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Dissertations / Theses on the topic 'Nurse practitioners'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 July 2025

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1

Crumbie, Alison. "A nurse practitioner's tale : an autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses." Thesis, Swansea University, 2005. https://cronfa.swan.ac.uk/Record/cronfa42455.

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Nurse practitioners began practising in the UK in the 1980s. Since then the numbers have grown and a body of research has developed relating to the role. The criticism of nurse practitioners has been that they work as "mini doctors" and that they no longer belong to the family of nursing. If nurse practitioners have more in common with medicine than they do with nursing one might expect to find that nurse practitioners have moved away from the values of nursing and have instead moved toward the values of medicine. To date we know relatively little about the role of the nurse practitioner. The

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2

Shea, Mary Louise. "Determined Persistence: Achieving and Sustaining Job Satisfaction among Nurse Practitioners." Fogler Library, University of Maine, 2008. http://www.library.umaine.edu/theses/pdf/SheaML2008.pdf.

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3

Dunaway, Linda J. "Job satisfaction among Nevada nurse practitioners." abstract, 2008. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1453535.

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4

Harper-Femson, Lee Anne. "Nurse practitioners' role satisfaction." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0012/NQ35403.pdf.

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5

Abney, Laura Ann. "Obstetrical Screening Practices of Nurse-Midwives and Nurse Practitioners." UNF Digital Commons, 2009. http://digitalcommons.unf.edu/etd/243.

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With the continued growth in the numbers of nurse practitioners and certified nurse-midwives, more and more women will receive prenatal care from advanced practice nurses. The purpose of this research was to assess the routine screening practices of advance practice nurses providing prenatal care and to compare those practices with current guidelines. The study focused on five areas of prenatal screening: bacterial vaginosis, group B streptococcus, gestational diabetes, maternal serum markers, and fetal movement monitoring. The interaction model of client health behavior by Cheryl Cox, specifi

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6

Bort, Nicole L. "Strengthening Dermatology Education for Nurse Practitioners." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1613586476133546.

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7

Mayne, Susan. "Strengthening Dermatology Education for Nurse Practitioners." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent161419836186678.

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8

Snow, Sharon K. Russell Jan Wampler. "The nurse practitioner's experience with obese patients." Diss., UMK access, 2006.

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Thesis (Ph. D.)--School of Nursing. University of Missouri--Kansas City, 2006.<br>"A dissertation in nursing." Advisor: Jan Russell. Typescript. Vita. Title from "catalog record" of the print edition Description based on contents viewed Nov. 9, 2007. Includes bibliographical references (leaves 117-128). Online version of the print edition.

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9

Bertness, Janette A. "Rhode Island nurse practitioners : are they legally practicing medicine without a license? /." abstract and full text PDF (UNR users only), 2008. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1461532.

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Thesis (M.J.S.)--University of Nevada, Reno, 2008.<br>"December, 2008." Includes bibliographical references (leaves 50-58). Library also has microfilm. Ann Arbor, Mich. : ProQuest Information and Learning Company, [2009]. 1 microfilm reel ; 35 mm. Online version available on the World Wide Web.

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10

MacDonald, Jane A. T. "Physicians' perceptions of nurse practitioners and collaboration." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ63829.pdf.

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11

Quinlan, Amy. "Attitudes of nurse practitioners toward interprofessional collaboration." Thesis, The William Paterson University of New Jersey, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3680893.

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<p> Effective interprofessional collaboration between nurse practitioners and physicians is imperative to meet the health care needs of all Americans. This project measures attitudes of nurse practitioners to determine the barriers to effective interprofessional collaboration with their physician colleagues. It was hypothesized that there is a positive relationship between nurse practitioner attitudes and interprofessional collaboration and a positive relationship between years in practice and interprofessional collaboration. Sixty-three nurse practitioners participated by completing the Colla

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12

Suarez, Maria. "Shared governance for advanced registered nurse practitioners." NSUWorks, 2015. https://nsuworks.nova.edu/hpd_con_stuetd/13.

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13

Rowand, Leanne Christine. "Primary Care Nurse Practitioners and Organizational Culture." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4169.

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Nurse practitioners (NPs) were introduced to the British Columbia healthcare system 12 years ago. Integration challenges related to infrastructure and relationships between administrators and physicians continue. The purpose of this project was to understand how nurse practitioners, working in primary care roles, experience the organizational climate within their healthcare agency. Kanter's empowerment theory guided this project. Data were collected using the Nurse Practitioner Primary Care Organizational Climate Questionnaire. A total of 64 NPs relayed their degree of perceived organizational

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14

Chan, Seung-chuen. "The development of four advanced nursing roles in the United States, the United Kingdom, Australia, and Hong Kong a comparative analysis of nurse practitioner, clinical nurse specialist, nurse midwife, and nurse anesthetist /." Click to view the E-thesis via HKUTO, 2002. http://sunzi.lib.hku.hk/hkuto/record/B31972809.

