Dissertations / Theses: 'Nursing practitioners'

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

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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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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 patient variables were related to these attitudes. More specifically, this study focused on patients' attitudes about nurse practitioners working in the emergency department, a nontraditional practice setting for nurse practitioners. Two research questions were answered: (1) What are patients' attitudes about nurse practitioners? and (2) What subject variables are related to positive and negative attitudes about nurse practitioners? A telephone survey was conducted to adult patients who presented to the emergency room for treatment of conditions that were classified as "non-emergent" during the triage process. Patients were asked to answer questions concerning their visit to the emergency department. They were then asked to respond to 12 items on the Kviz Acceptance Questionnaire, which measured attitudes about nurse practitioners. Demographic data were collected from the medical record following the interview. The most significant finding of this study was that the role of nurse practitioner was generally accepted by patients presenting for treatment of non-emergent conditions in the emergency department. This finding is significant since the emergency department is not a traditional practice setting for nurse practitioners. Correlation coefficients showed that patients who had seen a nurse practitioner before were more accepting that those who had not seen a nurse practitioner. Patients who were younger, female, and who perceived their health as good or excellent had the most positive attitudes about nurse practitioners. Additional studies are needed to support the belief that nurse practitioners can function efficiently in the emergency department and other nontraditional settings. Information is also needed on the financial feasibility of such a plan. This time is one of great opportunity and challenge for advanced practice nurses to expand their roles in a rapidly changing health care environment.

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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 doctor of nursing practice project investigates knowledge, attitudes, and practices of skin cancer primary prevention by Arizona nurse practitioners caring for adolescents on an outpatient basis and determines congruency of their counseling with primary prevention guidelines. Methods: The design is descriptive cross-sectional. An online survey using Qualtrics software was distributed via professional listservs to eligible Arizona nurse practitioners currently in practice. Participants' knowledge of skin cancer, skin cancer prevention, and current practice guidelines and recommendations were assessed using multiple choice items. Participants' attitudes regarding counseling for skin cancer prevention within the adolescent population and current nurse practitioner behaviors, in relation to current practice guidelines, were measured using Likert-type scales. Outcomes: Thirty-nine nurse practitioners responded to the online survey. Participant overall knowledge regarding skin cancer was moderate to low, and less was known about skin cancer in adolescents. Despite participants' overall positive attitudes toward skin cancer prevention, they reported low rates of skin cancer prevention counseling for adolescents in practice. Skin cancer prevention recommendations, identified by participants as used in practice, were not congruent with established clinical guidelines on counseling for primary prevention of skin cancer in adolescents.

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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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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.

The role of the NP has expanded and in 2004 the American Association of Colleges of Nursing (AACN) endorsed the DNP as the terminal practice degree to replace the Masters’ of Science in Nursing (MSN) requirement for NPs. Frameworks for education and practice of doctorally prepared FNPs were examined and compared to the Kissick Framework.

The Kissick Framework integrates the Essentials of Doctoral Education for Advanced Nursing Practice recommended by the AACN, the National Organization of Nurse Practitioner Faculties (NONPF) Core Competencies, and Ida J. Orlando’s Theory of the Nurse-Patient Relationship. Preliminary evidence supports consideration of the Kissick Framework for the education of doctorally prepared FNPs and as a guide for practice.

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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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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 Collaborative Practice Scale and Jefferson Scale of Attitudes toward Physician and Nurse Collaboration. The Core Competencies for Interprofessional Collaborative Practice served as the framework for this project. Findings of this project revealed nurse practitioners are overall accountable for their patient care and report high levels of interprofessional collaboration. These results are a foundation for future inquiry in providing and evaluating programs to enhance interprofessional collaboration.

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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-acquisition in-nursing theory informed this project. Evidence was obtained by searching electronic databases, reviewing professional organization websites, and consulting with experts. The search revealed journal articles, best-practice guidelines, and useful insights from experts. The Elkins literature review matrix was used to organize, summarize, and weigh the evidence. A summary of consultations with experts was used. Commonalities within the evidence included guided clinical experiences and nonclinical activities such as (a) formal didactic sessions, (b) professional development, and (c) quality improvement. Outcomes include recommendations for a 12-month postgraduate development program framework and educational content. Recommendations were also provided for formative and summative evaluations. The implications of this project for social change include effective preparation of novice NPs and stabilization of the NP workforce at the project site.

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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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Prince, Anne Patricia. "Practice nurses educational needs in mental health : a descriptive exploratory survey : a thesis submitted to the Victoria University of Wellington in fulfilment of the requirements for the degree of Master of Arts (Applied) in Nursing /." ResearchArchive@Victoria e-thesis, 2009. http://hdl.handle.net/10063/1029.

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Ferrelli, Joan. "A comparison of nurse practitioners' attitudes towards cost effectiveness in the managed care environment /." Staten Island, N.Y. : [s.n.], 1999. http://library.wagner.edu/theses/nursing/1999/thesis_nur_1999_ferre_compa.pdf.

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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, client health status, diagnostic tests ordered, therapeutic interventions provided, and client disposition. Although many similarities were seen, differences included the tendency of NPs to care for more younger and female clients, to perform fewer office surgical procedures, and to provide more health teaching/counseling interventions.

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Woods, Leslie Peter. "Reconstructing nursing : a study of role transition in advanced nurse practitioners." Thesis, Keele University, 1998. http://eprints.keele.ac.uk/3840/.

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As the demands on the NHS increase, nurses are facing the challenge of attempting to implement innovative and new roles in clinical practice. Changes such as the reduction in junior doctor hours, evidence based practice, and recognition of nursing's contribution to health care delivery, have acted as catalysts for professional development. At the same time, the UKCC's ongoing quest to have nursing establish itself as a major professional discipline has resulted in the recognition of different levels of nursing practice. The highest and most complex level is that of the "advanced nurse practitioner" (ANP), who is expected to be prepared at the Master's degree level. This study set out to explore the transitional process of nurses undergoing the academic and clinical preparation to become ANPs. A qualitative design, utilising five case studies, was used as the main research strategy. In addition to the ANP, each case comprised a number of medical, managerial, educational, and nursing staff. Data was collected by individual interviews, observations and documentary analysis. Supplementary data was collected through the completion of role development diaries by an additional 8 ANPs. Data collection was completed over a two year period and analysed with the assistance of the NUD-IST computer program. It was found that the transitional process of becoming an ANP involved the reconstruction of nursing in seven personal and practice domains. Both the transitional process and outcome were contingent upon the influence of key stakeholders within each institution. Consequently, role transition resulted in one of three operational outcomes: practice replication; practice fragmentation; or practice innovation. Regardless of outcome however, all ANPs sought to establish a new and unique identity as a way of escaping the organizational and occupational constraints placed upon them, and to gain recognition and professional empowerment.

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Keyzer, Dirk Mitchell. "Learning contracts, the trained nurse and the implementation of the nursing process : comparative case studies in the management of knowledge and change in nursing practice." Thesis, University College London (University of London), 1985. http://discovery.ucl.ac.uk/10006530/.

