Experiences and Attitudes Among Psychiatric Mental Health Advanced Practice Nurses in the Use of Telemental Health: Results of an Online Survey

2017 ◽  
Vol 24 (3) ◽  
pp. 235-240 ◽  
Author(s):  
Martha B. Baird ◽  
Lucinda Whitney ◽  
Cassie E. Caedo
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Advanced Practice Nurses ◽  
The United States ◽  
Discussion Board ◽  
Psychiatric Nurses ◽  
Telemental Health ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Online Discussion Board

BACKGROUND: Telemental health (TMH) growth is driven by recent trends in health delivery systems and disparities in access to mental health services. There are currently no standard educational guidelines to prepare psychiatric mental health advanced practice nurses (PMH-APRNs) in TMH delivery. OBJECTIVE: To survey practicing PMH-APRNs across the United States about their experiences and attitudes about use of TMH. DESIGN: Eighty-three participants from the American Psychiatric Nurses Association online discussion board completed a nine-item survey. QUESTIONS INCLUDED: Length of time practicing as a PMH-APRN, TMH use in practice, populations served, and TMH background. RESULTS: A majority had been practicing as a PMH-APRN for less than a decade and had used TMH, although most reported no prior education or training in this delivery method. Participants did indicate a desire for TMH education. CONCLUSION: This survey affirms the prevalence of TMH use among PMH-APRN providers, lack of formal training, and necessity for standardized educational guidelines in TMH delivery.

scholarly journals The enneagram model for nursing competencies development-An exploratory qualitative study

2020 ◽  
Vol 10 (8) ◽  
pp. 1
Author(s):  
Michèle Desmarais ◽  
Ondina Galiano ◽  
Valerie Gazemar ◽  
Julie Fréchette
Keyword(s):  
Mental Health ◽  
Emotional Intelligence ◽  
Qualitative Study ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Nursing Educators ◽  
Practice Nurses ◽  
Self Knowledge ◽  
Nursing Competencies ◽  
Model Training

Background and objective: Nursing competencies can be enhanced by the development of emotional intelligence, which promotes self-knowledge. Personality models, such as the Enneagram model, have been used to develop self-knowledge, and thus may contribute to increasing emotional intelligence. However, few studies have examined perceptions of the use of the Enneagram model on nursing competencies. This qualitative study aims to explore the perceptions of nursing educators and advanced practice nurses about the impact of Enneagram model training on the development of their professional competencies.Methods: This qualitative study used individual interviews and thematic analysis according to Miles and Huberman’s method. The nine participants were nursing educators and advanced practice nurses. Interviews were conducted between six and eight weeks after the Enneagram model training.Results: Results revealed that the Enneagram model may contribute to developing emotional intelligence. Participants perceived the Enneagram model training as promoting better self-awareness and understanding of others. It could also support the development of nursing competencies: humanistic action, collaboration, clinical leadership and support for learning in practice settings.Conclusions: The use of the Enneagram model could help nurses develop their emotional intelligence and optimize their practice while preserving their mental health. Implications for Nursing Administration: These findings are important for managers responsible for supporting nurses’ competencies and mental health through complex care situations in a context of change.

Empowerment of Advanced Practice Nurses: Regulation Reform Needed to Increase Access to Care

1993 ◽  
Vol 21 (2) ◽  
pp. 193-205 ◽  
Author(s):  
Antoinette DeBois Inglis ◽  
Diane K. Kjervik
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Gross National Product ◽  
Advanced Practice Nurses ◽  
The United States ◽  
Infant Mortality Rate ◽  
Advanced Practice ◽  
Major Health ◽  
Practice Nurses ◽  
Care System

As the millennium approaches, the United States is on the verge of major health care reform. While swallowing scarce national resources, our health care system produces unenviable results and major inconsistencies. In 1992, $838.5 billion were spent on health care, biting more than 14 percent out of our gross national product. From 35 to 37 million Americans, or approximately 14 percent of the populationn, are uninsured. Our health care system is inherently inconsistent: We have the highest birthweight-specific survival rate of any country in the world, yet we rank 19th worldwide in infant mortality rate, i.e., state-of-the-art medical technology allows us to save a 500-gram infant, yet the mother of that infant may not have had access to basic, minimal prenatal care.

