issues, education, and role perception. This article stresses that an APRN should be able to practice to the fullest extent of their training.

This is an excellent overview of common barriers to APRN practice that effect the Triple Aim for healthcare: better care (individuals), better health (populations), and lower cost.

This article first provides a brief history on APRNs. It also discusses barriers to the APRN scope of practice.

This article speaks about the future of healthcare - specifically, how primary care is at the foundation of a robust health care system. The author argues that the key to improving the triple aim (health of populations, patient experience, cost of care) is to remove barriers to NP practice, allowing them to practice to their fullest capacity.