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The adoption of a " nursing " model in practice and education is discussed in relation to the socio-cultural and organisational factors which have shaped the traditional care giver role. Issues arising out of this change in the "practitioner" role are identified. The changing roles of the nurse and the teacher are described and discussed. The move toward an autonomous role for the clinical nurse is seen to require a change in the nurseteacher relationship. Learning contracts are perceived to be a vehicle for implementing the new roles of the nuise and the teacher. The writer in the role of an observer-who-participates negotiates learning contracts with nurses working in four wards of four hospitals in one Health Authority. The clinical areas are described as one community hospital, one long-stay geriatric unit, one psychiatric rehabilitation unit and one psycho-geriatric assessment unit. Thus, community, general and psychiatric nursing are included in this study of the management of knowledge and change in nursing practice. A variety of data collecting techniques are employed to give an illuminative evaluation of the outcomes of the learning contracts and the effect formal and non-formal education have on the implementation of the nursing process. The formal approach to education takes the form of the Diploma in Nursing (London University, Old and New Regulations) and the Joint Board of Clinical Nursing Studies Course in Care of the Elderly (940/941). The non-formal inputs are the clinically based learning contracts negotiated with the nurses in the four clinical areas.The data are presented as comparative case studies which record the organisational policies adopted by the Health Authority and the outcomes of the learning contracts in the four clinical areas. From the case studies two "themes" emerge: that of role conflict and the problems of assessing thedegree of change achieved. A theoretical framework of "codes and control" is developed from that originally presented by Bernstein (1975) for general education and adapted to health care organisations by Beattie and Durguerian (1980). This framework is used to interpret the changing roles of the nurse and the teacher, and the division of labour between the professional nurse and the woman in her own home. It is argued that the implementation of the "practitioner" role demands a redistribution of power and control in favour of the patient and the nurse vis-a-vis the manager, the teacher and the doctor. Further, in addition to the teacher's and the clinical nurse's dependence on the manager for the resources required to implement the desired change in practice, nurse-practitioners are dependent on the knowledge held by doctors, clinical psychologists and occupational therapists to implement the nursing process. In the presence of an inadequate basic education programme and a limited access to continuing education, the data suggest that the literature on the nursing process and the key documents distributed by the R.C.N. (1981) and the U.K.C.C. (1982) are making demands upon the clinical nurse with which she is unable and sometimes unwilling, to comply. It is argued that a "codes and control" framework identifies the complexities of the change toward the "practitioner" role and thereby, clarifies the existing role. In this way concepts of care held by the nursing staff are identified which in turn, can be utilised in model building to promote a "grounded" theory of nursing in the cultural and organisational context of nursing in the United Kingdom. Thus the use of learning contracts which identify the nurse's need for continuing education, in conjunction with an action research mode utilising case studies, can assist in the development of a theory for nursing practice and education. In this way the theory for nursing has its basis in clinical practice, is refined through research, and is returned to practice through the education programme. It is therefore argued that learning contracts have a useful role to play in bridging the gap between theory and practice in the school of nursing and institutions of higher education. The data recorded in the case studies suggest that in the absence of a redistribution of power and control and/or supportive education programmes during and after the period of transition between the old and new roles, the implementation of the nursing process will merely continue the existing Nightingale strategies. The formalisation of the present problem-solving approach to care in the form of care plans will not necessarily promote the "practitioner" role desired by the profession. Instead the clinical role will continue to be defined by physicians and management will consolidate its position in the hierarchy of the bureaucratic organisation of the National Health Service. This will not be challenged by nurses in that it will continue the existing strategy of "reifying" the presence of the "professional" nurse and an particular, her position in institutions of higher education. Such a strategy although satisfying in terms of status will lead to the clinical nurse being asked to implement a role with which she is unable to comply. This in turn will lead to role conflict and a greater division between the "theory" of the school and the "reality" of the ward.

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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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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.

A cross sectional study was conducted using a random sample of 600 members from the American Academy of Nurse Practitioners. A total of 180 NPs completed a questionnaire. SPSS Version 22 was used for analysis. Although NPs care for a majority of patients aged 13 - 64, few (25.3%) report routine HIV screening while almost half (48.2%) report having intentions. NPs with higher HIV screening intentions were associated with higher HIV screening behaviors, positive attitude scores, higher normative expectation scores, higher normative priority scores, higher facilitator scores, and lower control barrier scores. Logistic regression revealed that social normative expectations and control facilitators predicted intentions toward routine HIV screening. Higher HIV screening behaviors were associated with positive attitude scores, higher normative expectation scores, and lower control barrier scores. Logistic regression revealed that social normative expectations and attitudes predicted behaviors toward routine HIV screening. Logistic regression revealed few beliefs or demographic variables predicted intentions and behaviors. Practicing for 10 -20 years predicted HIV screening intentions, while belief of obtaining consent from a parent/guardian in patients <18 years of age, both rural and suburban communities, and having little to no specialty education in HIV screening were found to be most predictive of not routinely screening for HIV. Office staff support was found to be most predictive of HIV screening behaviors. The TPB is a valuable framework to examine healthcare provider behavior. The NP plays an important role in screening and case finding while focusing on health promotion and disease prevention. Greater coordinated efforts are needed to help NPs incorporate universal HIV screening into healthcare settings.

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Marrs, Jo-Ann. "The Development of the DNP Program and How It Impacts Present Practitioners." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/7112.

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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 observed in the process), and by interviewing the community nurse practitioners and their clinical managers. The data was analysed using Glaser and Strauss' constant comparative method. Three theoretical frameworks emerged from the analysis. 'Negotiation for autonomy' is the core category at the heart of the overall theoretical framework that emanated from the research data. Those community nurse practitioners who were working at a 'higher level of practice' had the ability to negotiate for autonomy with GPs and multidisciplinary staff. It was this ability that allowed them the opportunity to practice with the autonomy required to be able to hold consultations with patients with undifferentiated diagnoses, as first point of access, providing care through to discharge or referral on to others. From a category, 'combination model of care,' within the overall theoretical framework, the researcher has developed a theoretical model of care, and a framework for the process - 'HADPIPE'. This model of care (and HADPIPE) is unique, as there is no other model of care, as opposed to a model of nursing, which has been developed, certainly in the UK, from researching the practice of nurses. The third theoretical framework sets down the characteristics of those practising at a 'higher level of practice. , This research highlights the nursing oriented approach to care taken by nurse practitio~ers, counteracting the argument that they merely perform a technical role.

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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 has been almost no research regarding the readiness for clinical practice post-graduation (Hart & Macnee, 2007). The purpose of this project was to develop a better understanding of readiness to practice, perceived barriers, and to develop recommendations for post-graduation nurse practitioners in Nevada. A brief survey was provided electronically to NPs who were members of the Nevada Advanced Practice Nurses Association (NAPNA).

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Adeyemo, Monisola. "Nurse Practitioners' Guide on Consumption of Hundred Percent Fruit Juice by Children." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4122.

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Childhood obesity has reached an epidemic level in the United States, growing exponentially and posing a great risk to the current and future health of the American people. The trend of increasing incidence of overweight and obesity in children has been occurring for decades; there is a need for multimodal preventative solutions to control the rate of growth. Sufficient evidence has shown a correlation between the feeding of 100% fruit juice to infants as dietary supplements and childhood obesity. Therefore, the purpose of this project was development of a guideline for 100% fruit juice feeding in children that is adaptable to the 2017 American Academy of Pediatrics evidence-based policy statement and educational materials to guide providers in their recommendations for fruit juice consumption in children. The project leveraged information from literature review to develop an obesity prevention and control guideline. Evaluations of the guideline were provided by nurse practitioners using the Appraisal of Guideline, Research and Evaluation II. Nine nurse practitioners at the study site evaluated the guideline. The nurse practitioners' score for overall quality was rated at 93% indicating that the guideline met its objective of providing a plan for improving 100% fruit juice consumption in children. All participating nurse practitioners agreed that the guideline and materials were well prepared, easy to understand, and achievable. Provider education and implementation of the guideline will impact the health of very young children. As a result, vital social change can be achieved in children through positive influence and the empowerment of nurse practitioners to provide obesity control and prevention using the recommended prescriptions for 100% fruit juice consumption for infants and children.

