Neonatal Nurse Practitioners: Distribution, Roles and Scope of Practice

PEDIATRICS ◽  
2010 ◽  
Vol 127 (2) ◽  
pp. peds.2010-1596d-peds.2010-1596d
PEDIATRICS ◽  
2010 ◽  
Vol 126 (5) ◽  
pp. 856-860 ◽  
Author(s):  
G. L. Freed ◽  
K. M. Dunham ◽  
K. E. Lamarand ◽  
C. Loveland-Cherry ◽  
K. K. Martyn ◽  
...  

2018 ◽  
Vol 26 (7-8) ◽  
pp. 2247-2258
Author(s):  
Mobolaji Famuyide ◽  
Caroline Compretta ◽  
Melanie Ellis

Background: Neonatal nurse practitioners have become the frontline staff exposed to a myriad of ethical issues that arise in the day-to-day environment of the neonatal intensive care unit. However, ethics competency at the time of graduation and after years of practice has not been described. Research aim: To examine the ethics knowledge base of neonatal nurse practitioners as this knowledge relates to decision making in the neonatal intensive care unit and to determine whether this knowledge is reflected in attitudes toward ethical dilemmas in the neonatal intensive care unit. Research design: This was a prospective cohort study that examined decision making at the threshold of viability, life-sustaining therapies for sick neonates, and a ranking of the five most impactful ethical issues. Participants and research context: All 47 neonatal nurse practitioners who had an active license in the State of Mississippi were contacted via e-mail. Surveys were completed online using Survey Monkey software. Ethical considerations: The study was approved by the University of Mississippi Medical Center Institutional Review Board (IRB; #2015-0189). Findings: Of the neonatal nurse practitioners who completed the survey, 87.5% stated that their religious practices affected their ethical decision making and 76% felt that decisions regarding life-sustaining treatment for a neonate should not involve consultation with the hospital’s legal team or risk management. Only 11% indicated that the consent process involved patient understanding of possible procedures. Participating in the continuation or escalation of care for infants at the threshold of viability was the top ethical issue encountered by neonatal nurse practitioners. Discussion: Our findings reflect deficiencies in the neonatal nurse practitioner knowledge base concerning ethical decision making, informed consent/permission, and the continuation/escalation of care. Conclusion: In addition to continuing education highlighting ethics concepts, exploring the influence of religion in making decisions and knowing the most prominent dilemmas faced by neonatal nurse practitioners in the neonatal intensive care unit may lead to insights into potential solutions.


2020 ◽  
Vol 39 (3) ◽  
pp. 51-73
Author(s):  
Graham J. Reid ◽  
Judith B. Brown ◽  
Stephanie Mowat

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.


2019 ◽  
Vol 28 (20) ◽  
pp. 1308-1314 ◽  
Author(s):  
Mark A Cooper ◽  
Joan McDowell ◽  
Lavinia Raeside ◽  

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.


2006 ◽  
Vol 12 (3) ◽  
pp. 20 ◽  
Author(s):  
Andrew Cashin

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.


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