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Journal articles on the topic 'Nurse practitioner practice'

Author: Grafiati

Published: 4 June 2021

Last updated: 17 February 2022

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1

Heale, Roberta. "Theory of the Evolution of Nurse Practitioner Practice." Nurse Practitioner Open Journal 1, no. 1 (May 30, 2021): 23–36. http://dx.doi.org/10.28984/npoj.v1i1.340.

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Aim: To determine the nurse practitioner's perception of scope of practice and understanding of changes to practice over time. Background: A great deal of research about nurse practitioners has been conducted related to such things as role clarity, transition, or preparedness to practice and job satisfaction. Conceptual models of nurse practitioner practice have been developed to highlight practice processes, interprofessional relationships and more. However, none of this literature addresses nurse practitioner's perception of scope of practice, the impact of their changing practice experiences and how the understanding of their practice changes over time. Methods: This grounded theory study was undertaken in Ontario, Canada, with interviews of primary health care nurse practitioners which resulted in the Theory of the Evolution of Nurse Practitioner Practice. Conclusion: Within this theory, scope of practice is defined as nurse practitioners working to their maximum potential. There are both intrinsic and extrinsic elements which render maximum practice potential a fluid and changing state.

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Perry, John J. "State-Granted Practice Authority: Do Nurse Practitioners Vote with Their Feet?" Nursing Research and Practice 2012 (2012): 1–5. http://dx.doi.org/10.1155/2012/482178.

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Nurse practitioners have become an increasingly important part of the US medical workforce as they have gained greater practice authority through state-level regulatory changes. This study investigates one labor market impact of this large change in nurse practitioner regulation. Using data from the National Sample Survey of Registered Nurses and a dataset of state-level nurse practitioner prescribing authority, a multivariate estimation is performed analysing the impact of greater practice authority on the probability of a nurse practitioner moving from a state. The empirical results indicate that nurse practitioners in states that grant expanded practice are less likely to move from the state than nurse practitioners in states that have not granted expanded practice authority. The estimated effect is robust and is statistically and economically meaningful. This finding is in concert with and strengthens the wider literature which finds states that grant expanded practice authority to nurse practitioners tend to have larger nurse practitioner populations.

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Carey, Lynda. "Practice nurse or nurse practitioner?" Primary Health Care 5, no. 9 (October 1995): 12–14. http://dx.doi.org/10.7748/phc.5.9.12.s11.

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BUPPERT, CAROLYN. "Nurse Practitioner Private Practice." Nurse Practitioner 21, no. 4 (April 1996): 32???37. http://dx.doi.org/10.1097/00006205-199604000-00003.

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5

Cashin, Andrew. "The First Private Practice as a Registration Authority Authorised Nurse Practitioner in Australia." Australian Journal of Primary Health 12, no. 3 (2006): 20. http://dx.doi.org/10.1071/py06041.

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The first private practice conducted, owned by and advertised as an authorised nurse practitioner practice in Australia was established in February 2004. A mental health nurse practitioner established the practice in a medical centre to provide counselling and mental health services for individuals, couples and families. This paper discusses the first 18 months of operation and considers the experience in the context of the small amount of published data, internationally, related to nurse owned and run private practices in general, and nurse practitioner practices. The practical steps of setting up, reimbursement and meeting challenges, in particular, are discussed. Diary entries and copies of emails were used as data through which the experience was tracked. The conclusion was reached that private practice as a nurse practitioner is possible. Scope of practice and financial remuneration are limited by the current third party reimbursement arrangements under Medicare and the lack of provision of PBS provider numbers to nurse practitioners.

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Son, I. M., A. A. Kalininskaya, L. A. Gadzhieva, A. V. Gazheva, and S. I. Shlyafer. "Promising models of the organization of general medical practices in a city." Kazan medical journal 98, no. 6 (December 15, 2017): 1034–39. http://dx.doi.org/10.17750/kmj2017-1034.