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Mitnick, Steven David. "NURSE PRACTITIONERS' PERCEPTIONS AND BEHAVIORAL INTENT TOWARD PRIVATE PRACTICE AND PROFESSIONAL AUTONOMY." VCU Scholars Compass, 1987. http://scholarscompass.vcu.edu/etd/5077.

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The purpose of this study was to determine: 1) the perceptions of nurse practitioners toward private practice and professional autonomy, and 2) nurse practitioners' behavioral intent towards private practice and professional autonomy. Data were collected with a questionnaire designed by the researcher to measure demographic data, nurse practitioners' perceptions and behavioral intent toward private practice and professional autonomy, and knowledge of legal issues pertaining' to private practice. Of 153 possible respondents, 100 (64%) nurse practitioners in the State of Maryland participated in the study. Data were presented descriptively by number and percentage. The typical nurse practitioner was 31 to 40 years of age, attended a certificate program as an adult nurse practitioner, had a Master's Degree, worked full-time in a combination in-patient/out-patient setting, and has been practicing for more then six years. Four nurse practitioners were in private practice. Results showed that almost all nurse practitioners' surveyed (97%) perceived private practice as appropriate, but most (83%) did not plan to work in that capacity during the next five years. Nurse practitioners' knowledge of legal issues (third party reimbursement, prescription writing privileges, and legality of owning and operating a private practice) were low with an average score of 55 percent. The autonomy section revealed that 1) nurse practitioners believed that nurse practitioner programs should teach and encourage private practice; and 2) that nurse practitioners are willing to make independent decisions and accept responsibility for them, but they were also inclined to accept limits established by the medical community.

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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 care and essential to nurse practitioner practice. The primary advantages of EBP include improved quality of care through the utilization of patient resources, provider resources and experiences, current research and scientific information. However, few studies describe nurse practitioner beliefs, knowledge in EBP and the extent to which this may affect primary care nurse practitioners' (PCNP) utilization of EBP in their practice. Four questionnaires incorporated into one survey were used to examine PCNP beliefs, knowledge, implementation and utilization of EBP. JNC7 guideline knowledge and self-reported use was used to measure EBP utilization. A convenience sample of 202 FNPs, ANPs and GNPs were obtained during the American Academy of Nurse Practitioners National Conference 2011 in Las Vegas, Nevada. PCNPs surveyed were found to have a high level of belief in EBP but did not report implementing EBP more than 3 times in the past 8 weeks. Belief was statistically higher in doctorally prepared PCNPs. Ninety-five percent of the participants were familiar with the JNC7 guideline but the group scored a mean of 69% on knowledge of JNC7 guideline specifics. Only 25% of respondents indicated they utilized guidelines in hypertension management. Future studies should include quantitative and qualitative evaluation of EBP implementation facilitators and obstacles. Findings in this study have provided initial information to better understand PCNPs and EBP.

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Corey, Virginia. "What are the experiences of nurse practitioners when communicating bad news to cancer patients?" NSUWorks, 2014. https://nsuworks.nova.edu/hpd_con_stuetd/22.

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Al-Neami, Ibrahim Ali Ahmed. "Factors affecting work performance of health practitioners in Jazan, Kingdom of Saudi Arabia." Thesis, Queen Margaret University, 2016. https://eresearch.qmu.ac.uk/handle/20.500.12289/7392.

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Aim. This study aimed to explore factors influencing health practitioners’ work performance. This knowledge will facilitate development of appropriate support and education for health practitioners in delivering quality healthcare. Design and participants. A mixed method exploratory descriptive study using cross-sectional methodology was used to gather relevant data and obtain an overview from 60 health workers and 40 health managers in health facilities operated by the Ministry of Health (MOH) in Jazan region, Saudi Arabia. Survey questionnaire followed by selected unstructured interviews to gather data were used. Descriptive statistics, particularly the percentage and weighted mean (Wm) were used. Findings: Results showed that a typical health practitioner in Jazan, KSA has a mean age of 31.17 (health workers) and 28 (health managers). Majority are female (68.33% health workers; 85% health managers) and from other Asian countries. Most have Diploma in Nursing/Midwifery (46.67% health workers; 55% health managers) as educational qualification. Many of them are charge nurses (41.67%). The average number of years they have worked is 6.92 years for the health worker and 12.63 years for the health managers. The health workers showed agreement on the utilization of performance appraisal in their unit (Wm=3.66); however, they were uncertain on their appraisal regarding remuneration, benefits, and recognition (Wm=3.30) as well as uncertain on staffing and work schedules (Wm=3.01) and staff development (Wm=2.39). Factors affecting their work performance were generally intermediate in nature (Wm=2.39), but shortage of staff specifically was a major factor (Wm=3.27). They perceived the strategies to improve and maintain excellent performance as moderately needed (Wm=2.23). Health managers were often involved in management tasks (Wm=2.89) and they assessed their skills as “Good” (Wm=3.63). Conclusion. Many of the health practitioners in Jazan are predominantly younger, female expatriates. They encounter issues in their job and in management that may affect their work performance. Addressing these issues is necessary to assist their development and support work performance. The strategic plan developed from these results will support the education and training of these health practitioners and will be implemented and evaluated.

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Anderson, Megan Lynnell. "Reducing Door-to-Provider Times by Using Nurse Practitioners in Triage." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6964.

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Increased patient wait times it the emergency department (ED) have been linked to poor patient outcomes and adverse health care events. The purpose of this quality improvement project was to determine if placing a nurse practitioner (NP) in the triage area would reduce door-to-provider times and improve patient throughput within the ED. The primary question for this quality improvement project was whether the use of NPs in the triage area would improve patient throughput and decrease wait times in the ED. A secondary question identified was if implementing an NP in the triage area would decrease patient length of stay in the ED. Rogers's diffusion of innovations model was used as a theoretical framework for the project. To evaluate the improvement in patient throughput in the ED, data were gathered for 12 months prior to and 12 months after the placement of an NP in the triage area. Data collection included door-to-provider times and door-to-discharge times. Analysis of the data using independent t tests showed no statistically significant reduction in door-to-provider times (p = .278) or overall lengths of stay in the ED (p = .235). There was an overall reduction in door-to-provider times of 11% and a 5% reduction in door-to-discharge times during the intervention. The implications of this project for social change include evidence that NPs are beneficial to the ED when used in the triage area. Based on the findings of this quality improvement project, it is recommended that an NP be placed in the triage area to decrease door-to-provider and door-to-discharge times, and to continue to improve the culture of the ED team to promote the use of NPs within the ED.

