Decision letter for "Models of prescribing, scope of practice and medicines prescribed, a survey of nurse practitioners"

2020 ◽  
Keyword(s):  
Nurse Practitioners ◽  
Scope Of Practice

Caring for Children and Youth with Ongoing Mental Health Problems: Perspectives of Family Physicians, Nurse Practitioners, Social Workers and Psychologists in Primary Health Care

2020 ◽  
Vol 39 (3) ◽  
pp. 51-73
Author(s):  
Graham J. Reid ◽  
Judith B. Brown ◽  
Stephanie Mowat
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Nurse Practitioners ◽  
Mental Health Problems ◽  
Family Physicians ◽  
Children And Youth ◽  
Scope Of Practice ◽  
Care Coordinator ◽  
Primary Health ◽  
Ongoing Monitoring

Few studies have examined a diversity of professionals’ perspectives in providing children’s mental health (CMH) care, particularly for ongoing-complex problems. Based on interviews with 16 primary healthcare (PHC) providers, care for ongoing-complex CMH problems depended on provider interest and scope of practice. Most providers felt PHC is where ongoing-complex CMH problems should be cared for, where providers can emphasize advocacy, coordination, and ongoing monitoring; few felt able to provide this type of care. A comprehensive approach for incorporating PHC with specialized MH services is needed. Defining a care coordinator would be a clear step toward improving collaboration and care.

scholarly journals The similarities and differences between advanced nurse practitioners and clinical nurse specialists

2019 ◽  
Vol 28 (20) ◽  
pp. 1308-1314 ◽  
Author(s):  
Mark A Cooper ◽  
Joan McDowell ◽  
Lavinia Raeside ◽  
Keyword(s):  
Nurse Practitioners ◽  
Healthcare Services ◽  
Research Literature ◽  
Scope Of Practice ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists ◽  
Search Terms ◽  
Similarities And Differences

A lack of awareness exists within healthcare services on the differences between the roles of advanced nurse practitioner (ANP) and clinical nurse specialist (CNS). This may lead to ambiguity in relation to the development, scope of practice and impact of these roles. The aim of this review was to compare the similarities and differences between the ANP and CNS within the research literature. Databases (CINAHL, Medline and Embase) were searched using selected search terms. This resulted in 120 articles of potential interest being identified. Following a rigorous review process for content and relevance, this was reduced to 12. Both roles are valuable and effective, predominately being clinically based with education, leadership and research components. CNS roles are specialist, ANP are more likely to be generalist. Where there is regulation and governance the role of the ANP is clearly defined and structured; however, a lack of governance and regulation is evident in many countries.

The First Private Practice as a Registration Authority Authorised Nurse Practitioner in Australia

2006 ◽  
Vol 12 (3) ◽  
pp. 20 ◽  
Author(s):  
Andrew Cashin
Keyword(s):  
Mental Health ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Private Practice ◽  
Third Party ◽  
Scope Of Practice ◽  
Published Data ◽  
Mental Health Nurse ◽  
Health Nurse ◽  
Third Party Reimbursement

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

Full Scope of Practice for Alabama Nurse Practitioners: Act Now

2020 ◽  
Vol 16 (2) ◽  
pp. 100-104
Author(s):  
Laura Hart ◽  
Rebecca Ferguson ◽  
Azita Amiri
Keyword(s):  
Nurse Practitioners ◽  
Scope Of Practice

Factors Influencing Georgia Legislators' Decision-Making on Nurse Practitioner Scope of Practice

2018 ◽  
Vol 19 (3-4) ◽  
pp. 91-99 ◽  
Author(s):  
Desireé Mullis Clement
Keyword(s):  
Decision Making ◽  
Nurse Practitioners ◽  
House Of Representatives ◽  
Expert Testimony ◽  
The State ◽  
Scope Of Practice ◽  
Future Research ◽  
Policy Outcomes ◽  
Care Needs ◽  
State Educational

The state of Georgia faces challenges in providing access to care, largely due to rural hospital closures and physician shortages. Although nurse practitioners (NPs) could help address Georgia's urgent health care needs, the state remains restrictive with respect to NP scope of practice (SOP). This study examined factors that influence Georgia legislators' decision-making on NP SOP. In June 2016, after the January through March legislative session, a questionnaire was e-mailed to 49 state legislators on the Committees on Health and Human Services in Georgia's House of Representatives and Senate. The questionnaire was adapted from a legislative questionnaire previously used in research on state educational policy. Nine of 49 (18%) Georgia legislators responded. The majority of nine respondents were Republicans having served less than 15 years in the legislature. The number of respondents was approximately equal between Senate and House of Representatives. The respondents rated expert testimony and hearing from constituents as most likely to influence their decision-making on NP SOP. They reported that media and concerns about reelection were least likely to influence their decision-making about NP SOP. Therefore, nurses who aim to influence state policy should consider legislator preferences, such as speaking personally with constituents and receiving expert testimony. In-person communication could enhance interactions with legislators, potentially improving policy outcomes. Future research is necessary and should be conducted by NPs to determine the forms of communication and content in testimony most effective in influencing state lawmakers about NP SOP and examine if results vary by state political or other contexts.

Family Nurse Practitioners: Roles and Scope of Practice in the Care of Pediatric Patients

PEDIATRICS ◽  
2010 ◽  
Vol 126 (5) ◽  
pp. 861-864 ◽  
Author(s):  
G. L. Freed ◽  
K. M. Dunham ◽  
C. Loveland-Cherry ◽  
K. K. Martyn ◽  
Keyword(s):  
Nurse Practitioners ◽  
Pediatric Patients ◽  
Scope Of Practice ◽  
Family Nurse Practitioners

Association of State-Level Restrictions in Nurse Practitioner Scope of Practice With the Quality of Primary Care Provided to Medicare Beneficiaries

2017 ◽  
Vol 76 (5) ◽  
pp. 597-626 ◽  
Author(s):  
Jennifer Perloff ◽  
Sean Clarke ◽  
Catherine M. DesRoches ◽  
Monica O’Reilly-Jacob ◽  
Peter Buerhaus
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Primary Care Physicians ◽  
Scope Of Practice ◽  
Care Nurse ◽  
State Regulations ◽  
Primary Care Nurse ◽  
Quality Of Primary Care

Context: State scope of practice (SoP) laws impose significant restrictions on the services that a nurse practitioner (NP) may provide in some states, yet evidence about SoP limitations on the quality of primary care is very limited. Method: This study uses six different classifications of state regulations and bivariate and multivariate analyses to compare beneficiaries attributed to primary care nurse practitioners and primary care physicians in 2013 testing two hypotheses: (1) chronic disease management, cancer screening, preventable hospitalizations, and adverse outcomes of care provided by primary care nurse practitioners are better in reduced and restricted practice states compared to states without restrictions and (2) by decreasing access to care, SoP restrictions negatively affect the quality of primary care. Findings: Results show a lack of consistent association between quality of primary care provided by NPs and state SoP restrictions. Conclusion: State regulations restricting NP SoP do not improve the quality of care.

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