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Aim. To propose promising organizational and functional models of general medical practices in a city with the expansion of the functions of paramedical personnel. Methods. Analysis of the forms data of federal statistical observation in Russia and its subjects was carried out. The following research methods were used: content analysis, statistical method, direct observation, sociological method (questionnaire), functional organizational modelling. Results. The indicators of availability of general practitioners (family doctors) and nurses of a general practitioner in Russia and its subjects are presented. The main reasons for inhibiting the introduction of the institute of general medical practice in a city are revealed. The actual model of general medical practice in a medical organization is presented, that provides outpatient medical care, as well as prospective models of general medical practices, focused on the rational use of resources, including specialists with secondary-level medical education in accordance with their level of professional competence. Different variants of perspective models are discussed for general medical practice in the conditions of city policlinics serving the adult population and distinguished by the forms of work; (1) an independent appointment for patients with the general practitioner’s nurse is organized; (2) preliminary appointment for patients with general practitioner’s nurse together with a general practitioner; (3) independent, before-doctor appointment for patients with a medical assistant and a nurse of a general practitioner; (4) a complex team of general practice can include a medical register. Conclusion. The proposals on improving the organizational bases for the activities of general medical practices in a city were developed.

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Schwegel, Claire, Nicole Rothman, Kimberly Muller, Stephanie Loria, Katherine Raunig, Jamie Rumsey, Johanna Fifi, Thomas Oxley, and J. Mocco. "Meeting the evolving demands of neurointervention: Implementation and utilization of nurse practitioners." Interventional Neuroradiology 25, no. 2 (September 30, 2018): 234–38. http://dx.doi.org/10.1177/1591019918802411.

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Growth in the neurointerventional field, as a result of the emergence of thrombectomy as the gold standard treatment for large vessel occlusions, has created complex challenges. In an effort to meet evolving demands and fill workflow gaps, nurse practitioners have taken on highly specialized roles. Neurointerventional care has rapidly evolved similarly to interventional cardiac care, in that nurse practitioners are successfully being incorporated as procedural assistants in catheterization laboratories. Similar utilization of nurse practitioners in interventional neuroradiology holds the capacity to decrease physician workload, mitigate stresses contributing to burn-out, and reallocate more physician time to procedures. Nurse practitioner practice faces procedural, clinical, legal and interpersonal barriers. Despite calls for expanded practice by the Institutes of Medicine, a paucity of nurse practitioner training opportunities exists. Fragmented privileging processes contribute to environments where nurse practitioners must navigate hurdles without established interventional neuroradiology-specific precedent. Increased nurse practitioner mentorship, fluoroscopy law standardization, physician support surrounding nurse practitioner autonomy, and role consistency is imperative for optimal nurse practitioner utilization. Nurse practitioners are uniquely equipped to bridge evolving gaps through the provision of safe, efficacious care, and generating revenue at lower costs. Discussion surrounding nurse practitioner use to bridge workflow gaps is an exciting opportunity for future practice development.

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Karnick, Paula M. "Humanbecoming Theory in Practice." Nursing Science Quarterly 25, no. 2 (March 25, 2012): 147–48. http://dx.doi.org/10.1177/0894318412437957.

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The age-old battle of what to include in nursing education continues. Now this battle extends itself into nurse practitioner education with a slightly different twist. Abandoning nursing theory-guided education for the medical model leaves nurse practitioner education flat. In this author’s academic experience, nursing theory was included in the curriculum. The exemplar presented is testament to the distinction and significance of including nursing theory-guided education. The unique difference between nurse practitioners and physicians is the use of theory in practice.

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Middleton, Sandy, Anne Gardner, Glenn Gardner, and Phillip R. Della. "The status of Australian nurse practitioners: the second national census." Australian Health Review 35, no. 4 (2011): 448. http://dx.doi.org/10.1071/ah10987.