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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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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 they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely: Forming & shaping this grounded theory through exploration and co-creation; Assimilating & situating this grounded theory through understanding and enfolding; Reflecting on this grounded theory through contemplating and reconnecting. The outcome of the first part of the study was my initial proposition of a grounded theory co-created in the interactions between the participants and myself. This was then challenged, developed and assimilated through a focussed literature review through the second part of the study. Through these two parts of this study, an inductively derived explanation was formed and shaped to produce an assimilated and situated substantive grounded theory named Being at Ease. This grounded theory articulates how ‘better and different’ nursing is recognised from the point of view of those who use the nursing ability of critical care nurses through the core concern ‘being at ease’ and its four categories ‘knowing self’, ‘skilled being’, connecting with intention’ and’ anchoring’. The final part of this study unfolded in my reflections on what this grounded theory had revealed about nurses and elements of nursing practice that are important to a utiliser in recognising ‘different and better’ critical care nursing. I suggest that as nurses we need to develop a language that enables us to reveal with clarity these intangible and tacit elements recognised within the being and doing of ‘different and better’ nursing. I reflected on the pivotal space of influence a teacher has with a student, and on how the elements essential in being and doing ‘different and better’ nursing need to be evident in her/his own ways of being a teacher of nursing. Teaching and learning encounters may be enhanced through drawing what this theory has shown as necessary elements that shape ‘different and better’ nurses through the moments of influence a teacher has in each encounter with a student.

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Montes, Mary Elizabeth. "Decreasing Antibiotic Overuse in Upper Respiratory Tract Infections Through an Educational Intervention Aimed at Nurse Practitioners." Diss., The University of Arizona, 2012. http://hdl.handle.net/10150/265342.

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The purpose of the study was to evaluate the effect of an educational intervention, aimed at nurse practitioners, on increasing knowledge and decreasing prescribing habits of antibiotics in upper respiratory tract infections. The Centers for Disease Control and Prevention currently estimates that nearly fifty percent of antibiotics prescribed in the outpatient setting are unnecessary. The world health organization states that antibiotic overuse is becoming a growing problem worldwide. Numerous studies have been completed targeting physicians and patients, but no long term decrease in antibiotic prescribing has been seen. As the number and role of nurse practitioners increase, this intervention was aimed to target a specially this specially educated group. Research has shown that nurse practitioners have equal outcomes and equal to higher patient satisfaction ratings when compared to physician counterparts. Thus, this group may help to decrease antibiotic overuse. Lewin's three step change theory served as the conceptual framework. The theory uses initial unfreezing, then finding a new equilibrium and finally refreezing, thus creating a new baseline for participants. A sample of fifty one nurse practitioners participated in the one group pretest/posttest/4-week posttest measuring knowledge and intention. Knowledge was measure using the questionnaire results; intention was measured by reviewing Likert-type rankings. Change in knowledge was found to be statistically significant, demonstrating that education will affect knowledge. However, intention was not found to be statistically significant. Intention did increase during the study, but not enough to show that there was an overall statistically significant effect.

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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 support. NPs scored highest on Autonomy and Independent Practice (Mean [M] = 3.54, Standard Deviation [SD] = 0.59). Organizational Support and Resources and NP-Physician Relations were comparable (M = 3.00, SD = 0.86; M = 2.98; SD = 0.73). NPs scored lowest on Professional Visibility (M = 2.74, SD = 0.76) and NP-Administration Relations (M = 2.63, SD = 0.79). Recommendations included optimization of NPs as advance practice nurses, establishing adequate administrative and clinical support, provision for interprofessional team development and function, distribution of standardized information about the NP role across and within institutions, and further exploration of NPs' experiences related to work hours and agency culture. Positive social change was supported as the NP practice model was extended throughout the current health care system, contributing to the shifting health care narrative/culture (from illness-focused care to wellness-focused care), and demonstrating full appreciation of patient/client-centeredness.

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Irving, Karen Frances. "Nurse Practitioners engaging mutually with Aboriginal people in Canada| Classic grounded theory." Thesis, University of Phoenix, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10124498.

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This grounded theory study describes how Nurse Practitioners (NPs) provided care to Aboriginal people in British Columbia and proposed a theoretical foundation to guide NPs interactions with Aboriginal people in providing healthcare. This study first explored NPs work with Aboriginal people. Through analysis of interview responses, insight was gained into how NPs provide care to Aboriginal people. Fourteen NPs who worked with Aboriginal people in British Columbia for at least one year during the past five years were interviewed. After each interview data were manually coded for concepts and categories from which to build theory. Memos were written for further clarity and participants were asked to verify whether or not identified concepts and categories worked, fit, and were relevant and modifiable as new data arose. The theory, Engaging Mutually, identified core categories of Initializing Engagement, Sympathetic Mutuality, and Therapeutic Enlightenment as being connected and working together to help provide effective health care. Engaging Mutually was identified as relevant to the theories of oppression, motivational expectancy, social justice, social cognitive, cultural competency, and Watson’s caring theory. The significance of this study was to assist NPs to gain a better understanding of how to work with Aboriginal people to improve their health. This study contributes to research, theory, leadership, and nursing and NP practice. Engaging Mutually may assist NPs and other health care providers to develop appropriate health care practices when working with Aboriginal people and potentially with people from other cultures.

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Ocran, Joseph. "Nurse Practitioners' Attitudes Toward Nonpharmacological Interventions for Individuals Diagnosed with Clinical Depression." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2008.

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Depression negatively impacts the American economy, and there is a shortage of physicians to provide treatment. Nurse practitioners are viable alternatives to provide high-quality treatment of depression. The project's purpose was to describe nurse practitioners' attitudes toward nonpharmacological interventions to treat clinical depression. Attitude theory provided the theoretical framework. The American Psychiatric Association's guidelines for treating major depression provided the conceptual framework. The project used a quantitative nonexperimental descriptive survey research design. A purposeful sample of 63 nurse practitioners was obtained from members of the American Association of Nurse Practitioners. Data were collected through an online survey that included questions about participant demographics, attitudes about depression treatment modalities, and experience with individual and group psychotherapy in the treatment of depression. Frequencies and percentages were calculated for demographic information and information related to the use of individual and group therapy. Means and standard deviations were calculated for each of the Likert scale items. The findings showed that participants had more knowledge about medications used to treat depression and individual therapy than they did about group therapy. Findings showed that the participants believed that medication combined with individual therapy was the most effective treatment for individuals diagnosed with depression. Barriers to using group therapy were identified. These findings provided information to nurse practitioners about preferred treatment modalities for depression and the barriers to using group therapy to treat depression.

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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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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, specifically professional-technical competencies, part of the client-professional element of the model, provided the theoretical framework for this study. The sample was obtained :from two major nursing organizations involved in prenatal care: the National Association of Nurse Practitioners in Women's Health and the American College of Nurse-Midwives. A random sample of250 members from each organization was sent a postcard explaining the study and directing them to the online survey. In four out of five screening areas, there was no significant difference in the screening practices of NPs and CNMs. Bacterial vaginosis was the only screening with a significant difference. There was inconsistency with what the advanced practice nurses state they do and current guidelines with respect to screening for group B streptococcus and maternal serum markers.

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Sinanan, Indra. "Nurse Practitioners' Knowledge, Skills, and Confidence in Providing Tobacco Cessation Education." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6123.

