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This article present a gap in research regarding advocacy at the APRN level, despite the large amount of evidence surrounding advocacy at the RN level. The article calls for more research regarding if and how advocacy may differ at the APRN level and how exactly institutions are preparing APRN students for the advocacy role.

To bring new therapies to market, pharmaceutical, biotechnology, and medical device companies engage contract research organizations (CROs) for their expertise in navigating the complex landscape of product development and regulatory pathway.

To bring new therapies to market, pharmaceutical, biotechnology, and medical device companies engage contract research organizations (CROs).

Talks about the emotional roller coaster than transitioning can cause but also recognizes that there are resources and they need to be utilized.

This article looks at the evidence to describe what goes on when RNs transition to become FNPs. Transition begins during school- students should be aware of the challenges present in transition and be prepared for them. J Prof Nurs. 2013 Nov-Dec;29(6):350-8. doi: 10.1016/j.profnurs.2012.10.011.

An interesting article that opines about the DNP. Here's a fairly provocative quote: "When viewed together, doctorally prepared nurses do not spend the majority of their time in direct patient care, but rather in research (11%), education (32%), and administration (30%). With these demanding roles, they cannot be expected to maintain expert levels of clinical competence required for teaching APN students. While research and practice are critical components of nursing, each requires a different skill set and education."

Interdisciplinary Teamwork article

Interdisciplinary team work is a complex process in which different types of staff work together to share expertise, knowledge, and skills to impact on patient care. Despite increasing emphasis on interdisciplinary team work over the past decade, in particular the growth of interdisciplinary education [ 1], there is little evidence as to the most effective way of delivering interdisciplinary team work [ 2].

Interdisciplinary team work is a complex process in which different types of staff work together to share expertise, knowledge, and skills to impact on patient care. Despite increasing emphasis on interdisciplinary team work over the past decade, in particular the growth of interdisciplinary education [ 1], there is little evidence as to the most effective way of delivering interdisciplinary team work [ 2].

J Prof Nurs. 2015 Jul-Aug;31(4):340-50. doi: 10.1016/j.profnurs.2015.02.007. Epub 2015 Feb 28. Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't The articles explore the benefits of interdisciplinary care models and shows evidence of the importance and benefits of an interdisciplinary model of care. It highlights how intentional interdisciplinary practice can yield outcomes that are beyond the ability of a single professional to produce and further affirms that nursing can play a pivotal role in developing and implementing these care models and in leading these IPCP teams.

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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

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.

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 details the researchers' efforts to describe the ability of nurse practitioners to reduce health disparities. By reviewing the literature, the researchers were able to create a "Nurse Practitioner Health Disparities Model" that outlines the many factors that influence a NP's ability to reduce health disparities. Outside actors, such as policymakers and insurance companies, can also influence the ability of nurse practitioners to reduce health disparities. Thus, the model is a useful tool in promoting full practice for APRNs.

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.

J Midwifery Womens Health. 2003 Mar-Apr;48(2):86-95. Historical Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. This article looks at the early history of nurse-midwifery in the US and the social and political changes that aided its expansion in the 1940s.

This is research article discussing if the "residency" programs that are starting to pop up for new grad APRNs are helpful. I found this interesting because we briefly discussed the residency positions during the new job panel.

Practice research serves as the certification framework for validating advanced practice roles and updating national qualifying examinations. This national study describes the current practice of the acute care pediatric nurse practitioner (AC PNP) to inform an update of the Certified Pediatric Nurse Practitioner-Acute Care (CPNP-AC) examination content outline.

This article discusses the limitations in scope-of-practice caused by state regulation of health professions. It also stresses the importance of allowing APRNs to practice within their full-scope as supported by various research and defined by national regulating organizations in order to improve primary care.

This 2006 cross-sectional study looked at the roles that APRN play in the evolving, dynamic field of genetics. Many nurses in this specific field work in research opportunities, clinical settings, and/or teaching. A description of the various roles, as well as the relative percentages of APRNs in each role, is provided.