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Objectives. To profile Australian nurse practitioners and their practice in 2009 and compare results with a similar 2007 census. Methods. Self-administered questionnaire. Results. A total of 293 nurse practitioners responded (response rate 76.3%). The majority were female (n = 229, 81.2%); mean age was 47.3 years (s.d. = 8.1). As in 2007, emergency nurse practitioners represented the largest clinical specialty (n = 63, 30.3%). A majority practiced in a metropolitan area (n = 133, 64.3%); a decrease from 2007. Consistent with 2007, only 71.5% (n = 208) were employed as a nurse practitioner and 22.8% (n = 46) were awaiting approval for some or all of their clinical protocols. Demographic data, allocations of tasks, and patterns of practice remained consistent with 2007 results. ‘No Medicare provider number’ (n = 182, 91.0%), ‘no authority to prescribe using the Pharmaceutical Benefits Scheme’ (n = 182, 89.6%) and ‘lack of organisational support’ (n = 105, 52.2%) were reported as ‘limiting’ or ‘extremely limiting’ to practice. Conclusions. Our results demonstrate less than satisfactory uptake of the nurse practitioner role despite authorisation. Barriers constraining nurse practitioner practice reduced but remained unacceptably high. Adequate professional and political support is necessary to ensure the efficacy and sustainability of this clinical role. What is known about the topic? The nurse practitioner is a developing new model of healthcare delivery that performs an advanced clinical role and is becoming increasingly important in the overburdened Australian healthcare system. Our census conducted in 2007 indicated that nurse practitioners perceived many barriers to their practice and were underutilised in the Australian healthcare workforce, specifically because of their inability to prescribe medications. What does this paper add? This paper provides a second census of Australian nurse practitioners in 2009. Similar to the results in 2007, the study indicates that nurse practitioners remain underutilised, with many unable to perform roles within their defined scope of practice because of limitations, such as inability to prescribe medications, lack of a Medicare provider number and awaiting approval for clinical protocols. Lack of support from within healthcare organisations and the nursing profession also were found. What are the implications for practitioners? Nurse practitioners are not being utilised to their maximum clinical capacity despite increasing pressures on the health system. Many of the barriers to nurse practitioner practice that were flagged in 2007 remained issues in 2009. It is hoped the current legislative reform through the Health Legislation Amendment (Midwives and Nurse Practitioners) Act 2010 (Cth) will adequately address these issues.

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Lazareth, Victoria. "Dermatology Nurse Practitioner Practice Analysis." Journal of the Dermatology Nurses’ Association 11, no. 3 (2019): 111–12. http://dx.doi.org/10.1097/jdn.0000000000000462.

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Towers, Jan. "Nurse Practitioner Practice in 2003." Journal of the American Academy of Nurse Practitioners 15, no. 12 (December 2003): 530–35. http://dx.doi.org/10.1111/j.1745-7599.2003.tb00343.x.

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12

Seibert, Diane C. "Genomics and nurse practitioner practice." Nurse Practitioner 39, no. 10 (October 2014): 18–28. http://dx.doi.org/10.1097/01.npr.0000453641.13662.03.

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&NA;. "Genomics and nurse practitioner practice." Nurse Practitioner 39, no. 10 (October 2014): 28–29. http://dx.doi.org/10.1097/01.npr.0000454994.80176.ba.

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Tyler, Diane O., Karen Sue Hoyt, Dian Dowling Evans, Lorna Schumann, Elda Ramirez, Jennifer Wilbeck, and Donna Agan. "Emergency nurse practitioner practice analysis." Journal of the American Association of Nurse Practitioners 30, no. 10 (October 2018): 560–69. http://dx.doi.org/10.1097/jxx.0000000000000118.

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15

Clavelle, Joanne T., and Kenneth Bramwell. "Nurse Practitioner/Physician Collaborative Practice." JONA: The Journal of Nursing Administration 43, no. 6 (June 2013): 318–20. http://dx.doi.org/10.1097/nna.0b013e3182942b1c.

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Keith, Margaret. "Becoming an advanced practice nurse: Neonatal nurse practitioner." Newborn and Infant Nursing Reviews 1, no. 3 (September 2001): 139–41. http://dx.doi.org/10.1053/nbin.2001.25895.

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Keough, V., J. Jennrich, K. Holm, and W. Marshall. "A collaborative program for advanced practice in trauma/critical care nursing." Critical Care Nurse 16, no. 2 (April 1, 1996): 120–27. http://dx.doi.org/10.4037/ccn1996.16.2.120.

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The students and faculty enrolled in the first TNP class have set a standard for future TNPs: a rigorous course of education with advanced practice and scholarship within an advanced practice collaborative model. Because of the increasingly number of trauma victims and the highly specialized care they require, nurses must come forward and provide quality care. The TNPs and their faculty must promote further recognition of the TNP role, become leaders in the field of acute care, and continue to develop and maintain collaborative relationship with physicians in support of advanced practice nursing in many areas of tertiary care. The first three graduates of the trauma/critical care practitioner class are now employed in advanced practice roles and are applying their education within trauma/critical care settings. Two of the students are trauma nurse practitioners in a community hospital, and one is a critical care nurse practitioner in a university hospital. Currently, there is an acute care nurse practitioner certification examination that is appropriate for nurses in the field of trauma/critical care. Co-sponsored by the AACN Certification Corporation and the American Nurses Credentialing Center, this examination is offered twice a year, in June and October. AACN is active in supporting and promoting the TNP role and, in conjunction with the American Nurses Association, has developed new standards of care and scope of practice to include this expanded role for the advanced practice nurse. The future for this exciting and demanding role looks bright for the advanced practice nurse interested in the care of the acutely ill patient. The time is right for this collaboration between nurses and physicians.