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Ceasing tobacco use benefits smokers regardless of age; therefore, it is essential for health care providers to consistently identify smokers and offer evidence-based cessation treatments to those wanting to stop smoking as a proactive approach towards tobacco abstinence. The purpose of this doctoral project, which was underpinned by the knowledge-to-action framework, was to educate nurse practitioners about evidence-based tobacco cessation interventions and assess the impact of the education on their knowledge base, skills, and self-confidence in implementing tobacco-cessation protocols. Participants (n = 14) completed a knowledge-based questionnaire and the Skills and Confidence for Smoking Cessation Tool before and after an education intervention based on the Rx for Change program. Paired sample t-tests were completed to analyze the pretest and posttest results. The results indicated a statistically significant increase (p < .05) in perceived knowledge, skills, and confidence among nurse practitioners related to tobacco cessation education. These findings support the use of tobacco cessation education for nurse practitioners to improve this aspect of care and provide patients with effective interventions to improve quit rates. The impact of this project on positive social change includes fostering a healthier lifestyle for tobacco users that extends to family and community.

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Snell, Lauren. "A comparative study of the clinical competence of community service practitioners: degree and diploma nursing programmes." University of the Western Cape, 2013. http://hdl.handle.net/11394/8248.

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Magister Curationis - MCur
According to Benner (2001 ), an individual moves through five stages: novice, advanced beginner, competent, proficient and expert. Competence is the measure or degree of a person's ability to cope with all aspects of the environment. It is expected that when an individual achieves competence, they possess the necessary knowledge, skills, abilities, attitudes and professionalism required to perform a certain function. The purpose of the study was to compare the perceptions of the Community Service Practitioners (Degree versus Diploma) regarding their clinical competence in providing nursing care and to establish and compare the perceptions of Professional Nurses regarding the clinical competence of the Community Service Practitioners they supervise (Degree versus Diploma) in providing nursing care. The null-hypothesis stated that there is no difference in the clinical competence of Community Service Practitioners who completed a Degree nursing programme as compared to those who completed a Diploma nursing programme leading to registration as a Professional Nurse (R425). The research methodology was quantitative, using a comparative, descriptive, cross-sectional design. The target population of the study included a sample of all Community Service Practitioners who worked in Regional Hospitals in the Western Cape and the Professional Nurses who supervised them. Convenience sampling was used to select the sample for this research and data were collected by means of a five-point Likert-scale questionnaire for the Professional Nurses supervising the Community Service Practitioners and a three-point Likert-scale questionnaire for the Community Service Practitioners. Data was organized and analyzed by using Statistical Package for Social Sciences (SPSS), Version 21. Descriptive statistics were used and findings were illustrated by means of descriptive tables and figures. The Mann-Whitney U test was used to calculate the null-hypothesis, which was retained. The results of the study indicated that there is no difference in the clinical competence, which included knowledge, skills and attitude, of Community Service Practitioners who completed an undergraduate Degree compared to those who completed a Diploma in nursing.

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Prins, Aletta Jacoba. "The expected role of the critical care clinical nurse specialist in private hospitals." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/4313.

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Thesis (MCur (Nursing Science))--University of Stellenbosch, 2010.
Thesis presented in partial fulfilment of the requirements for the degree of Master of Nursing at Stellenbosch University
ENGLISH ABSTRACT: The trend towards specialisation in nursing has resulted in the development of the role of the Clinical Nurse Specialist (CNS) since the 1960s and 1970s in North America and the United Kingdom respectively. A Clinical Nurse Specialist should demonstrate excellent skills in leadership, communication, critical thinking, clinical and collaborative ethical decision-making, as well as mentoring. Research done internationally has shown that advanced practice nursing leads to higher patient satisfaction and compliance, fewer hospitalisations and shorter length of stays. The development of the CNS role in SA is slow in implementation. The South African Qualifications Authority has only recently published qualification rules for a master’s certificate and master’s degree in Nursing for advanced specialist nurses in SA. This situation led to the following research question: What is the expected role of the Critical Care Clinical Nurse Specialist in private hospitals in the northern and southern suburbs of the Cape Peninsula, South Africa? A non-experimental, explorative, descriptive study with a quantitative orientation was conducted in eight private hospitals in the Cape Peninsula. Through non-probability sampling 73 critical care health professionals (critical care professional nurses, clinical nurse specialists, nursing managers, unit managers, nurse educators, clinical facilitators, clinical coordinators and doctors) out of a population of 170 critical care health professionals participated in the study. A survey tool was designed and validated to collect the data. Quantitative data was analysed through Statistica® and qualitative data was analysed thematically. It was found that 81% of the participants agreed that Clinical Nurse Specialists should be appointed in the South African critical care environment as soon as possible to improve patient outcomes, to contribute to safer nursing care, to relieve work stress of shift leaders and bedside nurses and to improve the professional status of nursing. It is recommended that greater awareness regarding the Clinical Nurse Specialist should be developed. The relevant educational requirements should be finalised and a clear job description should be compiled. Nursing managers should appoint Clinical Nurse Specialists in each critical care unit as soon as possible.
AFRIKAANSE OPSOMMING: Die rol van die Kliniese Verpleegspesialis het as uitvloeisel van spesialisering in verpleging sedert 1960 en 1970 in Noord-Amerika en Groot-Brittanje onderskeidelik ontwikkel. `n Kliniese Verpleegspesialis behoort die volgende eienskappe te openbaar: uitmuntende vaardighede met betrekking tot leierskap, kommunikasie, kritiese denke, kliniese en etiese besluitneming en mentorskap. Internasionale navorsing het aangetoon dat gevorderde verpleegkunde tot `n hoër vlak van pasiënttevredenheid en nakoming van behandelingsvoorskrifte, minder hospitalisasie en korter hospitaalverblyf aanleiding gee. Die ontwikkeling van die rol van die Kliniese Verpleegspesialis in Suid- Afrika geskied langsaam. Die Suid-Afrikaanse Kwalifikasie-Outoriteit (SAKO) het eers onlangs die reëls vir `n meestersertifikaat en meestersgraad in Verpleegkunde vir gevorderde spesialisverpleegkundiges gepubliseer. Hierdie situasie het tot die onderstaande navorsingsvraag aanleiding gegee: Wat is die verwagte rol van die Kritiekesorg- Kliniese Verpleegspesialis in privaathospitale in die noordelike en suidelike voorstede van die Kaapse Skiereiland, Suid-Afrika? `n Nie-eksperimentele, beskrywende studie met `n kwantitatiewe benadering is in agt hospitale in die Kaapse Skiereiland onderneem. Deur nie-waarskynlikheids-, toevallige steekproefneming is 73 professionele betrokkenes by kritiekesorggesondheid (professionele kritiekesorgverpleegkundiges, kliniese verpleegspesialiste, verpleegbestuurders, eenheidsbestuurders, opvoeders in verpleegkunde, kliniese fasiliteerders, kliniese koördineerders en dokters) uit `n populasie van 170 professionele betrokkenes by kritiekesorggesondheid in die studie ingesluit. `n Vraelys is ontwerp en gevalideer vir die insameling van data. Kwantitatiewe data is deur middel van Statistica® ontleed terwyl die kwalitatiewe data tematies ontleed is. Daar is gevind dat die meerderheid van die deelnemers saamgestem het dat Kliniese Verpleegspesialiste so gou moontlik in die kritiekesorgomgewing in Suid-Afrika aangestel behoort te word. Die Kliniese Verpleegspesialis dra by om pasiëntuitkomste te verbeter, om tot veiliger verpleegsorg by te dra, om werkspanning van skofleiers en verpleegsters te help verlig en om die professionele status van verpleging te verbeter. Daar word aanbeveel dat daar groter bewusmaking aangaande die Kliniese Verpleegspesialis moet wees. Vereistes vir opleiding behoort gefinaliseer te word en `n duidelike werksbeskrywing moet opgestel word. Verpleegbestuurders behoort Kliniese Verpleegspesialiste so gou moontlik in die kritiekesorgomgewing aan te stel.

