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Journal articles on the topic 'Nurse practitioners'

Author: Grafiati

Published: 4 June 2021

Last updated: 29 July 2024

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1

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

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

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

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

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Kerari, Ali, Ghareeb Bahari, Nahed Aldossery, Omaimah Qadhi, and Alya Alghamdi. "A Mixed-Methods Sequential Explanatory Study of the Factors That Impact Nurses’ Perspectives toward Nurse Practitioners’ Roles in Saudi Arabia." Healthcare 11, no. 1 (January 3, 2023): 146. http://dx.doi.org/10.3390/healthcare11010146.

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Nurse practitioners’ roles need to be clearly defined in Saudi Arabia. Therefore, we aimed to explore potential factors that impact nurses’ perspectives toward nurse practitioners’ roles and whether they are interested in becoming nurse practitioners. A mixed-methods study design was employed using a questionnaire and focus groups. The survey was sent to nurses working at a public hospital in the Riyadh region. Participants (N = 77) reported that having more nurse practitioners would improve quality of care and patient safety. Additionally, most participants stated that an increased supply of nurse practitioners would have a positive impact on effectiveness, equity of care, and healthcare costs. In regression analysis, participants with favorable perspectives towards nurse practitioners were significantly more likely to have interest in becoming nurse practitioners (odds ratio [95% confidence interval]:1.04 [1.01–1.07]). In the qualitative domain, three positive factors were identified: effective collaboration with other staff, better contribution to quality care and patient safety, and better contribution to evidence-based practice. Two barriers were also determined: lack of motivation to become a nurse practitioner and unclear scope of practice. Results showed that nurse practitioners can provide quality healthcare services that meet patients’ different needs. The growing role of this speciality warrants further research to show its value in daily practice.

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L., J. F. "IT'S A SELLER'S MARKET FOR NURSE PRACTITIONERS." Pediatrics 94, no. 1 (July 1, 1994): 58. http://dx.doi.org/10.1542/peds.94.1.58.

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Nurse Practitioners: Nurse practitioners (NPs), who have nine to 24 months of education beyond an RN and some of whom have masters degrees, are allowed in some states to work "in collaboration" with physicians, consulting with them only as necessary. Other states require advanced practice nurses to work with varying degrees of physician supervision. There are about 25,000 NPs in practice, and the American Nurses Association says there are four job openings for every certified nurse practitioner. Their median income is in the $40,000 range.

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Brown, Kyle David, Loralee Sessanna, and Pamela Paplham. "Nurse Practitioners’ and Nurse Practitioner Students’ LGBT Health Perceptions." Journal for Nurse Practitioners 16, no. 4 (April 2020): 262–66. http://dx.doi.org/10.1016/j.nurpra.2019.12.028.

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6

Clark, Shannon, Rhian Parker, Brenton Prosser, and Rachel Davey. "Aged care nurse practitioners in Australia: evidence for the development of their role." Australian Health Review 37, no. 5 (2013): 594. http://dx.doi.org/10.1071/ah13052.

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Aim To consider evidence surrounding the emerging role of nurse practitioners in Australia with a particular focus on the provision of healthcare to older people. Methods Methods used included keyword, electronic database and bibliographic searches of international literature, as well as review of prominent policy reports in relation to aged care and advanced nursing roles. Results This paper reports on evidence from systematic reviews and international studies that show that nurse practitioners improve healthcare outcomes, particularly for hard to service populations. It also maps out the limited Australian evidence on the impact of nurse practitioners’ care in aged care settings. Conclusions If Australia is to meet the health needs of its ageing population, more evidence on the effectiveness, economic viability and sustainability of models of care, including those utilising nurse practitioners, is required. What is known about the topic? Australia, like many industrialised countries, faces unprecedented challenges in the provision of health services to an ageing population. Attempts to respond to these challenges have resulted in changing models of healthcare and shifting professional boundaries, including the development of advance practice roles for nurses. One such role is that of the nurse practitioner. There is international evidence that nurse practitioners provide high-quality healthcare. Despite being established in the United States for nearly 50 years, nurse practitioners are a relatively recent addition to the Australian health workforce. What does this paper add? This paper positions a current Australian evaluation of nurse practitioners in aged care against the background of the development of the role of nurse practitioners internationally, evidence for the effectiveness of the role, and evidence for nurse practitioners in aged care. Recent legislative changes in Australia now mean that private nurse practitioner roles can be fully implemented and hence evaluated. In the face of the increasing demands of an ageing population, the paper highlights limitations in current Australian evidence for nurse practitioners in aged care and identifies the importance of a national evaluation to begin to address these limitations. What are the implications for practitioners? The success of future healthcare planning and policy depends on implementing effective initiatives to address the needs of older Australians. Mapping the terrain of contemporary evidence for nurse practitioners highlights the need for more research into nurse practitioner roles and their effectiveness across Australia. Understanding the boundaries and limitations to current evidence is relevant for all involved with health service planning and delivery.