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Desborough, Jane L. "How nurse practitioners implement their roles." Australian Health Review 36, no. 1 (2012): 22. http://dx.doi.org/10.1071/ah11030.

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Objective. This is a report of a qualitative health research study examining how nurse practitioners construct and implement their roles. Methods. In-depth interviews and a focus group discussion were conducted to obtain narrative data from nurse practitioners from a variety of clinical backgrounds. Data were analysed utilising the principles of grounded theory. Subjects. Seven nurse practitioners participated in face-to-face interviews and six participated in a focus group discussion. Results. The central process of ‘developing legitimacy and credibility’ is achieved through the processes of: ‘developing Clinical Practice Guidelines’, ‘collaborating with the multidisciplinary team’, ‘communicating’, and ‘transitioning to practice’. Conclusion. Policy makers and those responsible for operationalising nurse practitioner roles need to support the central process of developing legitimacy and credibility vital for successful implementation. First, this involves enabling a supportive and informed process of Clinical Practice Guideline development. Second, key inter-disciplinary relationships need to be identified to facilitate collaboration and sources of mentorship for nurse practitioners. Finally, an identified period of transition will facilitate identification, development and implementation of the above processes. What is known about the topic? The contemporary role of the nurse practitioner was introduced to provide a flexible, innovative, integrated care strategy, providing increased continuity of nursing care at an advanced practice level. Implementation of the role of the nurse practitioner can be challenging and is influenced by several identified barriers and facilitators. What does this paper add? This paper adds an understanding of workplace relationships and processes, which are integral to the construction and implementation of nurse practitioner roles. The interplay of these processes and relationships support the central process of ‘developing legitimacy and credibility’. What are the implications for practitioners? This paper provides a clear guide for policy makers and those responsible for operationalising nurse practitioner roles in regard to the requirements underpinning successful role development and implementation.

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Duthie, G. S., P. J. Drew, M. A. P. Hughes, R. Farouk, R. Hodson, K. R. Wedgwood, and J. R. T. Monson. "A UK training programme for nurse practitioner flexible sigmoidoscopy and a prospective evaluation of the practice of the first UK trained nurse flexible sigmoidoscopist." Gut 43, no. 5 (November 1, 1998): 711–14. http://dx.doi.org/10.1136/gut.43.5.711.

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Background—Flexible sigmoidoscopy is a technical skill that has been successfully performed by suitably trained colorectal nurse practitioners in the USA. However, no recognised training course exists for nurse practitioners in the UK.Aims—To design and evaluate a training programme for nurse endoscopists.Methods—A multidisciplinary committee of nurses and clinicians developed a structured programme of study and practice. This involved a staged process of observations, withdrawals, and ultimately, full procedures. Once training had been completed the nurse practitioner was permitted to practice independently. Patients with colorectal symptoms referred for flexible sigmoidoscopy were examined for the final stages of training and independent practice. A prospective evaluation of the training and practice of the first trained nurse flexible sigmoidoscopist was performed. Barium enema, video, clinical follow up, and histology were used to validate the results of the flexible sigmoidoscopies.Results—The training programme required that 35 observations, 35 withdrawals, and 35 supervised full procedures were performed prior to the development of independent practice. Subsequent to the completion of this programme 215 patients have been examined independently by the nurse practitioner. Ninety three per cent of the examinations were judged successful and pathology was identified in 51%. The nurse endoscopist successfully identified all “significant” pathology whereas barium enema failed to identify pathology in 12.5%. There were no complications.Conclusion—With suitable training nurse endosocopists are able to perform flexible sigmoidoscopy safely and effectively.

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Shuler, Pamela A., and Roxana Huebscher. "Clarifying Nurse Practitioners' Unique Contributions: Application of The Shuler Nurse Practitioner Practice Model." Journal of the American Academy of Nurse Practitioners 10, no. 11 (November 1998): 491–99. http://dx.doi.org/10.1111/j.1745-7599.1998.tb00478.x.