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15

Woolsey, Mary Helen. "Nurse practitioner preparedness for entry into practice." Laramie, Wyo. : University of Wyoming, 2006. http://proquest.umi.com/pqdweb?did=1203574201&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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16

Schindler, Mary Jean. "Selected Functions of Nurse Practitioners in Oregon and Some Implications for Nurse Preparation." PDXScholar, 1987. https://pdxscholar.library.pdx.edu/open_access_etds/56.

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Purpose. This study was designed to determine the perceptions of the Oregon-certified nurse practitioners (NPs) with respect to their usage, competency, and preparation for selected functions. Clarification of what NP's perceive themselves doing and with what degree of competence could give structure and direction to their preparation. In Oregon, NPs provide specialized primary care in collaboration with physicians and other health care professions and agencies. The performance of an NP may vary according to the specialty, setting, and needs of the consumer. If some functions of the NP could b

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17

Maxwell, Laurie. "Patients' Attitudes Toward the Use of Nurse Practitioners." TopSCHOLAR®, 1997. http://digitalcommons.wku.edu/theses/794.

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Since the advent of the role of nurse practitioner in the mid 1960s, nurse practitioners have practiced in traditional settings such as health departments, clinics, and physicians' offices. More recently, nurse practitioners have been utilized in non-traditional settings such as the emergency department. Some studies have been done that support the theory that nurse practitioners can function effectively in this setting; however additional studies are needed on this topic. The purpose of this study was to explore patients' attitudes toward the use of nurse practitioners and to determine what p

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18

Offredy, Maxine. "Decision making by nurse practitioners in primary care." Thesis, University of Hertfordshire, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.394140.

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19

Lucas, Maxine Ann. "Nurse Practitioners' Skin Cancer Prevention Counseling To Adolescents." Diss., The University of Arizona, 2014. http://hdl.handle.net/10150/338884.

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Background: Skin cancer is the most common cancer worldwide and one of the most preventable cancers. Despite prevention efforts, skin cancer incidence continues to rise among adolescents. This is especially a challenge for the state of Arizona, which has a high incidence of skin cancer. The inconsistent evidence-based practice guidelines for skin cancer prevention create challenges for counseling adolescents. The knowledge, attitudes, and practices of primary skin cancer prevention by nurse practitioners who care for adolescents is unknown in Arizona or elsewhere in the U.S. Purpose: This doct

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20

Van, Roper Stephen. "Evidence Based Practice Among Primary Care Nurse Practitioners." Diss., The University of Arizona, 2011. http://hdl.handle.net/10150/217049.

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This study describes primary care nurse practitioner (PCNP) beliefs in, knowledge, implementation and utilization of evidence based practice (EBP). Research questions answered are: 1. What are the levels of belief, implementation, knowledge and utilization of EBP among PCNPs? 2. Is there a relationship with PCNP demographics (personal, professional, and practice), belief, knowledge, implementation and utilization of EBP? 3. Do PCNP demographics (personal, professional, and practice) and scores on belief, knowledge and implementation influence EBP utilization? EBP is considered a standard of ca

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21

Barton, Thomas David. "Nurse practitioners : redefining occupational boundaries? : an ethnographic study." Thesis, Swansea University, 2005. https://cronfa.swan.ac.uk/Record/cronfa43031.

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This research project investigated aspects of the cultural and professional perceptions and experiences of individuals involved in the organisation, education and practice of the clinical role of the nurse practitioner. The study also examined the implications of that clinical role for the stability and nature of occupational boundaries, specifically the boundary between the professions of nursing and medicine. The project's focus on occupation, profession and culture ran a natural course in directing the methodological development. That development was grounded in the qualitative paradigm, an

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22

Ogle, Kathleen Theresa. "Following the yellow brick road the lived journey of nurses becoming nurse practitioners /." College Park, Md. : University of Maryland, 2007. http://hdl.handle.net/1903/6801.

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Thesis (Ph. D.) -- University of Maryland, College Park, 2007.<br>Thesis research directed by: Education Policy, and Leadership. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.

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23

Peckham, Samantha Sophia. "Evaluating the Readiness of Nevada Nurse Practitioners for Clinical Practice Post-Graduation Utilizing the Nevada Nurse Practitioners' Prepardness for Practice Survey." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/560799.