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

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

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8

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

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

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Kleinpell, Ruth, Michelle L. Cook, and Diane L. Padden. "American Association of Nurse Practitioners National Nurse Practitioner sample survey." Journal of the American Association of Nurse Practitioners 30, no. 3 (March 2018): 140–49. http://dx.doi.org/10.1097/jxx.0000000000000030.

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Rogge, Mary Madeline, and Emily Merrill. "Obesity education for nurse practitioners: Perspectives from nurse practitioner faculty." Journal of the American Association of Nurse Practitioners 25, no. 6 (September 27, 2012): 320–28. http://dx.doi.org/10.1111/j.1745-7599.2012.00785.x.

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Roberts, Mary Ellen, Judith Berg, and Rod Hicks. "Nurse practitioner education: Educating educators, students, and practicing nurse practitioners." Journal of the American Association of Nurse Practitioners 35, no. 9 (September 2023): 525–27. http://dx.doi.org/10.1097/jxx.0000000000000940.

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12

Hoffman, Leslie A., Mary Beth Happ, Carmella Scharfenberg, Dana DiVirgilio-Thomas, and Frederick J. Tasota. "Perceptions of Physicians, Nurses, and Respiratory Therapists About the Role of Acute Care Nurse Practitioners." American Journal of Critical Care 13, no. 6 (November 1, 2004): 480–88. http://dx.doi.org/10.4037/ajcc2004.13.6.480.

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• Background Information about the contributions of acute care nurse practitioners to medical management teams in critical care settings is limited.• Objective To examine contributions of acute care nurse practitioners to medical management of critically ill patients from the perspectives of 3 disciplines: medicine, respiratory care, and nursing.• Methods Attending physicians, respiratory therapists, and nurses in 2 intensive care units were asked to list 3 advantages and 3 disadvantages of collaborative care provided by acute care nurse practitioners. Qualitative methods (coding/constant comparative analysis) were used to identify common themes and subthemes. Overall response rate was 35% (from 69% for attending physicians to 26% for nurses).• Results Responses were grouped into 4 main themes: accessibility, competence/knowledge, care coordination/communication, and system issues. Acute care nurse practitioners were valued for their accessibility, expertise in routine daily management of patients, and ability to meet patient/family needs, especially for “long-stay” patients. Also, they were respected for their commitment to providing quality care and for their communication skills, exemplified through teaching of nursing staff, patient/family involvement, and fluency in weaning protocols. Physicians valued acute care nurse practitioners’ continuity of care, patient/family focus, and commitment. Nurses valued their accessibility, commitment, and patient/family focus. Respiratory therapists valued their accessibility, commitment, and consistency in implementing weaning protocols.• Conclusion Responses reflected unique advantages of acute care nurse practitioners as members of medical management teams in critical care settings. Despite perceptions of the acute care nurse practitioner’s role as medically oriented, the themes reflect a clear nursing focus.

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Scott, Graham, Daniel Allen, and Rael Martell. "Nurse practitioners." Nursing Standard 7, no. 48 (August 24, 1993): 12. http://dx.doi.org/10.7748/ns.7.48.12.s20.

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Fairhurst, Wendy. "Nurse practitioners." British Journal of General Practice 59, no. 563 (June 1, 2009): 449.2–450. http://dx.doi.org/10.3399/bjgp09x420996.

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Barratt, Julian. "Nurse practitioners." Emergency Nurse 17, no. 3 (June 2, 2009): 8. http://dx.doi.org/10.7748/en.17.3.8.s8.

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Thibodeau, Janice A., and Joellen W. Hawkins. "Nurse Practitioners." Nurse Practitioner 14, no. 12 (December 1989): 47???51. http://dx.doi.org/10.1097/00006205-198912000-00010.

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&NA;. "Nurse Practitioners." Nurse Practitioner 17, no. 7 (July 1992): 56. http://dx.doi.org/10.1097/00006205-199207000-00015.

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Leaman, A. M. "Nurse practitioners." Emergency Medicine Journal 13, no. 4 (July 1, 1996): 304. http://dx.doi.org/10.1136/emj.13.4.304-a.

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Freij, R., and J. Fothergill. "Nurse practitioners." Emergency Medicine Journal 13, no. 5 (September 1, 1996): 365. http://dx.doi.org/10.1136/emj.13.5.365-a.