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Scharer, Kathleen, Mary Boyd, Carol A. Williams, and Kathleen Head. "Blending Specialist and Practitioner Roles in Psychiatric Nursing: Experiences of Graduates." Journal of the American Psychiatric Nurses Association 9, no. 4 (August 2003): 136–44. http://dx.doi.org/10.1016/s1078-3903(03)00161-7.

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BACKGROUND: Blended roles in advanced practice nursing have generated much discussion but little study. As role modifications emerge in nursing, there is a need to explore their implementation. OBJECTIVE: This descriptive study examined the experiences of nurses who were implementing blended roles as psychiatric clinical specialists and adult nurse practitioners. DESIGN: Four master of science in nursing and 10 postmasters nurses who had been practicing in blended roles for 1 to 2 years were interviewed about their experiences in implementing their roles. Interviews were tape recorded, transcribed, and content analyzed. RESULTS: Respondents believed they were practicing holistically, were able to appropriately integrate physical and psychological care of the patient, and found chronic psychiatric patients to have more complex physical illnesses than they had anticipated. In addition, the advanced practice nurses were satisfied with their roles, felt supported by their physician preceptors, and described cross-consultation with physicians and nonpsychiatric nurse practitioners. CONCLUSIONS: There are roles for advanced practice nurses who blend clinical specialist and adult nurse practitioner skills in the care of psychiatric and primary care patients.

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Apold, Susan. "Public Policy and Nurse Practitioner Practice." Journal for Nurse Practitioners 3, no. 10 (November 2007): 672. http://dx.doi.org/10.1016/j.nurpra.2007.09.005.

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Bush, Tom. "Musculoskeletal Disease in Nurse Practitioner Practice." Journal for Nurse Practitioners 16, no. 1 (January 2020): A9. http://dx.doi.org/10.1016/j.nurpra.2019.10.003.

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Dunn, Sandra V., Andrew Cashin, Thomas Buckley, and Claire Newman. "Nurse practitioner prescribing practice in Australia." Journal of the American Academy of Nurse Practitioners 22, no. 3 (March 2010): 150–55. http://dx.doi.org/10.1111/j.1745-7599.2009.00484.x.

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Kuntz, Kathleen Ryan. "“Deadly spin” on nurse practitioner practice." Journal of the American Academy of Nurse Practitioners 23, no. 11 (October 25, 2011): 573–76. http://dx.doi.org/10.1111/j.1745-7599.2011.00667.x.

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Hudspeth, Randall S., and Tracy A. Klein. "Understanding nurse practitioner scope of practice." Journal of the American Association of Nurse Practitioners 31, no. 8 (August 2019): 468–73. http://dx.doi.org/10.1097/jxx.0000000000000268.

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Aleshire, Mollie E., Kathy Wheeler, and Suzanne S. Prevost. "The Future of Nurse Practitioner Practice." Nursing Clinics of North America 47, no. 2 (June 2012): 181–91. http://dx.doi.org/10.1016/j.cnur.2012.04.002.

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Poghosyan, Lusine, Allison A. Norful, and Grant R. Martsolf. "Primary Care Nurse Practitioner Practice Characteristics." Journal of Ambulatory Care Management 40, no. 1 (2017): 77–86. http://dx.doi.org/10.1097/jac.0000000000000156.

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Sampson, Deborah A. "Alliances of Cooperation: Negotiating New Hampshire Nurse Practitioners’ Prescribing Practice." Nursing History Review 17, no. 1 (January 2009): 153–78. http://dx.doi.org/10.1891/1062-8061.17.153.

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Nurse practitioner legislation varies among states, particularly in relation to practice without physician oversight, altering the legal environment within which nurse practitioners can use knowledge and skills to meet patient needs. Using New Hampshire as a case study, this historical analysis of nurse practitioners’ negotiations over time for independent practice, defined in state practice acts, illuminates the complex social and economic factors affecting nurses’ struggle to gain legal rights over their own professional practice without supervision and intervention from another profession. In New Hampshire, not only did organized medicine oppose nurses’ rights to practice, but pharmacists demanded the right to control all aspects of medication management, including who could prescribe and under what circumstances prescribing could occur. Shifting social and political terrain as well as changes in legislative and state professional board leadership affected the environment and negotiations of a small group of nurses who were ultimately successful in obtaining the right to define their own professional practice.