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As a result of changing demographics and an increasing need for access to healthcare, in 2013, the Nevada Legislature passed Assembly Bill 170 (AB170) allowing nurse practitioners (NPs) full practice authority in Nevada in 2013 (VanBeuge & Walker, 2014). With the movement from collaborative agreement to independent practice, recent NP graduates need to be prepared for transitioning from the NP student role to an independent practitioner role. Historically, speaking there have been numerous studies citing that NPs provide high-quality health care and have high patient satisfaction, yet there ha

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24

Borbasi, Sally. "Surviving clinical nursing : a phemomenological text about the lifeworld of the clinical nurse specialist." Phd thesis, Faculty of Nursing, 1995. http://hdl.handle.net/2123/9043.

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25

Chan, Seung-chuen, and 陳湘銓. "The development of four advanced nursing roles in the United States, the United Kingdom, Australia, and Hong Kong: a comparative analysis of nurse practitioner, clinical nursespecialist, nurse midwife, and nurse anesthetist." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31972809.

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26

Krook, Maura. "Advanced nurse practitioners in emergency and primary care settings." Thesis, Sophiahemmet Högskola, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1395.

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27

Kissick, Leila. "An Educational Framework for Doctorally Prepared Family Nurse Practitioners." Thesis, The University of Arizona, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3741023.

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<p> The purpose of this Doctor of Nursing Practice (DNP) Project was to establish preliminary evidence for validity of the Kissick Framework for DNP education and practice of Family Nurse Practitioners (FNPs). The history of the education of nurse practitioners (NPs) was explored to determine which frameworks should be considered in planning future curricula. The current need for more primary care practitioners due to the Affordable Care Act and the response in nursing to increase the number of primary care providers is discussed.</p><p> The role of the NP has expanded and in 2004 the Americ

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28

Sand, Lindsey Rae. "Emergency Skill Competency Among Rural North Dakota Nurse Practitioners." Diss., North Dakota State University, 2019. https://hdl.handle.net/10365/29390.

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Many people with medical emergencies in rural areas would go untreated without the presence of critical access hospitals. Nurse Practitioners employed as rural healthcare providers commonly assume the roles of primary care provider in the clinic and hospitalist and emergency room provider in the critical access hospital. In a rural setting, comprehensive emergency care training is imperative as the nurse practitioner may be the sole provider on-call when a critical patient presents to the emergency room. Increased initial emergency care education and continued sustainment of rural nurse practi

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29

Raimey, Deirdre D. "NURSE PRACTITIONERS’ UNDERSTANDING OF SEXUAL HEALTH INTERVENTIONS." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1491944101518218.

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30

McLaughlin, Sarah J. "Nurse Practitioners' Discussion Of Sexual Identity, Attraction And Behavior." ScholarWorks @ UVM, 2016. http://scholarworks.uvm.edu/graddis/443.

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ABSTRACT Background: Sexual orientation is comprised of distinct components, including sexual identity, sexual attraction and sexual behavior. Lesbian, gay and bisexual adolescents are at an increased risk of experiencing poor health outcomes compared to non-sexual minority youth. Health care professional organizations recommend that health care providers discuss each component of sexual orientation at every adolescent health supervision visits in order to best assess the adolescent's health risks and needs for intervention and education. Objective: This survey assessed the frequency with whic

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31

McGee, Angela Ann, and Angela Ann McGee. "Physician Readiness for Nurse Practitioners in the Emergency Department." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625666.

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Background: Emergency Department (ED) overcrowding is a national healthcare problem, and despite awareness and efforts to alleviate excessive patient volume, it continues to be an epidemic. One improvement technique proposed is to increase employment of independently licensed APRNs in the ED. Objective: The objective of this study was to determine if LMC and USACS physicians are willing and ready to implement and collaborate with NPs in the ED. Design and Methods: A non-experimental descriptive study design was employed, and sixty emergency medicine providers were surveyed. Eighteen particip

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32

Haupt, Eric F. "Predictors for Florida Nurse Practitioners' Characterization of Organizational Climate." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3101.

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Healthcare managers are failing to meet the increasing demand for services while experiencing a growing shortage of healthcare workers. The restrictive scope of practice regulations and organizational barriers have a negative effect on the number and growth of nurse practitioners available to meet the required demand. Researchers have focused on the organizational climate of the nursing profession in general, yet there is an absence of research regarding the perceptions of the advanced registered nurse practitioners (ARNPs) in their local practice environment. The purpose of this study was to

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33

Bell, Janet Deanne. "Articulating the nature of clinical nurse specialist practice." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/d1018623.

