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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.

For fifty years, health care teams have been a misunderstood, undervalued, and neglected part of health care. Yet, as Drinka and Clark make clear, well functioning interdisciplinary health care teams (IHCTs) have the potential to help the health care system face its demons--financial constraints and comprehensive error-free care. Because of misunderstandings, administrators, funders, and policy makers keep the potential for interdisciplinary teams hidden. IHCTs have characteristics and problems that are unique to health care settings and the health providers who work in them. Drinka and Clark present a groundbreaking attempt to develop a comprehensive framework for IHCTs.

Discusses aspects of negotiating scope of practice and provides copies of collaborative practice agreements, as well a list of questions that ACNP's should be asking themselves and prospective employers when considering accepting a position.

This article provides an in-depth look at the scope of practice of acute care nurse practitioners. It touches on the history of the nurse practitioner role and how the acute role was developed from there. It also states that the first acute care nurse practitioners to be established were NNPs.

Thanks so much for finding this article! Exactly what I needed, and seeing as I was searching for stuff a couple hours and didnt find this, I know it wasnt easy, so thanks!

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 website provides an interactive map in which health trends can be explored at a county level. It provides trends in life expectancy, obesity, hypertension, diabetes, etc.

Hi All- This report provides a lot of great information about the role of the APRN in providing primary care in Georgia with citations to a lot of the information we have learned about in classes.

My intended area of practice is in HIV nursing. In my last post I provided a link to the competencies needed to be an advanced practice nurse in the field, and I talked a little bit about steps I'm taking to close that gap. To hopefully move me along the continuum from novice to expert. I thought this article was interesting and provided a broader approach in how nurses might use residency program for exactly that purpose. The article talks about DNPs but it is no different for the MSN prepared nurse. It seems that residencies may become more the norm in the future - and that might be good for all, new nurses and patients alike.

This article from the AACN provides a good summary of the history of the AGACNP role up to the development of the consensus model, and developments afterwards until 2011, when the article was published. It also provides advice to readers on how to react to the consensus model.

The researchers in this article focused on analyzing what kind of economic impact that giving APRNs full scope of practice in North Carolina would have. They calculated the impact by first projecting the increase in APRN graduates choosing to work in the state after full scope would be awarded. Projections of the increase in demand for providers due to both the ACA and an aging population were also taken into consideration. The findings in this analysis were that giving APRNs full scope of practice in the state would benefit the economy with increased output, employment, and tax revenue all while decreasing provider shortages. The state could save upwards of $495 million in gross product annually.

Hopefully, results such as these will give other states with more restrictive policies incentive to change their practice guidelines.

This article talks about how the use of acute care nurse practitioner helps hospitals deliver better care because the APRNs are able to draw from past experiences in order to provide the best care to their patients.

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 chronicles the history of nursing and how expanding the role of nurses was initially justified. It discusses how this expanded role eventually became the role of the nurse practitioner that we are familiar with today.

I found this article to be completely fascinating as I was almost completely unaware of the history of the APRN role. I have heard of Lillian Wald and Mary Breckenridge but didn't know the full extent of their backgrounds. I enjoyed the history provided in this article and feel that it was a perfect reading to begin my APRN transition. It provided some important information on how the role of the nurse changed and was diminished by ourselves (ANA) before being re-expanded in the 1960s with the role of the NP. I'd love to hear what others think and if you have other interesting historical articles on the background of the APRN role!

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.

A very interesting article going in detail on the expansion of the role of advanced nurse practitioners and the potential rewards and risks associated with it. There is a shortage of primary care providers. Pondering upon the topic of role expansion brings about the important consideration of liability but also has a positive side that includes being able to provide primary care to more people. This article brings up great discussion points.

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.

Understanding Medicare Supplement Plans is essential for those approaching Medicare eligibility. Medicare Nationwide places significant emphasis on education, providing an array of resources to assist beneficiaries in comprehending the intricacies of these plans. Through detailed brochures, informative articles, and interactive online platforms, Medicare Nationwide ensures individuals have access to comprehensive knowledge about Medicare Supplement options.

This resource goes into details on the role of the NNP and shows the progression of how the profession has come to be established and known as a provider.

This article does a wonderful job of providing the historical background to the pediatric nurse practitioner profession. It touches upon some of the most memorable accomplishments that were achieved both in the specialty itself and the influential role it played on the profession of nurse practitioners in all specialties. This was a very beneficial resource that I utilized for my APRN infographic!