Group items tagged

This article reviews the importance and benefits of having a real strong and supportive mentor during that transition from student ARPN to practitioner. This is a hard time for many to adjust to and having a mentor is a key element for new practitioners to safely make the transition and to maximize their learning.

J Am Acad Nurse Pract. 2010 Jul;22(7):356-60. doi: 10.1111/j.1745-7599.2010.00522.x. This is a useful article written by one of my former professors at Johns Hopkins. I think it provides great insight into transitioning process of becoming an APRN. This article outlines the important areas in which to consider when accepting and working at your first job as an APRN. It compliments the panel today very well.

J Am Acad Nurse Pract. 2010 Jul;22(7):356-60. doi: 10.1111/j.1745-7599.2010.00522.x.

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.

This article discusses how overall outcomes are better for patients when ACNP are members of a unit or service-based provider team. It also touches on how to hire ACNP for different patient populations.

This article explores the process of transitioning from an RN to a FNP.

Thought this article could be useful as we begin to develop our elevator speeches. Many tips exist for developing elevator speeches in the business environment, however, fewer exist for securing a position in healthcare so I found this article to be helpful.

This is an excellent article regarding the evolution of the nurse practitioner role

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.

This link shows all the certifying bodies available and has links to those websites 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.

Only online registrations on this website are accepted. Applications submitted by mail, fax or email will not be accepted and will be returned to the individual. Download Candidate Guide for what is tested, procedures, rules and policies Download Registration Catalog for detailed overview of the testing process This registration portal is only for those taking the test via computer or individual paper and pencil testing.

This guide from the American Academy of Nurse Practitioners helps clarify the many facets of contract negotiations and provides a guide to help new NPs prioritize what to focus on during contract negotiations.

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

challenges with interdisciplinary teamwork in hospitals and way to improve it

This article discusses the importance of teamwork in hospitals and provides key elements for highly functioning teams.

This article reviewed several different studies on interdisciplinary care and looked for ways that we can improve on health care and implement better teamwork. What I found most interesting is that the article talks about how educating staff on the benefits of teamwork is seriously lacking. Two issues are emerging in health care as clinicians face the complexities of current patient care: the need for specialized health professionals, and the need for these professionals to collaborate. Interdisciplinary health care teams with members from many professions answer the call by working together, collaborating and communicating closely to optimize patient care.

This article finds two emerging issues that must be addressed to optimize patient care: "the need for specialized health professionals, and the need for these professionals to collaborate." In nursing we talk a lot about "continuity of care" and that a seamless transition between PCPs, specialists, in-patient, and out-patient services is not only good-practice but vital for thorough health care delivery and improving long term outcomes.

I really liked this article because it focused on crisis resource management in Emergency Medicine. Seven perceived barriers to effective team performance in the ED were listed with the number one barrier being communication between disciplines. Further, of 81 (nurses, physicians, and residents) 100% felt that effective communication and effective leadership were very important team management skills that could effect the outcome of a resuscitation. Additionally, the number one contributing factor to adverse resuscitation outcomes was poor communication (96.2% out of 79 participants). Though other barriers and contributing factors to adverse outcomes were identified, communication was reported as the most contributory. Coming from an emergency room myself, I totally love the aspect of interdisciplinary collaboration. In resuscitation you are working with the physician, the nurses, the techs, pharmacy, the lab, the radiology department--and following a successful resuscitation, you are collaborating with the intensivist/pulmonolgist, cardiologist, and potentially other specialists, as well as the ICU staff members. The patient is relying on effective communication and collaboration to obtain the best outcome possible. And this communication and collaboration is not the sole responsibility of the provider, but EVERYONE on the team!

This article is a comprehensive overview of dementia care; scroll about 1/3rd down for multidisciplinary teamwork which is later captured in the discussion about treatment options as well.

This site gives new PNPs a starting point and a source to research the many options available to us as APRNs in the pediatric world. I've enjoyed navigating through this site and learning more about what's out there!

This article shares an experience of an NP in Nevada who had been trying to care for patients in under served areas but was having difficulty finding MDs to sign agreements with in those areas. This inhibited her ability to treat people in need but, thankfully, a new law was passed July 1 that enabled her to treat these people to the full extent her education taught her to, without having to rely on an agreement with an MD. It is important for us to remain aware of our scope of practice but also to fight for our ability to practice to the full extent we're being taught to do.