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Matsuda, Sandra J. "Information-seeking activity of rural health practitioners /." free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullcit?p9946278.

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37

D'Emiljo, Anle. "Job demands and resources as antecedents of work engagement : a diagnostic survey of nursing practitioners." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/96748.

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Thesis (MCom)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: Health care is a key factor in the general health and wellbeing of any society. At the centre of any well-functioning healthcare system is sufficient, engaged and competent nursing staff. Access to proper health care is reliant on sufficient nursing staff levels, but unfortunately the global scarcity of nursing staff is proving to be a big challenge to the quality and service delivery that public and private healthcare organisations are providing. One of the many contributing factors to the shortage of nursing staff is the global challenge of an aging nursing staff population. At a time of widespread concern about nursing shortages and an ageing nursing workforce globally, human resources functions should pay increasing attention to addressing the shortage of nursing staff. Although attracting individuals to the nursing profession will increase the nursing pool, the engagement (and consequently retention) of current nursing staff is crucial to ensure a sustainable nursing workforce, and as a result, a sustainable healthcare system. The purpose of this study therefore included a diagnosis of the current state of work engagement of nursing practitioners, with the Job Demands and Resources model as diagnostic model, in an attempt to identify the antecedents that significantly contribute to the engagement of nursing practitioners. The data analysis techniques that were applied in this study included item analysis, correlation analysis, hierarchical multiple regression analysis, PLS analysis and ANOVA. While the overall level of work engagement of nursing practitioners in the sample might not have been as low as had been envisioned, there are clearly deficiencies that need to be addressed. In terms of job resources, the factors that were found to be below optimum levels, and warrants intervention, included remuneration, participation, career possibilities, variety at work, independence at work, opportunities to learn, and information. The job resources communication, contact possibilities, relationships with colleagues and relationship with supervisor yielded acceptable mean scores and as a result no particular interventions were proposed for these variables. In terms of job demands, all job demands were reported to be at unacceptably high levels; however, no correlation between pace and amount of work and work engagement was confirmed. As a result, practical recommendations were built around these job demands and resources which anticipate increasing the work engagement of nursing practitioners and thereby partially addressing the greater problem of nursing shortages.
AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar.

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38

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 be brought into clearer focus, then not only could benefits come to the health care consumer, but also health care professionals could work together more efficiently and productively. Furthermore, educators could build programs with a clearer sense of purpose and structure. Procedure. The data were obtained through a survey of 574 NPs certified in Oregon. A four-part questionnaire was adapted from instruments developed by researchers of NPs in North Carolina, Arkansas, and Colorado. The analysis of service diaries provided by Oregon nurse practitioners, additions by the Oregon State Board of Nursing, and pretesting in the field resulted in statements about selected characteristics and attitudes, practice settings, and clinical and community functions of Oregon nurse practitioners. Questionnaires were mailed, and 386 were analyzed. Summary of Findings and Conclusions. Three research hypotheses were formed and tested by chi-square. The following findings and conclusions were identified: (a) Some relationships did exist between NP functions and specialty groups with respect to competency, frequency of performance, and preferred preparation. (b) Most nurse practitioners serve a large number of consumers in low or very low economic circumstances through community or home health agencies. (c) Some functions of high competency and usage are needed in the preparation of all nurse practitioners at the baccalaureate and master's level. (d) Higher education is preferred for preparation of nurse practitioners in a sequence of baccalaureate in nursing followed by a master's degree which qualifies for certification in a nursing specialty. (e) For the functions of lower competency and usage, reduced emphasis or deletion from nurse practitioner preparation is desirable. (f) Some functions are suitable for major emphasis in continuing education programs with the standards of higher education.

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James, Glynnis Geraldine. "Woven threads : a case study of chemotherapy nursing practice in a rural New Zealand setting : a thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Nursing (Clinical) /." ResearchArchive@Victoria e-Thesis, 2008. http://hdl.handle.net/10063/637.

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Santana, Sondra Michelle Phipps. "Practitioners' Use of Clinical Practice Guidelines: An Evidence-Based Approach." UNF Digital Commons, 2013. http://digitalcommons.unf.edu/etd/462.

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Pre-diabetes is a serious health problem in the United States. Distinguished by plasma glucose levels that are above the normal threshold, patients with pre-diabetes are 10 times more likely to develop type 2 diabetes. Patients with pre-diabetes suffer the same complications as patients with diabetes including diabetic retinopathy, nephropathy, and microalbuminuria. There is considerable evidence to support the idea that early identification and aggressive treatment of pre-diabetes has the potential to delay disease progression. The American Diabetes Association’s clinical practice guideline recommends management of with lifestyle modification and metformin for patients who are at risk for developing type 2 diabetes. The purpose of this project was to evaluate the implementation of the 2012 ADA clinical practice guidelines regarding the management of patients with pre-diabetes by the health care providers at a volunteer-run clinic located in a large metropolitan area in the southeastern United States. This study, even with a small sample size (n=26) revealed that the providers at the clinic had not implemented the 2012 ADA clinical practice guidelines. Clinical practice guidelines promote health care interventions that have proven benefits and improve the consistency of care provided to patients. The greatest benefits of implementing clinical practice guidelines for patients with pre-diabetes are early diagnosis and aggressive disease management. This would improve patient outcomes and in the long run, decrease the cost of medical care.

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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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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, & Ngo, 2015; Kallner et al., 2015; Weitz et al., 2013).

Currently in the United States (US), almost one million women have an induced abortion each year (Jones & Jerman, 2017). National abortion data reveal significant disparities in rates, and inequities in access (Jerman, Jones, & Onda, 2016). An inconsistent legal and regulatory landscape precludes NPs and CNMs from providing comprehensive abortion care in many states, including some where there are few providers. Vermont and New Hampshire comprise two of the four states where laws and practice regulations allow NPs and CNMs to perform aspiration abortion, and across New England. These advanced practice nurses (APRNs) are extensively involved in providing and managing the care of women undergoing medication abortion.

Little literature describes nurses’ experiences providing comprehensive early abortion care around the world, including in the US. The aim of this qualitative, exploratory, descriptive research study was to explore the experiences of NPs and CNMs who provide comprehensive early abortion care in New England. Data were collected through in-person individual interviews with seven NPs and one NP/CNM. Providing comprehensive early abortion care was generally a positive experience for most participants, though it did include challenges. Critical influences to becoming an NP or CNM who provided comprehensive early abortion care included the era in which participants came of age, values of their family of origin, exposure to feminism, reproductive rights and social justice during emerging adulthood, having a role model or mentor, and a personal experience of having an abortion were. Support at every level from interpersonal to societal was found to be a key enabling or constraining factor. Laws and regulations at the societal level were also noted to facilitate or impede abortion care provision by NPs and CNMs in the study. Finally, participants offered words of wisdom to others considering providing comprehensive early abortion care that ranged from clinical pearls to inspirational statements. They were universally encouraging in recommending this as a service to incorporate into clinical practice. This study has a number of implications for the future including the need for further research on NPs and CNMs experiences providing early abortion care in other regions of the US, and to remove state legislative and regulations that constrain practice for clinicians in this area of reproductive health care.

