Group items tagged

This systematic literature search article is in two parts: deinition and application of telehealth for APRNs and describes an approach for telehealth training for APRNs. APRNs can utilize telehealth technologies to improve patient access to care with cost-saving measures, collaborate with other disciplines, and remote patient monitoring. Students need to become competent and skilled with the evolving technologies and regulations to improve patient outcomes with limited resources to healthcare.

Pediatric NP's began training in 1965 in order to enhance the role of the pediatric nurse; however, since then PNP's are seeking increased autonomy from MD's in order to work to the full extent of the knowledge and skills. The article describes how PNP's are aptly trained to assess kid's who are abused, exploited, neglected, or need immunizations. As a result, PNP's have a unique role, separate from MD's, to enhance any practice.

This is a nice synopsis of key moments in history that have triggered the growth and development of the NP role in the US.

New direction for NP programs and post-graduate options

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.

Here's a JONA article discussing the CNO and Leadership's role in encouraging APRN Fellowships and new grad NP educational opportunities, along with the positive outcomes associated with employing these practices. J Nurs Adm. 2014 Dec;44(12):625-7. doi: 10.1097/NNA.0000000000000138.

Very interesting read. This article provides evidence on why healthcare organizations should hire nurse practitioners based upon the education and training that they receive within their speciality as opposed to their previous RN experience. Many hospitals are struggling with this dilemma: Do we hire the APRN who has previous nursing experience in this area (who is not certified in this area) or do we hire the APRN who is certified to work in this area based on their formal training/education but is a new graduate? This article describes how prior nursing experience with a specific population does not qualify a nurse practitioner to practice without the population-focused education and certificate.

This article is about a study that sought to describe the process necessary for a successful transition of the student nurse to a professional, as well as what kind of support system enables this progression. It focused more on what was more likely to aid in a student's success. One of the study's implications was the importance of an overall support system with specific concern for appropriate training for those who provide direct clinical education.

This article entry conveys the importance of APRNs and the need for our country to better understand and use APRNs as they were trained to be used. It also includes a link to an article discussing the dissatisfaction among the profession due to various States' limitations placed on the profession's scope of practice.

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.

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 report summarizes the current understanding of teamwork, describes interventions designed to improve teamwork, and makes practical recommendations for hospitals to assess and improve teamwork-related performance. Examples of interventions that have successfully improved teamwork include the following: localization of physicians, daily goals-of-care forms and checklists, teamwork training, and interdisciplinary rounds.

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 article discusses the barriers to NP practice with the current healthcare reform by addressing the shortage of primary care providers and the limitations of APRN practice. Barriers that were emphasized include state practice and licensure, physician related issues, education, and role perception. This article stresses that an APRN should be able to practice to the fullest extent of their training.

This is an excellent overview of common barriers to APRN practice that effect the Triple Aim for healthcare: better care (individuals), better health (populations), and lower cost.

This article first provides a brief history on APRNs. It also discusses barriers to the APRN scope of practice.