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McRee, Laura, and Pamela G. Reed. "Nurse Practitioners." Nursing Science Quarterly 29, no. 1 (December 11, 2015): 78–81. http://dx.doi.org/10.1177/0894318415614910.

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21

Isenberg, Steven F. "Nurse Practitioners." Ear, Nose & Throat Journal 85, no. 11 (November 2006): 718. http://dx.doi.org/10.1177/014556130608501109.

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22

Dick, Karen L., John Jainchill, and Geraldine Zagarella. "NURSE PRACTITIONERS." Journal of the American Geriatrics Society 44, no. 5 (May 1996): 611. http://dx.doi.org/10.1111/j.1532-5415.1996.tb01457.x.

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23

DOWLING, DIAN, and WILLIAM N. DUDLEY. "Nurse Practitioners." Nursing Management (Springhouse) 26, no. 1 (January 1995): 49. http://dx.doi.org/10.1097/00006247-199501010-00010.

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Hall, S. "Nurse practitioners." Archives of Disease in Childhood 89, no. 2 (February 1, 2004): 118–19. http://dx.doi.org/10.1136/adc.2003.043216.

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Hamilton, Helen. "Nurse practitioners." Collegian 5, no. 2 (January 1998): 5. http://dx.doi.org/10.1016/s1322-7696(08)60275-9.

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Finlayson, Bernice. "Nurse ‘practitioners’." Collegian 5, no. 3 (January 1998): 8. http://dx.doi.org/10.1016/s1322-7696(08)60290-5.

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27

Bartol, Tom. "Nurse practitioners." Nurse Practitioner 40, no. 6 (June 2015): 14–16. http://dx.doi.org/10.1097/01.npr.0000465128.80771.ec.

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Ross, Marie R. "Nurse Practitioners." AAOHN Journal 34, no. 7 (July 1986): 357. http://dx.doi.org/10.1177/216507998603400715.

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Scharon, Glenna McKay, Shan P. Tsai, and Edward J. Bernacki. "Nurse Practitioners." AAOHN Journal 35, no. 6 (June 1987): 280–84. http://dx.doi.org/10.1177/216507998703500608.

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Pickwell, S. M. "Nurse practitioners." JAMA: The Journal of the American Medical Association 277, no. 13 (April 2, 1997): 1094b—1094. http://dx.doi.org/10.1001/jama.277.13.1094b.

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Reeves, Christopher. "Nurse Practitioners." Journal for Nurses in Professional Development 40, no. 3 (May 2024): 129–32. http://dx.doi.org/10.1097/nnd.0000000000001050.

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

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

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Bradley, Heather. "Self-Determination, End-of-Life Decisions, and the Role of Nurse Practitioners." Creative Nursing 21, no. 1 (2015): 11–14. http://dx.doi.org/10.1891/1078-4535.21.1.11.

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Nurse practitioners should be aware that societal changes could lead to their being asked to actively assist terminally ill patients who wish to end their lives, as opposed to their current supportive role in palliative care. With physician staff shortages and the need for nurse practitioners to fill the gaps, end-of-life responsibilities could be placed in the hands of nurse practitioners, rather than being reserved for physicians alone (Sagon, 2013). End-of-life matters raise uncertainties about the nurse practitioner role because it differs state by state, relates to ethics, reflects the religious beliefs of those involved, and concerns the conflict of nurses simultaneously caring for their patients while advocating for their right to self-determination in choosing to end their lives.

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Raftery, Chris. "Nurse practitioner succession planning: forward thinking or just an after-thought?" Australian Health Review 37, no. 5 (2013): 585. http://dx.doi.org/10.1071/ah13072.

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This paper examines the concept of backfill and succession planning for an elite speciality nursing group, nurse practitioners. Nurse practitioners work in many public, private, inpatient and outpatient settings across the country. This discussion is relevant to all practicing nurse practitioners, but especially those with their own specific patient group. A nurse practitioner is an elite nursing specialist with specific speciality skills. While present, nurse practitioners can be most effective at holistically managing their patient group. However, if an endorsed nurse practitioner is no longer present, for a short or long interval, their specific skills and abilities cannot be easily substituted or replaced in the short term. This potential compromise in patient care can be detrimental to the developing reputation of the role of the nurse practitioner. In order to address the shortage of specifically skilled nurse practitioners across the country in all specialties, there is a need to forward plan and consider contingencies for succession in the event of short- or long-term absences from the clinical environment. Succession planning is the key to patient safety and the successful implementation of the role of the nurse practitioner. What is known about the topic? While succession planning itself is not a new concept, nurse practitioner role development for the most part has been about advancing innovative nurse-led models of care, as opposed to planning for future needs. What does the paper add? This paper aims to reignite the role development discussion to highlight the need for better alignment of succession planning with the establishment of nurse practitioner roles. What are the implications for the practitioner? Better alignment of succession planning and role development will ensure continuity of nurse practitioner models of care well beyond our pioneering nurse practitioners’ working life.