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Gigli, Kristin H., Mary S. Dietrich, Peter I. Buerhaus, and Ann F. Minnick. "Nurse Practitioners and Interdisciplinary Teams in Pediatric Critical Care." AACN Advanced Critical Care 29, no. 2 (June 15, 2018): 138–48. http://dx.doi.org/10.4037/aacnacc2018588.

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Objective: To describe the members of pediatric intensive care unit interdisciplinary provider teams and labor inputs, working conditions, and clinical practice of pediatric intensive care unit nurse practitioners. Methods: A national, quantitative, crosssectional, descriptive postal survey of pediatric intensive care unit medical directors and nurse practitioners was administered to gather information about provider-team members, pediatric intensive care unit nurse practitioner labor inputs, working conditions, and clinical practice. Descriptive statistics, cross-tabulations, and χ2 tests were used. Results: Responses from 97 pediatric intensive care unit medical directors and 59 pediatric intensive care unit nurse practitioners representing 126 institutions were received. Provider-team composition varied between institutions with and without nurse practitioners. Pediatric intensive care units employed an average of 3 full-time nurse practitioners; the average nurse practitioner-to-patient ratio was 1 to 5. The clinical practice reported by medical directors was consistent with practice reported by nurse practitioners. Conclusion: Nurse practitioners are integrated into interdisciplinary pediatric intensive care unit teams, but institutional variation in team composition exists. Investigating models of care contributes to the understanding of how models influence positive patient and organizational outcomes and may change future role implementation.

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Ryder, Mary. "Is Heart Failure Nursing Practice at the Level of a Clinical Nurse Specialist or Advanced Nurse Practitioner? The Irish Experience." European Journal of Cardiovascular Nursing 4, no. 2 (June 2005): 101–5. http://dx.doi.org/10.1016/j.ejcnurse.2004.12.001.

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Since 2000 there has been a significant increase of Heart Failure Nursing positions in the Irish health service. The background to these positions has been based on the model established at St. Vincent's University Hospital, Dublin since 1998. Recognition of nursing practice in Ireland has also transformed with the introduction of Clinical Nurse Specialist and Advance Nurse Practitioner positions. To date Clinical Nurse Specialists coordinate and manage heart failure programmes, however it remains to be seen whether current practices are within the scope of practice of these nurses. Advanced Nurse Practitioner is a new position in Irish Nursing from examining guidelines and education this may be the way forward for Heart Failure Nursing in Ireland.

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Lucas, Anne M. "On Becoming a Doctor of Nursing Practice." Clinical Scholars Review 8, no. 1 (2015): 75–76. http://dx.doi.org/10.1891/1939-2095.8.1.75.

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Life is a journey in which most people strive for the greater good. Nurses strive for the total good. We want to make a positive impact on every life that we touch. To do this, we push ourselves to be better care providers. This often entails further education, broader experience, and greater skills. And sometimes it is ourselves that we need to nourish to do this. This article chronicles 1 nurse practitioner’s journey and transformation on becoming a doctoral prepared nurse practitioner. This, in turn, not only transformed the nurse’s practice but also transformed many other people’s lives.

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Yackel, Edward, Daniel Blaz, Brad Franklin, and Grace Northrup. "The army nurse practitioner transition to practice program." Journal of Nursing Education and Practice 8, no. 12 (August 13, 2018): 71. http://dx.doi.org/10.5430/jnep.v8n12p71.

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The Army Nurse Corps established a Transition to Practice Program (TPP) to better position Army NPs to excel in complex clinical environments. The purpose of the TPP was to provide a structured educational transition to clinical practice for new graduate Advance Practice Registered Nurses (APRNs). A small pilot (test-of-change) was conducted at two Army hospitals. The results of the pilot indicated that length of time was the most important factor for the program. Findings during this pilot implementation were limited, but provide great insight into revising the program in order to produce skilled and confident Army APRNs.

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Rogers, Melanie, Janet Hargreaves, and John Wattis. "Spiritual Dimensions of Nurse Practitioner Consultations in Family Practice." Journal of Holistic Nursing 38, no. 1 (April 5, 2019): 8–18. http://dx.doi.org/10.1177/0898010119838952.

