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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.

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

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 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.

Recently published article in NEJM that pulls together some of the exciting things coming for NPs and RNs in continuing expanded roles to meet primary care needs in our health care system.

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

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.

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 addresses the increased need for APRN's in Primary Care Settings and evaluates their role and outcomes compared to Physician's in Primary Care.

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 focuses on the primary care nurse practitioner's development and different response to some controversial issues.