A Description of How Advanced Practice Nurses Screen for Osteoporosis in Maryland

2016 ◽  
Vol 9 (1) ◽  
pp. 60-68
Author(s):  
Walton Reddish
Keyword(s):  
Nurse Practitioners ◽  
Urban Areas ◽  
Survey Methods ◽  
Advanced Practice Nurses ◽  
The United States ◽  
Advanced Practice ◽  
Major Health Problem ◽  
Major Health ◽  
Doctor Of Nursing Practice ◽  
Practice Nurses

Osteoporosis is a major health problem in the United States, yet the evidence suggests that practitioners often fail to screen for osteoporosis risk and, as a result, underdiagnose and fail to treat the disease. Because little is known about how well advanced practice nurses (APNs) evaluate osteoporotic risk, determining the extent to which they screen may enhance our understanding of the scope of APN diagnostic practice. The purpose of this study was 3-fold: (a) to determine if APNs routinely screen for osteoporotic risks, (b) to ascertain how they screen, and (c) to identify barriers that influence osteoporosis screening. Survey methods were used to poll members of the Nurse Practitioner Association of Maryland (n = 357) who identified themselves as adult, family, geriatric, and women’s health nurse practitioners. The results suggest that master’s-prepared APNs screen for osteoporosis more so than APNs with doctor of nursing practice (DNP) degrees. In addition, adult APN screened more often than family APNs and APNs in urban areas screened more frequently than rural-based APNs. Logistic regression failed to predict which APNs were likely to screen for osteoporosis.

Building the Next Generation of Advanced Practice Nurses Through Clinical Education and Faculty Practice: Three International Perspectives

2015 ◽  
Vol 8 (2) ◽  
pp. 249-257 ◽  
Author(s):  
Andrew Scanlon ◽  
Janice Smolowitz ◽  
Judy Honig ◽  
Katie Barnes
Keyword(s):  
Nursing Education ◽  
Nurse Practitioners ◽  
Clinical Education ◽  
Clinical Excellence ◽  
Advanced Practice Nurses ◽  
The United States ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Practice Nurses ◽  
The Ideal

Aims and Objectives: This article aims to provide an overview of the history of advanced practice nursing, including regulation, education, and faculty practice of nurse practitioners/advanced practice nurses from Australia, the United Kingdom, and the United States. Background: Clinical nursing education has evolved from the apprenticeship model to the multiple learning methods that are employed today. The faculty practice model has the most promise and maybe the new frontier to achieve excellence in clinical education. Design: Discursive paper. Methods: Advanced practice nursing clinical education will be discussed, current trends presented, and future educational directions considered. The essential characteristics of an effective clinical educator and the ideal context for clinical education will be highlighted with the goal of educating for clinical excellence. Contemporary practices of a nurse practitioner regulation and education will be examined. Conclusions: Faculty practice in advanced practice nursing requires critical elements, which include role modeling, financial sustainability, teaching credibility, translation of research to practice, and clinical expertise. Challenges to a functional context include conflicting regulatory issues, limited scope of practice, external agency restrictions, and lack of institutional support. Relevance to clinical practice: It is essential to understand the ideal characteristics and context for effective advanced practice clinical education and identify specific challenges within each country’s functional contexts that prevent effective advanced practice clinical education. Strategies to address these current challenges and to enhance clinical excellence to maximize the effectiveness of advanced practice nursing education.

Does the Employment of Physician Assistants and Nurse Practitioners Increase Liability?

2009 ◽  
Vol 95 (2) ◽  
pp. 6-16 ◽  
Author(s):  
Roderick S. Hooker ◽  
Jeffrey G. Nicholson ◽  
Tuan Le
Keyword(s):  
Nurse Practitioners ◽  
Data Bank ◽  
Physician Assistants ◽  
Advanced Practice Nurses ◽  
The United States ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Missed Diagnosis ◽  
American Society ◽  
National Practitioner Data Bank

ABSTRACT We assessed whether physician assistant (PA) and nurse practitioner (NP) utilization increases liability. In total, 17 years of data compiled in the United States National Practitioner Data Bank (NPDB) was used to compare and analyze malpractice incidence, payment amount and other measures of liability among doctors, PAs and advanced practice nurses (APNs). From 1991 through 2007, 324,285 NPDB entries were logged, involving 273,693 providers of interest. Significant differences were found in liability reports among doctors, PAs and APNs. Physicians made, on average, malpractice payments twice that of PAs but less than that of APNs. During the study period the probability of making a malpractice payment was 12 times less for PAs and 24 times less for APNs. For all three providers, missed diagnosis was the leading reason for malpractice report, and female providers incurred higher payments than males. Trend analysis suggests that the rate of malpractice payments for physicians, PAs and APNs has been steady and consistent with the growth in the number of providers. There were no observations or trends to suggest that PAs and APNs increase liability. If anything, they may decrease the rate of reporting malpractice and adverse events. From a policy standpoint, it appears that the incorporation of PAs and APNs into American society has been a safe and beneficial undertaking, at least when compared to doctors.

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