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The Online Journal of Issues in Nursing ANA Home About OJIN FA... - 0 views

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    The Online Journal of Issues in Nursing ANA Home About OJIN FAQs Author Guidelines Featured Authors Editorial Staff Board Contact Us Site Map What's New New Postings Journal Recognition OJIN News Journal Topics Care Coordination Cornerstone Documents in Healthcare Emotional Health: Strategies for Nurses Healthy Nurses: Perspectives on Caring for Ourselves APRN Roles Opportunities and Challenges Societal Violence: What is Our Response? Healthcare and Quality: Perspectives from Nursing Delivering Nursing Care: Current Factors to Consider Patient and Visitor Violence More... Columns Cochrane Review Briefs Informatics Legislative Ethics Information Resources Keynotes of Note Table of Contents Vol 21 2016 Vol 20 2015 Vol 19 2014 Vol 18 2013 Vol 17 2012 Vol 16 - 2011 Vol 15 - 2010 Vol 14 - 2009 Vol. 13 - 2008 More... Letters to the Editor Continuing Ed ANA Home Login » ANA OJIN About Logo OJIN is a peer-reviewed, online publication that addresses current topics affecting nursing practice, research, education, and the wider health care sector. Find Out More... Announcements Permission to Reprint OJIN Articles Planning a conference or class? Call for OJIN Manuscripts on a previous topics... Benefit for Members Members have access to current topic Send a Letter to the Editor on any OJIN column or article... More... Letter to the Editor Since the introduction of the Health Insurance Portability and Accountability Act (HIPAA) in 1996, nurses have become the frontline
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Full Practice Authority for Advanced Practice Registered Nurses is a Gender Issue - 0 views

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    In this article, author Lugo discusses the findings of her study relating limits on full practice authority for APRNs to issues of gender equality. She investigated the link between state support of the Equal Rights Amendment (ERA) and laws in these states allowing APRNs full scope of practice and prescribing rights. Her study showed that states that have historically and currently supported the ERA in fact allow greater APRN scope of practice, and thus she draws conclusions about attitudes towards women's equality and the regulation of advanced practice nursing, which remains to be a woman-dominated profession.
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    In this May 2016 article published in the Online Journal of Issues in Nursing, Dr. Nancy Rudner Lugo argues that advanced practicing nursing viewed through a gendered perspective due to nursing's history as a predominantly female profession; because of this, APRNS in states that are less accepting of women's equality have a more narrow scope of practice. There is not currently a national-level evidence based method used to determine APRN scope, and is instead decided at the state level. The author seeks to explain the cause of the discrepancy between differing APRN scopes of practice in different states by comparing the APRN scope of practice between states that did and did not vote to pass the Equal Right Amendment, positing that states with cultural attitudes that are more equitable between genders reflect this at the legislative level, thus explaining the wider or full practice authority given to APRNs in these states. In conclusion, Lugo advocates for increasing the number of women in legislative positions, forming relationships between women's equality organizations and groups working towards expanded health care access, and emphasizing the skills and competency of APRNs in achieving positive patient health outcomes.
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Interdisciplinary education and teamwork: a long and winding road - 0 views

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    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.
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    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.
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Emerging Issues involving PNPs - 2 views

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    Discusses emerging issues due to AC vs PC PNP certifications
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Globalization and Advancing Primary Health Care Nurse Practitioner Practice - 2 views

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    With increasing interaction between governing bodies and cultures this article explores the APRN scope of practice on a global scale. It also examines access to care as a global issue postulating the need to standardize the scope of the Nurse Practitioner.
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Addressing Issues Impacting Advanced Nursing Practice Worldwide - 1 views

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    The APRN role is one that is continually evolving globally due to health care provider needs. This article looks specifically at barriers APRNs face that hinder them from practicing to the full extent of their scope and how to face these barriers to promote full scope of practice and address healthcare needs.
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NAPNAP - About Us - History of PNPs and NAPNAP - 2 views