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Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who

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34

White, Patricia A. "Exploration of nurse practitioner practice with clients who are grieving /." View online ; access limited to URI, 2007. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3277012.

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35

Simmonds, Katherine Elisabeth. "Nurse Practitioners' and Certified Nurse Midwives' Experiences Providing Comprehensive Early Abortion Care in New England." Thesis, University of Rhode Island, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10792692.

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<p> Access to safe abortion care has been linked to better maternal and child health outcomes (Sedgh et al., 2012) and identified as essential for advancing women’s economic and social equality (Lang, 2013; Bengsch, 2015). Around the world, nurses, including nurse practitioners (NPs) and certified nurse midwives (CNMs), are integral members of the health care teams that provide care to women considering or electing to have an abortion. Evidence supports NPs and CNMs as safe and effective providers of comprehensive early abortion care, and acceptable to patients (Barnard, Kim, Park, &

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Pounds, Karen Vincent. "Client nurse interactions with schizophrenic clients : a descriptive study /." View online ; access limited to URI, 2008. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3314447.

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37

Stamp, Kelly D. "Advanced registered nurse practitioners' judgments of coronary heart disease risk." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001811.

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38

MacDonald, Janet M. "A higher level of practice : community nurse practitioners at work." Thesis, University of Sunderland, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.251286.

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Community nurse practitioners from different parts of England were researched, who worked in General Practice, minor treatment centres or with homeless people. The aim of the research was to establish whether or not they were actually nursing, and if so, identify whether they were able to achieve a 'higher level of practice' ,as articulated by the UKCC Grounded theory, the qualitative research methodology developed by Glaser and Strauss, was used as a framework for the research. Data was gathered using primary observation with some participation (five hundred and eighty-one consultations being

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39

Connolly, Margaret Julia. "Nurse Practitioners: Limiting the Trade-Off between Quality and Cost." Thesis, Boston College, 2012. http://hdl.handle.net/2345/2627.

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Thesis advisor: Christopher Maxwell<br>Though much research has been done on the subject of substituting nurse practitioners for physicians as health care providers, both analytic methods and results have been inconsistent. Various studies have shown nurse practitioners to provide equivalent or improved care especially in primary care settings. However, no consensus has been reached on whether or not and under what conditions this substitution is economically efficient. Because of variation in productivity and substitution rates, the economic viability of nurse practitioners must be assessed o

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40

Czapiewski, Dustin Joel. "Enhancing the Orientation Process for Nurse Practitioners Entering Primary Care." Diss., North Dakota State University, 2017. http://hdl.handle.net/10365/25934.

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Novice nurse practitioners (NNPs) face many challenges when transitioning to practice, which include, but are not limited to, time management, interprofessional relationships, role ambiguity, transition shock, inconsistent onboarding, and lack of mentorship. The process of transitioning from an experienced registered nurse (RN) to a NNP creates role ambiguity, self-doubt, and feelings of inadequacy (Yeager, 2010). A structured orientation fosters a smoother transition, increases role satisfaction and confidence. When healthcare organizations are able to anticipate and minimize barriers, they i

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Hamilton, Robert M. "Knowledge, Attitudes, and Perceptions of Nurse Practitioners about Antibiotic Stewardship." BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/8550.

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Background: Antibiotic stewardship (ABS) is a set of strategies to optimize the use of antibiotics with the goal of reducing antibiotic resistance, improving patient outcomes and decreasing unnecessary costs. ABS affects all venues of patient care, including outpatient, inpatient, and long-term care. While many strategies for ABS exist and best practice continues to evolve, successful ABS programs utilize a multidisciplinary approach. Nurse practitioners (NPs) play an essential role in health care education and represent a valuable potential resource for ABS efforts. The purpose of this study

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42

Moody, N. B., P. L. Smith, and L. Lee Glenn. "Client Characteristics and Practice Patterns of Nurse Practitioners in Tennessee." Digital Commons @ East Tennessee State University, 1999. https://dc.etsu.edu/etsu-works/7536.

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This study's purpose was to describe the practice patterns of nurse practitioners (NPs) in Tennessee--specifically, the demographic characteristics and health problems of their clients and the therapeutic services they provide. A random sample of NPs practicing 20 or more hours per week in primary care in Tennessee provided data on a total of 680 clients seen during one selected day of care. An instrument adapted from the National Ambulatory Medical Care Survey (NAMCS) allowed comparison of the NP findings with a national survey of office-based physicians in five areas: client demographics, cl

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Bevan, Jeffrey L. "The Contemporary Use of Nurse Practitioners in U.S. Emergency Departments." Otterbein University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1428664328.