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Purpose of Study: To explore the spiritual dimensions of nurse practitioner consultations in primary care through the lens of availability and vulnerability. Design of Study and Methods Used: A hermeneutic phenomenological enquiry exploring the spiritual dimensions of primary care consultations consisting of two interviews per participant over an 18-month period was conducted with nurse practitioners in the United Kingdom. A purposive sample of eight nurse practitioners were recruited and interviewed. Interviews were fully transcribed and analyzed thematically. Findings: Participants identified that spirituality can be difficult to conceptualize and operationalize in practice. Participants articulated the meaning of spirituality and gave examples of when they had witnessed a spiritual dimension in practice. Key themes included how nurse practitioners conceptualize spirituality, the context for spirituality to be integrated into care, and the importance of spirituality as an aspect of holistic care. The concepts of Availability and Vulnerability were used intentionally as a lens in the study to explore whether these concepts and approaches to practice could enhance integration of spirituality into practice. Conclusion: Knowledge and understanding regarding spirituality in nurse practitioners consultations in primary care has been uncovered. A framework for operationalizing spirituality has been developed.

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Carryer, Jenny, Glenn Gardner, Sandra Dunn, and Anne Gardner. "The capability of nurse practitioners may be diminished by controlling protocols." Australian Health Review 31, no. 1 (2007): 108. http://dx.doi.org/10.1071/ah070108.

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Nurse practitioners will become a vital component of the health workforce because of the growing need to manage chronic illness, to deliver effective primary health services, and to manage workforce challenges effectively. In addition, the role of nurse practitioner is an excellent example of increased workforce flexibility and changes to occupational boundaries. This paper draws on an Australasian research project which defined the core role of nurse practitioners, and identified capability as the component of their level of practice that makes their service most useful. We argue that any tendency to write specific protocols to define the limits of nurse practitioner practice will reduce the efficacy of their contribution. The distinction we wish to make in this paper is between guidelines aiming to support practice, and protocols which aim to control practice.

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Tedesco, Janel. "Acute Care Nurse Practitioners in Transplantation: Adding Value to Your Program." Progress in Transplantation 21, no. 4 (December 2011): 278–83. http://dx.doi.org/10.1177/152692481102100404.

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Nurse practitioners are nurses who are prepared at the graduate level. They exercise autonomy in clinical decision making, perform physical examinations and obtain health histories, diagnose and treat a variety of illnesses, provide education and counseling to patients, perform procedures, and ultimately provide cost-effective care. The role of the nurse practitioner evolved in the 1960s, when nurse practitioners filled a void in response to the nationwide shortage of physicians. Today, nurse practitioners specialize both by degree and by certification examination. There are several types of nurse practitioners, including acute care, adult, family practice, and pediatric. The incorporation of acute care nurse practitioners (ACNPs) in transplant programs is an emerging field and varies across the country from center to center. The goals of this article are to (1) identify implications for ACNPs in transplant, (2) discuss the value of using ACNPs in practice, and (3) explore billing and regulatory aspects of ACNPs in transplant programs.

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Moss, Colleen, and Joanie Jackson. "Mentoring New Graduate Nurse Practitioners." Neonatal Network 38, no. 3 (May 1, 2019): 151–59. http://dx.doi.org/10.1891/0730-0832.38.3.151.

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There is a critical shortage of neonatal nurse practitioners (NNPs) in the United States. The NNP shortage increases workload and negatively affects job satisfaction, which ultimately impacts patient safety. Therefore, it is imperative to identify strategies to improve job satisfaction and retention. Authors of current evidence supported the connection between mentoring and role transition, job satisfaction, and intent to stay. Mentorship is key to the success of new graduate nurse practitioners as they develop confidence in the nurse practitioner (NP) role. The aim of this integrative review is to examine the existing evidence regarding mentoring of advanced practice nurses and the potential impact on the NNP workforce.

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Paynter, Martha, Wendy V. Norman, and Ruth Martin-Misener. "Nurses are Key Members of the Abortion Care Team: Why aren’t Schools of Nursing Teaching Abortion Care?" Witness: The Canadian Journal of Critical Nursing Discourse 1, no. 2 (December 10, 2019): 17–29. http://dx.doi.org/10.25071/2291-5796.30.