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Jenkins, Melinda L., and Eileen M. Sullivan-Marx. "NURSE PRACTITIONERS AND COMMUNITY HEALTH NURSES." Nursing Clinics of North America 29, no. 3 (September 1994): 459–70. http://dx.doi.org/10.1016/s0029-6465(22)02232-0.

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Barton, Thomas David. "Nurse practitioners - or advanced clinical nurses?" British Journal of Nursing 15, no. 7 (April 2006): 370–76. http://dx.doi.org/10.12968/bjon.2006.15.7.20899.

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Simone, Shari, Carmel A. McComiskey, and Brooke Andersen. "Integrating Nurse Practitioners Into Intensive Care Units." Critical Care Nurse 36, no. 6 (December 1, 2016): 59–69. http://dx.doi.org/10.4037/ccn2016360.

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As demand for nurse practitioners in all types of intensive care units continues to increase, ensuring successful integration of these nurses into adult and pediatric general and specialty intensive care units poses several challenges. Adding nurse practitioners requires strategic planning to define critical aspects of the care delivery model before the practitioners are hired, develop a comprehensive program for integrating and training these nurses, and create a plan for implementing the program. Key strategies to ensure successful integration include defining and implementing the role of nurse practitioners, providing options for orientation, and supporting and training novice nurse practitioners. Understanding the importance of appropriate role utilization, the depth of knowledge and skill expected of nurse practitioners working in intensive care units, the need for a comprehensive training program, and a commitment to continued professional development beyond orientation are necessary to fully realize the contributions of these nurses in critical care.

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Jo Gagan, Mary. "Using Vignettes to Study Nurse Practitioners’ Performance in Suspected Domestic Violence Situations." Journal of Nursing Measurement 8, no. 1 (January 2000): 7–22. http://dx.doi.org/10.1891/1061-3749.8.1.7.

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Vignettes have often been used to evaluate students or collect data in nursing research. The format is familiar to most nursing students as well as nurses and nurse researchers. This article presents the development and testing of the Nurse Practitioner Performance Tool (NPPT) which used vignettes as an approach to nurse practitioner performance evaluation. In this example, vignettes were used in a quasi-experimental design to collect data from Adult and Family Nurse Practitioners (A/FNP). The focus was on the diagnosis and intervention performance of the A/FNPs when addressing suspected cases of domestic violence.

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39

Becker, Deborah, Roberta Kaplow, Patricia M. Muenzen, and Carol Hartigan. "Activities Performed by Acute and Critical Care Advanced Practice Nurses: American Association of Critical-Care Nurses Study of Practice." American Journal of Critical Care 15, no. 2 (March 1, 2006): 130–48. http://dx.doi.org/10.4037/ajcc2006.15.2.130.

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• Background Accreditation standards for certification programs require use of a testing mechanism that is job-related and based on the knowledge and skills needed to function in the discipline. • Objectives To describe critical care advanced practice by revising descriptors to encompass the work of both acute care nurse practitioners and clinical nurse specialists and to explore differences in the practice of clinical nurse specialists and acute care nurse practitioners. • Methods A national task force of subject matter experts was appointed to create a comprehensive delineation of the work of critical care nurses. A survey was designed to collect validation data on 65 advanced practice activities, organized by the 8 nurse competencies of the American Association of Critical-Care Nurses Synergy Model for Patient Care, and an experience inventory. Activities were rated on how critical they were to optimizing patients’ outcomes, how often they were performed, and toward which sphere of influence they were directed. How much time nurses devoted to specific care problems was analyzed. Frequency ratings were compared between clinical nurse specialists and acute care nurse practitioners. • Results Both groups of nurses encountered all items on the experience inventory. Clinical nurse specialists were more experienced than acute care nurse practitioners. The largest difference was that clinical nurse specialists rated as more critical activities involving clinical judgment and clinical inquiry whereas acute care nurse practitioners focused primarily on clinical judgment. • Conclusions Certification initiatives should reflect differences between clinical nurse specialists and acute care nurse practitioners.

