scholarly journals The capability of nurse practitioners may be diminished by controlling protocols

2007 ◽  
Vol 31 (1) ◽  
pp. 108 ◽  
Author(s):  
Jenny Carryer ◽  
Glenn Gardner ◽  
Sandra Dunn ◽  
Anne Gardner
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Control Practice ◽  
The Core ◽  
Primary Health ◽  
Workforce Flexibility ◽  
Vital Component ◽  
Primary Health Services ◽  
Core Role

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

McAtee and Silver Reply

PEDIATRICS ◽  
1975 ◽  
Vol 56 (4) ◽  
pp. 620-621
Author(s):  
Patricia A. McAtee ◽  
Henry K. Silver
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Personalized Care ◽  
Primary Health ◽  
Primary Health Services ◽  
Better Than

We appreciate the commentary of Dr. Austin regarding our article. The nurse practitioner role was created because the needs of children for primary health care were not being adequately met through the existing health care delivery system. Pediatricians who practice with nurse practitioners have found that the pediatrician and the nurse can provide more primary health services to children and can give more personalized care than they previously were able to do. Acceptance by patients and their parents has been excellent; more than one half of the parents indicated that joint care was better than that received from the same pediatrician alone.

The core role of the nurse practitioner: practice, professionalism and clinical leadership

2007 ◽  
Vol 16 (10) ◽  
pp. 1818-1825 ◽  
Author(s):  
Jenny Carryer ◽  
Glenn Gardner ◽  
Sandra Dunn ◽  
Anne Gardner
Keyword(s):  
Nurse Practitioner ◽  
Clinical Leadership ◽  
The Core ◽  
Core Role

Aged care nurse practitioners in Australia: evidence for the development of their role

2013 ◽  
Vol 37 (5) ◽  
pp. 594 ◽  
Author(s):  
Shannon Clark ◽  
Rhian Parker ◽  
Brenton Prosser ◽  
Rachel Davey
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
The United States ◽  
Aged Care ◽  
Service Planning ◽  
Current Evidence ◽  
Ageing Population ◽  
Healthcare Outcomes ◽  
The Impact

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.

Self-Determination, End-of-Life Decisions, and the Role of Nurse Practitioners

2015 ◽  
Vol 21 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Heather Bradley
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Terminally Ill ◽  
Self Determination ◽  
End Of Life Decisions ◽  
Supportive Role ◽  
Societal Changes

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.

scholarly journals Nurse practitioner consultations in primary health care: a case study-based survey of patients’ pre-consultation expectations, and post-consultation satisfaction and enablement

2018 ◽  
Vol 20 ◽  
Author(s):  
Julian Barratt ◽  
Nicola Thomas
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Convenience Sample ◽  
Primary Health ◽  
Communication Processes ◽  
Consultation Time

AbstractBackgroundResearch has not yet fully investigated links to consultation duration, patient expectations, satisfaction, and enablement in nurse practitioner consultations. This study was developed to address some of these research gaps in nurse practitioner consultations, particularly with a focus on expectations, satisfaction, and enablement.AimTo explore the influence of pre-consultation expectations, and consultation time length durations on patient satisfaction and enablement in nurse practitioner consultations in primary health care.DesignSurvey component of a larger convergent parallel mixed methods case study designed to conjointly investigate the communication processes, social interactions, and measured outcomes of nurse practitioner consultations. The survey element of the case study focusses on investigating patients’ pre-consultation expectations and post-consultation patient satisfaction and enablement.MethodsA questionnaire measuring pre-consultation expectations, and post-consultation satisfaction and enablement, completed by a convenience sample of 71 adults consulting with nurse practitioners at a general practice clinic. Initial fieldwork took place in September 2011 to November 2012, with subsequent follow-up fieldwork in October 2016.ResultsRespondents were highly satisfied with their consultations and expressed significantly higher levels of enablement than have been seen in previous studies of enablement with other types of clinicians (P=0.003). A significant, small to moderate, positive correlation of 0.427 (P=0.005) between general satisfaction and enablement was noted. No significant correlation was seen between consultation time lengths and satisfaction or enablement.ConclusionHigher levels of patient enablement and satisfaction are not necessarily determined by the time lengths of consultations, and how consultations are conducted may be more important than their time lengths for optimising patient satisfaction and enablement.

Letter to the Editor

PEDIATRICS ◽  
1972 ◽  
Vol 49 (6) ◽  
pp. 927-928
Author(s):  
Walter Pick
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Anticipatory Guidance ◽  
Subsequent Reaction ◽  
Letter To The Editor ◽  
Referring Physicians

Thank you for permitting debate on the important issue of the role of the nurse practitioner in pediatrics. Dr. A. H. Matlin comes to the surprising conclusion that nurse practitioners often practice better anticipatory guidance than physicians and "their services should, if anything, be worth more." If Dr. Matlin is serious in his view, he should experiment by referring physicians' children to the nurse practitioners for this "better guidance" and observe the subsequent reaction. In our society, a professional man is compensated for his service on the basis of his training and the responsibility he takes.

The role of the psychiatric nurse practitioner in disaster response

2009 ◽  
Vol 7 (4) ◽  
pp. 39
Author(s):  
Brenda Marshall, EdD, MSN, PMHNP-BC
Keyword(s):  
Life Cycle ◽  
Registered Nurses ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Disaster Response ◽  
Healthcare Providers ◽  
Psychiatric Nurse ◽  
Florence Nightingale

Nurses have responded to, and prepared for disasters from the time of Florence Nightingale and Harriet Werley. Nurses are the largest group of professional healthcare providers in America with more than 2.4 million registered nurses, a quarter of a million of whom are Nurse Practitioners capable of diagnosing, prescribing, and treating patients. Psychiatric Nurse Practitioners are in a position to understand the unique cultural nuances and needs of a community in all phases of the disaster life cycle.

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