Group items tagged

I found this research article enlightening on Physician's views and APRN's views on the APRN's role and scope of practice in the primary care setting. In 2010, the Institute of Medicine published an article that stated "advanced practice registered nurses should be able to practice to the full extent of their education and training." The link I posted givens results to a survey given randomly to Physicians and APRNs working in direct patient care on how they view they scope of practice of APRNs.

Describes how new advanced practice providers feel as they make the transition from being a student. There's a period called the "impostor phenomenon" where they feel they are not really an advanced practitioner, but simply appear to be one.

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].

This article discusses APRNs working in Title X Family Planning Clinics, what lead them to practice in these clinics, and why they remain practicing in these clinics as new opportunities for APRNs arise. APRNs are described by the authors as 'critical safety nets', as they play a major role in reproductive health services and provide care to vulnerable populations and rural communities. The findings of this study, which collected data through an online survey, can and will be used during policy change decisions to improve APRN satisfaction and retention.

This is a timeline from the AANP on the history of our profession.

This site details the history of NP programs and how they were developed. it also provides detailed information about specialty programs and how/why they were started.

Nurse anesthetists, nurse midwives, and nurse practitioners, also referred to as advanced practice registered nurses (APRNs), provide and coordinate patient care and they may provide primary and specialty health care. The scope of practice varies from state to state.

This is a Canadian public ad campaign, defining what nurse practitioners are, what they can do, and how they can help improve quality of and access to care. It is well-made. I feel that similar campaigns in the U.S. Would help to increase public knowledge and understanding of our profession.

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

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.

Great article on nursing residency programs and the opportunities they provide. BONUS- includes insight from an Emory NP Alum who completed a residency program in Washington!!

Faced with a shortage of primary care doctors, more and more clinics are relying on nurse practitioners to fill the gap. But that creates another gap, in the level of training providers bring to the job. Residency programs--once reserved for physicians--are popping up for nurse practitioners as well.

This timeline is great as it shows monumental dates in history not only related to midwifery, but also to social justice, economic changes, political changes, etc. in our country. I think its important to relate what is going on in our profession to what is happening in the country/city/world in which we work. It creates some perspective on why things happen when they do.

This article describes the similarities between Midwifery practice and palliative care. The authors state that historically Midwives have been involved in the "cradle to grave" process. They argue Midwives are well suited to provide palliative care.

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."