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Neal, Terry I. "Mentoring, self-efficacy, and nurse practitioner students a modified replication /." Muncie, Ind. : Ball State University, 2008. http://cardinalscholar.bsu.edu/754.

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Jackson, McClary Karen. "Examining Nurse Practitioners' Perceptions and Beliefs Regarding Hospice Referrals for African Americans." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2606.

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Terminally ill patients often have difficult choices at the end-of-life, and electing to receive hospice services is one of them. Hospice has been linked to improved quality of life and death and is accessible to terminally ill patients. Despite the accessibility, African American patients often make the decision to forgo hospice services. The purpose of this descriptive study was to explore perceptions and beliefs of nurse practitioners (NPs) regarding the lack of utilization of hospice for African American patients and the feasibility of NPs for initial referral for terminally ill African American patients. The research questions addressed whether an NP's perception, beliefs, and past experiences with hospice influence their decision to refer terminally ill African American patients to hospice. This project was guided by the theory of planned behavior to identify perceptions and beliefs of NPs about referrals for African American patients as well as knowledge to develop an awareness education program. Data were collected using a modified online survey administered to 8 NPs who practiced in Georgia or were members of a NPs' Facebook social group. Descriptive statistics demonstrated that the 8 NPs viewed hospice as a valuable service and cost-effective. Microsoft Excel was used to manage qualitative content, which demonstrated that NPs felt education was important for increasing African American patients' use of hospice. The implementation of an awareness education program can benefit NPs by educating them on the possible connection between their beliefs and perceptions about African American terminally ill patients and their decision to refer African American patients to hospice. Additionally, this project has the potential to improve end-of-life care.

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Tidwell, Justin, and Justin Tidwell. "Attitudes, Knowledge, and Skills among Nurse Practitioners Providing Care to Transgender Patients." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624540.

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Context: The transgender community experiences excessive discrimination in in healthcare. Data continue to reveal that health care providers lack sufficient knowledge in transgender health, as well as difficulty in referring individuals to competent providers, to ensure the continuum of care (Brennan, Barnsteiner, Siantz, Cotter, & Everett, 2012; Cruz, 2014). Methods: A modified Cross-Cultural Care Survey consisting of 56 questions was implemented via Qualtrics to 1,134 nurse practitioners (NPs) in the California Association of Nurse Practitioner to measure their cultural competence through the domains of attitude, knowledge, and skill. Results: Completed responses were obtained from 30 out of 38 NPs (78.9%). Knowledge was positively correlated with Skills (Pearson's r = .688, p < .001); negatively correlated with Negative Attitude (Pearson's r = -.458, p = .011) and positively correlated with Positive Attitude (Pearson's r = .371, p = .043). Skills was positively correlated with Positive attitude (Pearson's r = .646, p < .001); however, the negative correlation between Skills and Negative Attitude was not statistically significant at the .05 level (Pearson's r = -.345, p =.062). There was a negative correlation between Negative Attitude and Positive Attitude, but this correlation was only marginally not significant at the .05 level (Pearson’s r = -.358, p = .052). Conclusion: The results indicated that the balance between skills and negative attitudes may have created a barrier to care in transgender patients.

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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 regulation was the model used to guide this project. Sources of evidence included case law that has emerged since 1983; reviewing documents from 3 state boards of nursing; and a survey of nurse practitioners who practice in the field of MIAM. The evidence was analyzed noting themes while determining what the legal backbone is for nurse practitioner's scope of practice in California. This project found that nurse practitioners in this field keep up to date in their knowledge, educate their patients, utilize methods to maintain competency, feel support in their environment, assess and refer to others when appropriate, and teach both staff and patients evidence-based practices. It also found that standardized procedures are the legal backbone to understanding the scope of practice in California. A scope of practice was developed based on the findings of this project which was then reviewed by an expert. It is recommended that nurse practitioners utilize their resources to obtain and maintain knowledge as well as learn what the standardized procedures are in their facility. The implications for clarifying the scope of practice will serve this population to fully utilize their capabilities and practice safely, as well as help to develop this relatively new field.

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Holman, Helen M. "Effects of Community of Practice and Knowledge Translation Strategies on Nurse Practitioners' Knowledge and Practice Behavior." UNF Digital Commons, 2009. http://digitalcommons.unf.edu/etd/231.

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Background: Emerging evidence suggests that interactive CE activities will have the most effect in terms of knowledge and practice. Using technology to provide interactivity via computer-based applications is as effective an educational strategy as traditional education formats. Methods: A randomized controlled trial was conducted to test the effectiveness and satisfaction of educational activities provided within an online community of practice(CoP) on nurse practitioner (NP) knowledge and practice behavior. The online interactive website combined certified continuing education, professional forum, Ask-the-Experts, national guideline links, patient education tools, and professional resources. A Two-Group Control Group design was used. Study participants were assessed on knowledge and practice behavior prior to and after the six month study. Results: A sample of 66 NPs was randomly assigned to an online education only control group (n=33) or a CoP group (n=33). NPs in both groups had similar pretest knowledge assessment scores: 46% (control) vs. 49% (CoP), and pretest clinical vignette scores: 51%(control) vs. 57% (CoP). After the intervention, there was no significant increase in the posttest scores of the CoP group at 6 months compared with the posttest scores of the control group (knowledge assessment: 67% vs. 60%, p =.17; clinical vignettes: 67% vs. 74%, p =.28). Conclusions: The pilot test did not demonstrate that the intervention (CoP access) had a more positive effect on knowledge or clinical performance than access to online CE activities alone. It did however confirm the effectiveness of online education in improving knowledge.

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Wälivaara, Britt-Marie. "Mobile distance-spanning technology in home care : views and reasoning among persons in need of health care and general practitioners." Licentiate thesis, Luleå tekniska universitet, Omvårdnad, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-26437.

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The overall aim of this licentiate thesis was to describe views and reasoning about the use of mobile distance-spanning technology (MDST) in health care at home, from the perspectives of persons in need of health care and general practitioners (GP). A descriptive qualitative approach was chosen to achieve the overall aim. Individual qualitative research interviews and qualitative group research interviews were used for data collection. Qualitative content analysis and qualitative thematic content analysis were used for data analysis.The findings show that persons in need of health care at home recognized MDST as being similar to the technology used at hospital. They described the MDST at home as acceptable but still in its infancy. The limited experiences in using MDST led to some persons doubting the reliability of the examinations routinely carried out at home instead of at hospital. When using the MDST, more examinations can be performed at home but there was some overconfidence concerning the possibility of what MDST can achieve. They saw the staff as users of the MDST, and the MDST should not be used by the persons or their family members. The MDST was seen as possible for distance communication but personal meetings with a GP or a nurse also have to be possible. The GPs must know the person concerned before making decisions at a distance. The persons felt that as long as it is easy to go to the healthcare centre or to the hospital the examinations should be done there, but if they are in a bad condition and there are long distances, then examinations at home become relevant. In an emergency situation, going to hospital rather than staying at home was inevitable and obvious. The MDST at home was described as a part of a chain which can be efficient only when other parts of the chain are taken good care of. When the MDST was assumed to be safe and secure then it could be used on a permanent basis at home, but this decision had to be made by DNs and GPs. The GPs reasoned that the MDST should be used with caution. There is a professional caution, which is based on the GPs' professional experiences, responsibilities and skills. Human meetings were seen as important for performing secure judgments and as the basis for health care, but some meetings can be replaced by virtual meetings. A virtual meeting could be useful for the patients and their families but it depends on their expectations. It could benefit them but there is also an overconfidence concerning what MDST can do. The GPs reasoned about the MDST in general and the usability of different diagnostic tools. The MDST was described as being not yet fully developed. Sometimes the MDST could support the GPs' decisions, but when handling very complicated cases, meeting the patient and understanding his or her context was seen as highly important. Expanded access to patient records facilitates the GPs work but the patient's integrity has to be ensured. It is easy for nurses to do more during home visits, but there must be an agreement between the nurse and the GP regarding how to handle the responsibility.The results in this thesis indicate that the participants attach both positive values about MDST as well as believing that some tools have no value at all. This is important when attempting to understand what is important for persons in need of health care and for GPs benefit when planning health care at home for the future.
Godkänd; 2009; 20091021 (brival); LICENTIATSEMINARIUM Ämnesområde: Omvårdnad Examinator: Professor Siv Söderberg Extern opponent: Professor Kenneth Asplund, Mittuniversitetet, Sundsvall Tid: Fredag den 20 november 2009, klockan 13.00 Plats: Sal E246, Luleå tekniska universitet

