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Kathryn Dirks

Comparison of Labor and Delivery Care Provided by Certified Nurse-Midwives and Physicia... - 1 views

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    This study compares the labor and delivery outcomes of certified nurse-midwives (CNMs) and physicians. For care processes, (e.g., epidural, labor induction, episiotomy), CNMs were found to have lower rates of application/use. For infant outcomes, (e.g., low Apgar, low birth weight, neonatal intensive care unit admission), there were no differences between physicians and CNMs. Perineal lacerations were lower and breastfeeding rates were higher among women cared for by CNMs compared with physicians.
taylor_gonzalez

Midwifing the End of Life: Expanding the Scope of Modern Midwifery Practice to Reclaim ... - 0 views

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    This article describes the similarities between Midwifery practice and palliative care. The authors state that historically Midwives have been involved in the "cradle to grave" process. They argue Midwives are well suited to provide palliative care.
katyabrickman

It Is Time To Restructure Health Professions Scope-Of-Practice Regulations To Remove Ba... - 3 views

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    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.
jahocke

Evolving role of pediatric nurse practitioners. - 1 views

http://www.ncbi.nlm.nih.gov/pubmed/26206240

APRN Scope Pediatrics Skills Knowledge Role History

started by jahocke on 29 Aug 16 no follow-up yet
jahocke

Evolving role of pediatric nurse practitioners - 0 views

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    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.
vaugct6

APRN Prescribing in Georgia: An Evolving Enviornment - 1 views

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    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.
atmaror

Broadening the Scope of Nursing Practice - 6 views

Just wanted to add more article links that speak about geriatrician shortage and comparable earnings between geriatricians and adult-gerontology primary care nurse practitioners: https://www.ncbi....

http:__www.nejm.org_doi_full_10.1056_nejmp1012121#t=article

tmauldin13

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.
ncholak89

Acute care pediatric nurse practitioner: a vital role in pediatric cardiothoracic surgery. - 1 views

http://www.ncbi.nlm.nih.gov/pubmed/21419973 In this article the authors touched on the role of the APRN in pediatric CT surgery areas. They explain that the role of the APRN is helpful in the cont...

APRN Scope practice

started by ncholak89 on 29 Aug 16 no follow-up yet
kdevillers

http://pediatrics.aappublications.org.proxy.library.emory.edu/content/131/6/1211 - 0 views

This article discusses the importance of optimal healthcare through a team of health care providers in a pediatric setting. It focuses on the importance of a pediatrician heading the group but then...

APRN Teamwork practice

started by kdevillers on 29 Aug 16 no follow-up yet
Missy Terry

Hiring appropriate providers for different populations: acute care nurse practitioners - 1 views

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    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.
carolinefore

Gaining independent prescriptive practice: one state's experience in adoption of the AP... - 0 views

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    This article is an interesting read about the policy change in North Dakota that brought independent prescriptive privileges to advanced practice nurses. The nurse leaders behind this policy change have shared the experience with other states with the goal of providing an example of an effective model of change.
mimi2de

Advance Practice Registered Nursing: Licensure, Education, Scope of Practice and Iiabi... - 0 views

The articles defines the basic roles and educational qualification that must be met by advanced practiced nurses, and their certifying and accrediting bodies at the state and national levels. The ...

http:__eds.a.ebscohost.com_eds_detail_detail?vid=3&sid=09ac72fc-6c70-488b-b71d-00c75324ceb7%40sessionmgr4009&hid=4108&bdata=JnNpdGU9ZWRzLWxpdmU%3d#AN=105013737&db=rzh

started by mimi2de on 30 Aug 16 no follow-up yet
chelseav25

States Practice Environments and the Supply of Physicians Assistants, Advanced Practice... - 0 views

This article examines the correlation between APRN's and PA"s and their workplace scopes. It discovered that in states with the highest shortage of Primary Care Physicians, APRN's and PA had a wide...

APRN practice Scope

started by chelseav25 on 30 Aug 16 no follow-up yet
rdesa32

Transition to full practice authority for APRNs - 3 views

This article talks about the transition from a student NP to a full practicing clinician. The article describes the benefits a post-grad "fellowship" can have on new APRNS entering the field. Howev...

https:__web-a-ebscohost-com.proxy.library.emory.edu_ehost_pdfviewer_pdfviewer?sid=1c0e632c-d220-4d3b-a037-1ca098f52a74%40sessionmgr4007&vid=11&hid=116

started by rdesa32 on 30 Aug 16 no follow-up yet
samhydes

Advanced practice nursing in Latin America and the Caribbean: regulation, education and... - 3 views

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    This article describes the results of a survey conducted of nurse leaders in Latin America and the Caribbean about their perception and knowledge of advance practice nursing. The results show that the majority of nurse leaders recognize a need for APRNS in order to create better access to care, however, the nursing education and legislation in the majority of the countries does not support APRN practices. This is an interesting introduction of APRNs in Latin America and the Caribbean for anyone who has interest of working in these areas.
cherirobison

http://www.cdc.gov/mmwr/volumes/65/wr/pdfs/mm6531a2.pdf Incidence of Neonatal Abstinenc... - 1 views

Neonatal Abstinence Syndrome (NAS) has risen to epidemic rates in the U.S. and is under-reported. The data for 28 states, reported in this article, indicates these trends. The use of ICD-9 codes ar...

practice APRN Policy

started by cherirobison on 31 Aug 16 no follow-up yet
anonymous

The Future History of Gerontological Nursing - 6 views

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    This article does a great job of summarizing the history of geriatric NPs role in care, the development education for geriatric NPs beginning with the first program in 1966 and the unmet demand for nurses trained in geriatrics.
kdevillers

Challenges of advanced practice nursing in pediatric acute and critical care: education... - 1 views

Sadly, a little dated, but still an interesting look at the importance of the APRN role and its effects on the patient population http://www.sciencedirect.com.proxy.library.emory.edu/science/articl...

APRN acute care pediatrics

started by kdevillers on 18 Sep 16 no follow-up yet
briansestrich

Certification and education as determinants of nurse practitioner scope of practice: An... - 3 views

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    This article is about scope of practice and gives a state by state analysis of regulations and how the 2008 consensus applies.
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