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

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

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

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

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Carson, Andrea, Emma Stirling-Cameron, Martha Paynter, Sarah Munro, Wendy V. Norman, Kelley Kilpatrick, Stephanie Begun, and Ruth Martin-Misener. "Barriers and enablers to nurse practitioner implementation of medication abortion in Canada: A qualitative study." PLOS ONE 18, no. 1 (January 26, 2023): e0280757. http://dx.doi.org/10.1371/journal.pone.0280757.

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In this study we explored nurse practitioner-provided medication abortion in Canada and identified barriers and enablers to uptake and implementation. Between 2020–2021, we conducted 43 semi-structured interviews with 20 healthcare stakeholders and 23 nurse practitioners who both provided and did not provide medication abortion. Data were analyzed using interpretive description. We identified five overarching themes: 1) Access and use of ultrasound for gestational dating; 2) Advertising and anonymity of services; 3) Abortion as specialized or primary care; 4) Location and proximity to services; and 5) Education, mentorship, and peer support. Under certain conditions, ultrasound is not required for medication abortion, supporting nurse practitioner provision in the absence of access to this technology. Nurse practitioners felt a conflict between wanting to advertise their abortion services while also protecting their anonymity and that of their patients. Some nurse practitioners perceived medication abortion to be a low-resource, easy-to-provide service, while some not providing medication abortion continued to refer patients to specialized clinics. Some participants in rural areas felt unable to provide this service because they were too far from emergency services in the event of complications. Most nurse practitioners did not have any training in abortion care during their education and desired the support of a mentor experienced in abortion provision. Addressing factors that influence nurse practitioner provision of medication abortion will help to broaden access. Nurse practitioners are well-suited to provide medication abortion care but face multiple ongoing barriers to provision. We recommend the integration of medication abortion training into nurse practitioner education. Further, widespread communication from nursing organizations could inform nurse practitioners that medication abortion is within their scope of practice and facilitate public outreach campaigns to inform the public that this service exists and can be provided by nurse practitioners.

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43

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

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

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Romem, Anat, Beth G. Zalcman, and Ronit Pinchas-Mizrachi. "Maximization of scope of practice and satisfaction among geriatric nurse practitioners in Israel." Journal of the American Association of Nurse Practitioners 36, no. 5 (September 26, 2023): 262–69. http://dx.doi.org/10.1097/jxx.0000000000000952.

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ABSTRACT Background: There is an increasing demand for comprehensive geriatric care. Nurse practitioners (NPs), who undergo specialized training, are situated to provide such care. In Israel, the role of a geriatric nurse practitioner was introduced in the health care system 10 years ago. However, little is known about the rate of professional satisfaction and realization of full potential among these nurses. Purpose: The aims of this study are (1) to describe the geriatric NP workforce in Israel, (2) to measure the current geriatric scope of practice, and (3) to measure the geriatric NP satisfaction from their working environment. Methodology: For this cross-sectional study, a survey, comprising three sections relating to demographics, professional qualifications and scope of practice, and career satisfaction, was sent to 53 geriatric nurse practitioners in Israel who currently work as geriatric nurse practitioners. Results: Forty-seven nurses participated in the survey. Almost 64% reported that they are satisfied with their position, and 72% reported that they are able to fulfill their full scope of practice. The mean score for scope of practice was 68.31 out of a possible score of 100. Conclusions: A number of qualifications were correlated with satisfaction at work, indicating that nurses tend to be more satisfied at work when they are able to fulfill their potential. Implications: Ensuring nurse practitioners' ability to realize their full potential should be a goal of the health care system. Interventions should be in place to encourage nurses to perform tasks related to their work, for which they are trained.

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

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

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Burgoyne, Sandra. "Emergency nurse practitioners." Nursing Standard 6, no. 27 (March 25, 1992): 12. http://dx.doi.org/10.7748/ns.6.27.12.s67.

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Kovner, Christine Tassone. "Counting Nurse Practitioners." American Journal of Nursing 102, no. 1 (January 2002): 92. http://dx.doi.org/10.1097/00000446-200201000-00033.

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Keane, Anne, and Therese Richmond. "Tertiary Nurse Practitioners." Image: the Journal of Nursing Scholarship 25, no. 4 (December 1993): 281–84. http://dx.doi.org/10.1111/j.1547-5069.1993.tb00260.x.

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Ladden, Carol, and Anne Keane. "Perioperative Nurse Practitioners." AORN Journal 61, no. 6 (June 1995): 1067–71. http://dx.doi.org/10.1016/s0001-2092(06)63811-8.

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Stephens, Lynn. "Family Nurse Practitioners." Primary Care: Clinics in Office Practice 39, no. 4 (December 2012): 595–603. http://dx.doi.org/10.1016/j.pop.2012.08.008.

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