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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.

Hello Everyone, Module 3 instruction asked us to explore articles about our transition from student to APRN. As we discussed in class and from guest panel, I realized that mentorship is really important. While I was looking through emory DiscoverE about mentorship, I came across this article that highlights how important it is to clarify the term "mentorship" when I am talking to my potential employer because it can mean different for the employer. The article really highlights how important it is to find a set definition for the term "mentorship". If the link does not work, I have the article downloaded, but I cannot seem to attach it here.

J Am Assoc Nurse Pract. 2015 Jun;27(6):300-7. doi: 10.1002/2327-6924.12203. Epub 2014 Dec 29. As of July 2006, APRNs are allowed to write prescriptions in Georgia. Even though it took a long time to achieve this, 40% of Georgia APRNs do not write prescriptions. Georgia is one of the most restrictive states for APRNs so policy changes are recommended to enhance to scope of APRNs.

Georgia is one of the most restrictive states in terms of APRN scope of practice. This article identifies barriers that are common to APRNs nationwide and specific barriers to Georgia APRNs.

The examination of inter-professional relationships and the effect these have on teams and teamwork is extensive. In much of the literature, concepts have been studied separately, and so the linkages to contexts and the broader socio-historical background were notable for their absence. The picture of teams, their work and process is skewed, as emphasis on one topic is often at the expense of another. Conceptual rigour is required if we are to understand what we are talking about.

The examination of inter-professional relationships and the effect these have on teams and teamwork is extensive. In much of the literature, concepts have been studied separately, and so the linkages to contexts and the broader socio-historical background were notable for their absence. The picture of teams, their work and process is skewed, as emphasis on one topic is often at the expense of another. Conceptual rigour is required if we are to understand what we are talking about.

This article describes feeling like a fraud once in a new role as an advanced practice nurse. It also speaks to how this is a normal feeling and suggests different ways to cope with these feelings to make the transition easier.

Well written easy to understand article clearly maps out requirements and varying options for process to become AGACNP

Well written easy to understand article clearly maps out requirements and varying options for process to become AGACNP

The following is the abstract as stated by the author: "Purpose: To describe factors that ensure a smooth transition from nurse practitioner (NP) student to independent NP during the first year of practice. Data sources: Two contrasting case examples, the authors' experiences, and selected professional literature. Conclusions: Key points to consider upon searching or taking a first NP job include patient, colleague, and clinic factors. Patient factors include mix of patient presentations, complexity of patient presentations, insurance status, and population. Colleague factors include mentorship, charting, mix of providers, and availability of providers. Perhaps most importantly, clinic factors include productivity expectations, practice mission, charting systems, on-call requirements, supervision of other staff, and teaching status. Together, these factors can largely determine whether an NP's days are satisfying or frustrating in a new job. Implications for practice: The transition from NP student to independent NP can be daunting. Although nursing schools and practice sites have responsibilities to ensure the transition is smooth, the new NP is ultimately responsible for the transition. [ABSTRACT FROM AUTHOR]"

This study reviewed the struggles new APRNs were having when transitioning to new healthcare providers. It discussed the benefits of a formal residency program for new APRNs and used the benefits the programs provided for new MDs to support the findings that these formal residencies could provide for new APRNs.

This articles takes about the importance of a structured residency program for new nurse practitioners. A structured residency program helps to the NP to get acclimated in the new role of being a provider and ensures patients are receiving quality care.

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 describes past and current barriers to APRN prescribing abilities in the state of Georgia. While legislation has been passed in the state to allow APRN's to prescribe medications to their patients under a collaborating physician, Georgia remains one of the most restrictive states for APRN prescribing. A descriptive study was conducted to analyze the efficacy and safety of APRN prescribing and found that out of approximately 8000 prescriptions written by APRNs, only 0.003% of those were changed by the supervising physician. The study recommended that more data be collected to support the argument for full-prescriptive authority for APRNs in Georgia.

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 article highlights the changes in policy that are needed to enable nurse practitioners their full scope of practice in a way that benefits patients and families at end-of-life. Nurse practitioners need the ability to practice to their full scope of practice, including providing autonomous care, receiving adequate and equal reimbursement for services, and having the authority to prescribe controlled substances II through V. Nurses also need to endorse policies that require specialized education so they receive the knowledge and skills necessary to be leaders in end-of-life care.

This 2016 article provides a brief overview of progress made in expanding APRN scope of practice to utilize a practitioner's education to the fullest extent. Although the removal of barriers to scope of practice is progressing, there is still much work ahead. This article recommends that to meet our goals, we must encourage other HCPs, policy makers, etc. that investing in our profession, i.e. becoming stakeholders, is a necessity to optimize health care practice.

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.

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.

An article about the barriers to APRNs being able to practice to the whole extent of our education and what we can do to help bring down those barriers.

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).

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.