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Schmidtmann, Amanda, and Amanda Schmidtmann. "Nurse Practitioners' Use of Ultrasound to Diagnose Kidney Stones in the Emergency Department." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/620859.

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Background: Kidney stones are a common, painful disorder that can affect as many as one of 11 people in the United States (Goldfarb & Arowojolu, 2013). The gold standard for diagnosing kidney stones is currently computed tomography (CT). However, because CT scans emit radiation during the exam, they could be causing more harm than good. According to recent research, ultrasound may be used to diagnose kidney stones with close to similar accuracy and reliability. Ultrasounds are also safer and more cost effective for patients and the healthcare system. Purpose: The purpose of this project is to describe nurse practitioners (NPs) use of ultrasound to diagnose kidney stones in the emergency department (ED). The information from this project was compared with the recent literature and used to develop an evidence-based practice recommendation for diagnosing suspected kidney stones in the ED. Methods: A 15-item survey was mailed to emergency department NPs across the United States. Descriptive statistics were used to analyze the quantitative results. One open-ended question was also posed, and findings were grouped by commonalities of clinical experiences. Results: Analysis of survey responses indicates that all of the respondents use CT scan to diagnose kidney stones. However, the majority of the respondents also feel that ultrasound could be used in the ED to diagnose kidney stones. The results also demonstrate that even though there is no nationally or internationally accepted standardized guideline for diagnosing kidney stones in the ED, many EDs across the country are instituting their own protocols.

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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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Pretorius, Margot. "Knowledge and practices of occupational health nurse practitioners in the management of diabetes mellitus in South Africa." Thesis, Cape Peninsula University of Technology, 2014. http://hdl.handle.net/20.500.11838/1538.

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Thesis submitted in fulfillment of the requirements for the degree Master of Technology: Nursing In the Faculty of Health and Wellness Sciences at the Cape Peninsula University of Technology 2014
Diabetes is one of the major non-communicable diseases in South Africa (SA) and in 2008, 6.4 percent of the South African population was reported by Frost and Sullivan to have diabetes (Business Wire, 2008). Furthermore, the prevalence of diabetes in South Africans between the ages of 20 and 70 had been predicted to rise from 3.4% to 3.9% by the year 2025 (Rheeder, 2006:20). There is no clear assessment of the amount of nursing care Occupational Health Nursing Practitioners (OHNPs) provide to diabetic employees in SA. From working experience of the researcher, employees with diabetes were absent from work more often due to poor glucose control than other workers with chronic health conditions. The increasing levels of absenteeism had financial impact on the diabetic employees, other workers, and industry. Therefore, OHNPs working in industries and organizations must have the appropriate knowledge to ensure that workers with diabetes are screened, monitored, and managed effectively in the workplace. The aim of the study is to assess the knowledge and practices of OHNPs in managing diabetes in workplaces in SA. The objectives of the study are firstly, to explore the extent of knowledge and practices of OHNPs regarding screening for diabetes in the workplace; secondly, to describe knowledge and practices of OHNPs regarding monitoring of diabetes in the workplace; and thirdly, to examine the knowledge and practices of OHNPs in management of diabetes in the workplace. Quantitative survey design was selected to focus the study and inform on the data collection tool. The population was all the OHNPs that were members of the South African Society of Occupational Health Nurse Practitioners (SASOHN) and registered on the SASOHN database. SASOHN Executive Office granted permission for use of the database. Ethical approval for the study was obtained from the University Research and Ethics Committee. The sample included all the members of SASOHN that had access to emails. The researcher developed an electronic self-administered questionnaire based on the 2009 American Diabetic Association position statement. The questionnaire contained both closed and open-ended questions which were grouped under specific sections. The questionnaire was emailed to participants accompanied by an invitation to participate and an informed consent form. Results: due to the complexity of industries and factories that OHNPs are employed in, the organisations were divided into eight categories. About 45% of respondents rated their knowledge of diabetes management as either good or average, 55% rated their knowledge of screening as good, 44% rated their knowledge of diabetes management as good and only 7% as very good. Only 51% of OHNPs routinely screened workers for diabetes. The majority of the OHNPs indicated that the Fasting Blood Glucose (FBG) was the diagnostic test they used to diagnose diabetes, which is the preferred test. Between 73 -85% of OHNPs indicated that each of the suggested five aspects of immediate care were performed after diagnosis Conclusions: OHNPs consider their knowledge on different aspects of diabetes to be average to good, however, lack of knowledge on types of diabetes, and some gaps identified regarding the tests for screening and diagnosis of diabetes, are cause for concern. Most OHNPs that participated in the study use different approaches to conduct diabetes awareness initiatives to promote health amongst their employees. There is a gap in OHNPs’ practice of screening for diabetes as well as in their knowledge. The lack of knowledge of the OHNPs that used the Oral Glucose Tolerance Test (OGTT) or other tests is cause for concern. Amongst most respondents the five aspects of care necessary after diagnosis of DM were performed. Recommendations: firstly, a strategy should be developed to encourage males to specialise in occupational health nursing. Secondly, a vigorous marketing strategy must be promoted to inform career guidance teachers on how to attract new applicants to the nursing profession and to promote nursing as a career of choice. Thirdly, the number of nurses trained in occupational health nursing and practising as OHNPs should be determined to assess professional developmental needs. Fourthly, additional research ought to be conducted to determine OHNPs’ actual knowledge of crucial aspects of diabetes and diabetes management. A standard/guideline could be developed to ensure that OHNPs have points of reference, and continuous training and professional development programmes on screening and diagnosing of diabetes should be established. There must be an investigation into constraints that OHNPs are faced with when implementing health promotion in the workplace as well as to determine the impact of such health promotion initiatives on the employees. OHNPs should be informed about the immediate care that needs to be performed on diagnosis of diabetes to improve their knowledge base and to motivate them to change their practice to provide a solid basis for continuity of care and management of newly diagnosed clients. Suggestions for further research: research on the effect of screening programmes in the occupational health setting to diagnose diabetics and the follow up care that is given. More research is required on how much monitoring and supervision is being conducted by OHNPs in the workplace.

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Dissertations / Theses on the topic 'Nursing practitioners'

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