  • Established in 1973, NAPNAP has been actively advocating for  children's health by: providing funding, education, and research opportunities to PNPs; and producing and distributing educational materials to parents and families.
  • There are approximately 14,000 practicing PNPs in the U.S.
  • n 1965, a nurse and a pediatrician at the University of Colorado had the vision to extend the role of the pediatric nurse in providing child health care services. They began to educate registered nurses to become PNPs by teaching them to do physical examinations, diagnose and treat patients, and assist in family counseling.
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  • In May 1973, PNPs from six areas of the country met in Columbus, Ohio to explore alternatives for affiliating with nursing and medical professional organizations. The group decided PNPs could best be served by a specialty nursing organization. In September 1973, the first issue of the Pediatric Nurse Practitioner, the association's newsletter, was published highlighting the outcome of this meeting and announcing the agenda for the first national meeting of PNPs. In October 1973, 400 PNP's met at this national meeting and voted unanimously to support the development of NAPNAP.
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Recommendations for Nurse Practitioner Residency Programs - 1 views

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    Can access full text by clicking the the link on the top of the page
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Nurse Practitioners and Primary Care - 0 views

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    This article focuses on the primary care nurse practitioner's development and different response to some controversial issues.
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Billing and Coding Issues - 0 views

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    just looking up articles about billing/coding and ethics and thought i would share
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Advanced Practice Nursing: Reflections on the Past, Issues for the Future - 2 views

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    This article begins by informing us that the first APRN was in 1877. The article defines an APRN discusses APRNs history, scope of practice, different specialties and their role and educational requirements along with our future needs in Oncology and the importance of our input in the business of healthcare. It ends with the emphasis that our importance must be documented and communicated to healthcare decision makers and we need to collaborate with physicians and administrators and negotiate with business makers to change healthcare reform.
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AANP - How to Order a DEA Number - 2 views

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    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.
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State Policy Toolkit from AANP - 0 views

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    This is a toolkit from the American Association of Nurse Practitioners that APRNs can use to stay connected to legislative efforts that impact their profession. "Policy" can be a very overwhelming idea, particularly to someone who does not have experience with that realm of healthcare, so the AANP breaks it down for you. There are issue briefs on things like Full Practice Authority and Prescription Drug Monitoring Programs. These briefs give you the bullet points on why the policy is good or bad for our patients and evidence supporting that position. There's other resources as well that can help you find your legislators, find out about federal and state legislation, and get connected to legislative advocacy initiatives in your state. Participating in the legislative process is a really important way that APRNs can advocate for our patients, and this resource will support you in engaging with it.
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Nurse Practitioners in the World of Pain Management: A Cautionary Tale - 0 views

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    An APRN running her own practice was investigated by the DEA and BoN for her treatment of patients needing pain management. This article provides details of the case and recommendations for how APRNs can protect themselves and their licence when it comes to scope of practice and prescription of controlled substances.
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Defining NP Scope of Practice and Associated Regulations: Focus on Acute Care - 1 views

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    This article reviews definitions, concepts, and some contemporary issues related to NP scope of practice with an emphasis on NPs working in acute care settings.
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Broadening the Scope of Nursing Practice - 0 views

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    This article discusses the current issue of supply and demand in healthcare. At a time with a shortage of primary care providers, it is important for nurse practitioners to be able to practice to their fullest extent in order to bridge the healthcare gap.
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Full Practice Authority for Advanced Practice Registered Nurses is a Gender Issue - 0 views

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    Connects efforts for full practice authority for NPs to the ratification of the Equal Rights Amendment by various states. States that ratified the ERA and therefore have a more egalitarian view of women are more likely to have full scope of practice laws for NPs, CNMs, and CRNAs
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Barriers to NP Practice that Impact Healthcare Redesign - 8 views

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    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.
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    This article speaks to the many barriers to NP practice such as state regulations, lack of physician knowledge of scope of practice, payer policies not allowing full scope of practice, prescriptive privilege, etc. With the ACA and expanded healthcare coverage, it is necessary to address the barriers to NP practice since NPs will be essential to meeting the healthcare needs in the US over the next few years.
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    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.
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    This article first provides a brief history on APRNs. It also discusses barriers to the APRN scope of practice.
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History of APRN | NCSBN - 13 views

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    This article presents the development of APRN in the recent 20 years. Really a giant step regarding to scope of practice and license issue.
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    This article gives a background of the development of certification exams for licensing APRNs.
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    This article provides a brief history of the APRN role and how it has evolved over time. There are many links provided within the article that are intersting to better understand th initial thoughs about APRNs and how the role has changed and evolved over a relatively breif period of time.
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    This article is a great resource for learning a little more about the history of APRNs. It provides some history about the use of certification exams for licensure.
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