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Abortion is a common and safe procedure in Canada, with the Canadian Institute for Health Information reporting approximately 100,000 procedures per year. Yet access remains problematic. As abortion is unrestricted by criminal law in Canada, access is limited by geographic barriers and by a shortage of providers. We present a feminist critical lens to describe how the marginalization of nursing and nurses in abortion care contributes to social stigma and public misunderstanding about abortion access. The roles of registered nurses and nurse practitioners in abortion advocacy, service navigation, counselling, education, support, physiological care and follow up are underutilized and under-researched. In 2015, decades after its availability elsewhere in the world, Health Canada approved mifepristone (a pill for medical abortion). In 2017, provincial regulators began to authorize nurse practitioners to independently provide medical abortion care, as appropriate given the inclusion in nurse practitioner scope of practice to order diagnostic tests, make diagnoses, and treat health conditions. Ensuring nurse practitioners are able to practice medical abortion has the potential to significantly increase abortion access for rural, remote and other marginalized populations. There is also an opportunity to optimize the registered nurse role in abortion care. However, achieving these improvements is challenging as abortion is not routinely taught in Canadian Schools of Nursing. We argue that to destigmatize abortion and improve access, undergraduate nursing and nurse practitioner programs across the country must begin to include abortion and family planning competencies.

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Crigger, Nancy, and Lygia Holcomb. "Improving Nurse Practitioner Practice through Rational Prescribing." Journal for Nurse Practitioners 4, no. 2 (February 2008): 120–25. http://dx.doi.org/10.1016/j.nurpra.2007.12.004.

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Lindeke, Linda L., Mary R. Hauck, and Mary Tanner. "Creating spaces that enhance nurse practitioner practice." Journal of Pediatric Health Care 12, no. 3 (May 1998): 125–29. http://dx.doi.org/10.1016/s0891-5245(98)90242-5.

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Wempe, Evelyn P. "Advanced Practice: The Interventional Oncology Nurse Practitioner." Journal of Radiology Nursing 33, no. 2 (June 2014): 87. http://dx.doi.org/10.1016/j.jradnu.2014.03.001.

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Lowie, Allison M. "Teledermatology: A Tool for Nurse Practitioner Practice?" Journal for Nurse Practitioners 8, no. 8 (September 2012): 617–20. http://dx.doi.org/10.1016/j.nurpra.2012.06.003.

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Davis, Leslie L. "Applying Evidence to Nurse Practitioner Cardiovascular Practice." Journal for Nurse Practitioners 15, no. 1 (January 2019): A7. http://dx.doi.org/10.1016/j.nurpra.2018.11.013.

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Carlson-Catalano, Judy, and M. Kay M. Judge. "Marketing Nursing in a Nurse Practitioner Practice." International Journal of Nursing Terminologies and Classifications 9, s2 (April 1998): 155–58. http://dx.doi.org/10.1111/j.1744-618x.1998.tb00186.x.

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Herman, JoAnne. "Documenting Acute Care Nurse Practitioner Practice Characteristics." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 9, no. 2 (May 1998): 277–82. http://dx.doi.org/10.1097/00044067-199805000-00011.

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Shapiro, Dorothy, and Neil Rosenberg. "Acute Care Nurse Practitioner Collaborative Practice Negotiation." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 13, no. 3 (August 2002): 470–78. http://dx.doi.org/10.1097/00044067-200208000-00011.

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Sportsman, Susan, Linda J. Hawley, Susan Pollock, and Gayle Varnell. "Practice management skills for the nurse practitioner." Journal of Professional Nursing 17, no. 5 (September 2001): 226–32. http://dx.doi.org/10.1053/jpnu.2001.26304.

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Lindeke, Linda L., Theresa R. Bly, and Rachel A. Wilcox. "Perceived barriers to rural nurse practitioner practice." Clinical Excellence for Nurse Practitioners 5, no. 4 (July 2001): 218–21. http://dx.doi.org/10.1054/xc.2001.24218.

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Newland, Jamesetta A. "2006 Nurse Practitioner Salary & Practice Survey." Nurse Practitioner 31, no. 5 (May 2006): 39–43. http://dx.doi.org/10.1097/00006205-200605000-00007.

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Towers, Jan. "Status of Nurse Practitioner Practice Report 1." Journal of the American Academy of Nurse Practitioners 11, no. 8 (August 1999): 343. http://dx.doi.org/10.1111/j.1745-7599.1999.tb00590.x.

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