Group items tagged

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

How to have a successful orientation to optimize transition into the inpatient setting. Focus is on Trauma NP in this article.

The purpose of this hermeneutic phenomenology (van Manen, 1990) was to gain insight into the meaning and lived experience of nurse practitioners (NP) with at least one year of work experience regarding their initial transition from new graduate to hospital-based practitioner. This study provided information regarding NP hospital-based transition experience that had not been revealed in the nursing literature. The meaning of transitioning into hospital-based practice was discovered through analysis of nurse practitioner letters and interviews in this phenomenological study. Six themes emerged from this research including: Going from expert RN to novice NP; system integration; "Don't Give Up"; Learning "On the Fly"; They Don't Understand my NP Role; and Succeeding Through Collaboration.   Master's prepared, board-certified NPs in North Carolina (NC) with between one and three years of NP practice experience in a hospital setting comprised the population of interest for this study. Twelve participants were purposefully sampled from nine hospitals in NC. Individual, voice-recorded, in-depth, open-ended telephone interviews were conducted with each participant.   The majority of the participants indicated a timeframe that ranged from six to 18 months regarding how long it took them to feel more comfortable in their NP role, the lack of comfort was most intense during the first nine months of practice. Participants confronted multiple obstacles and challenges as new NPs. These challenges included navigating and negotiating a new health care provider role; becoming integrated into a hospital system in what was a new role for them and sometimes for the system; learning how to function effectively as a NP while simultaneously working to re-establish themselves as proficient clinicians with a newly expanded practice scope; building key relationships; and educating physicians, hospital leaders, clinical staff, patients, and families about the NP

The orientation described in this article is something that sounds appealing to me as a new grad. It exposes practitioners to didactic and simulated experiences, focused peer support, formalized resources, and includes a preceptor.

Brief paper from a recent Sigma Theta Tau Nursing Research Congress. The emphasis is on mentoring to fill the gap of little to no NP orientation for new grads.

The American Association of Nurse Practitioners (AANP) is the largest and only full-service national professional membership organization for nurse practitioners (NPs) of all specialties.

This article describes the Consensus Model developed in 2008 for the APRN role for licensure, accreditation and certification across the United States. Though the intended goal for adoption was in 2015 (still has not happened yet), there is still much work that needs to be done at the state and national level to get this to approved.

This is a link to a visualization of NP scope of practice in each state. Our skillset remains the same in each state, yet our autonomy is variable!

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.

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.

While this article is not specific to the FNP specialty, I find it interesting because it discusses the evolving global role of APRNs.

This article provides a brief history of the APRN role and the advancement from a CRNA, to midwives, then to FNPs. The focus is the family nurse practitioner role. The author shows the connection with Erik Ericsson's stages of development and provides examples of how the role of the NP progressed through those stages. Examples are also provided from a world development perspective, as each country has also had to move through the same phases of development before moving on to the next. The author concludes that we (the U.S.) are still in the final stage of development (Integrity-older adult).

This resource provides a brief history of APRN and outlines the developmental steps in advanced practice roles that can be helpful know for countries where the role of APRN are being established or growing.

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.

This article is very relevant to our discussion today in lecture. It speaks to the consensus model, our primary certification after graduation, and then speciality certification. Additionally the articles outlines what is required to work in the ED. A concise and easy to follow article.

Here is another brief, yet insightful read on the evolution of midwifery in the US.

This is a brief summary of the history of midwifery and beginnings of nurse-midwifery in the United States.Though the statistics are a bit dated, the article also has some recent data on the positive impact of the recent resurgence of midwifery practice since it began declining in the late 19th and early 20th centuries. It also discusses the profession of nurse-midwifery's close ties with public health and under served communities.

Here is a great article that discuss how to make the transition as a healthcare provider through the use of a nurse practitioner residency program.