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44

O'Rourke, Nancy C. "Political Efficacy and Political Participation of Nurse Practitioners: A Dissertation." eScholarship@UMMS, 2016. https://escholarship.umassmed.edu/gsn_diss/47.

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In many states, outdated rules and regulations restrict nurse practitioners (NPs) from practicing to their full potential, often limiting patients’ access to primary care. Modernizing NP state scope of practice laws and allowing patients greater access to NPs services is a priority. Unlike other professions, nurse practitioners have been unable to consistently influence legislative changes to health policy. This study examined the political efficacy and participation of nurse practitioners in the United States today (N=632). A descriptive cross sectional design, in conjunction with a political

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45

Berglund, Carolyn. "Nursing Staff Development for Novice Nurse Practitioners in Acute Care." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6401.

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An acute care practice site reported 75% turnover of novice nurse practitioners (NPs), which indicated a gap in the transition from student to practitioner within the first year of clinical practice. This gap can leave novice NPs unprepared to manage patients effectively and contribute to high turnover. The practice-focused question addressed whether an evidence-based staff development program for novice NPs at an acute care site could be developed. The purpose of this project was to create a framework based on evidence to transition novice NPs successfully into practice. Benner's skill-acquis

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Lucero, Samantha. "Defining the Scope of Practice for Nurse Practitioners in MIAM." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4074.

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Minimally invasive aesthetic medicine (MIAM) is a relatively new field, which lacks a clearly defined scope of practice. The purpose of this project was to clarify the scope of practice for nurse practitioners in MIAM in California. Without a clearly defined scope of practice, nurse practitioners are unable to practice to the full extent of their license which causes them to be underutilized and face liability issues. This project sought to answer the question: What is the scope of practice of the nurse practitioner in MIAM in the state of California? The model of professional nursing practice

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Myers, Trisha A. "Nurse practitioners in burn centers: an exploration of the developing role /." Click here to access thesis, 2006. http://www.georgiasouthern.edu/etd/archive/spring2006/trisha%5Fa%5Fmyers/myers%5Ftrisha%5Fa%5F200605%5Fmsn.pdf.

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Thesis (M.S.N.)--Georgia Southern University, 2006.<br>"A thesis submitted to the Graduate Faculty of Georgia Southern University in partial fulfillment of the requirements for the degree Master of Science" ETD. Includes bibliographical references (p. 54-58) and appendices.

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Buhler, Patricia Lynn. "Prenatal care : a comparative evaluation of nurse-midwives and general practitioners." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24489.

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The practice of midwifery by those other than physicians is illegal in Canada and despite recommendations of nursing, medical and consumer groups, no trials evaluating the effectiveness of the nurse-midwife as a member of the modern obstetrical team have occurred here. To demonstrate a nurse-midwifery model, four nurse-midwives provided primary care to forty-seven childbearing women and their families over a twenty-two month period in a maternity teaching hospital. This clinic presented a unique opportunity for comparing the prenatal care provided by nurse-midwives with that of general practit

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Sutherland, Jodi L. "Predicting nurse practitioners' intentions and behaviors to perform routine HIV screening." Thesis, State University of New York at Binghamton, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3713645.

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<p> HIV/AIDS epidemic is a significant public health issue in the United States (U.S.). A dearth of research focusing on the need to increase HIV screening across healthcare settings (Branson et al., 2006; Centers for Disease Control and Prevention [CDC], 2010) exists, yet few studies focus on the healthcare providers perspective. Utilizing the Theory of Planned Behavior (TPB), this study examined nurse practitioner (NP) attitudinal, normative, and control beliefs toward routine HIV screening and their associations and relationships with intentions and behaviors.</p><p> A cross sectional stu

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Klein, Cara, and Cara Klein. "Treatment Practices of Arizona Nurse Practitioners for Older Adults with Depression." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624490.

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Depression is not a normal part of aging; despite this, 15-17% of older adults have symptoms of depression (Lakkis & Mahmassani, 2015). Depression in older adults not only negatively impacts quality of life, but also negatively impacts co-morbid disease progression (Gallagher et al., 2016; Oza, Patel, & Baptist, 2016; Sinnige et al., 2013; Song et al., 2014). Depression treatment improves co-morbid disease outcomes (Bogner et al., 2016; Wood et al., 2015). Arizona has a large population of older adults and the number of older adult is projected to increase 174% by the year 2050 (Arizona Depart

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