One nurse's view of pediatric nurse practitioners

PEDIATRICS ◽  
1974 ◽  
Vol 54 (5) ◽  
pp. 534-537
Author(s):  
Loretta C. Ford

Involvement in and reflections upon nine years of change in nursing and health care provide the framework for this commentary on the article, "Nurse Practitioners for Children—Past and Future" by McAtee and Silver.1 My earlier association with Silver as a co-director of the first pediatric nurse practitioner project at the University of Colorado makes these comments, hopefully, like conversations and challenges between colleagues. My remarks address those issues concerned with establishing priorities in the preparation of teacher-practitioners, the development of interdisciplinary collaboration, the need for studies of effectiveness of nurse practitioners, and an opinion on the recommendation to prepare "assistant nurse practitioners."

PEDIATRICS ◽  
1973 ◽  
Vol 52 (2) ◽  
pp. 306-307
Author(s):  
Frederic M. Stone

As a recent trainee in pediatrics at the University of Colorado, it was with considerable interest that I read the article by Drs. Silver and Ott and the commentaries that followed.1-4 During my training, I had the opportunity to observe and participate in the education, training, and evaluation of both child health associates and pediatric nurse practitioners. As one interested in the problems of health care delivery, I have followed the development of these programs (CHA and PNP) with special interest and in relationship to my own experience as a recent pediatric house officer.


PEDIATRICS ◽  
1972 ◽  
Vol 49 (6) ◽  
pp. 924-925
Author(s):  
Robert A. Hoekelman

I am surprised we have not seen more letters expressing the viewpoint of Dr. Walter Pick concerning the utilization of nurse practitioners in pediatric practice. I am convinced his opinion reflects that of the majority of practicing pediatricians and in part explains the lethargy in the growth and development of pediatric nurse practitioner training programs. His view implies that it is reasonable to utilize pediatric nurse practitioners in areas where child health services are sparse, but unethical to do so in private practice.


PEDIATRICS ◽  
1975 ◽  
Vol 55 (4) ◽  
pp. 568-568
Author(s):  
Morris A. Wessel

The discussions of Patricia McAfee, Henry Silver, and Abraham Bergman in the November issue suggest that some individuals believe that clinical pediatrics as a practitioner's primary role is about to disappear and be replaced by subspecialty colleagues serving hospitalized patients and pediatric nurse practitioners caring for most of the children currently being seen by doctors in private offices, university clinics, and health maintenance organizations. The primary care pediatrician working with or without a pediatric nurse practitioner has many advantages when compared to his counterpart a few decades ago.


PEDIATRICS ◽  
1998 ◽  
Vol 102 (Supplement_1) ◽  
pp. 245-247
Author(s):  
Robert A. Hoekelman

The increase in population of the United States is occurring at a much more rapid rate than the increase in medical and nursing personnel available to maintain health services at an optimum level. Unless the pattern of furnishing health care, particularly to lower socioeconomic groups in both urban and rural areas, is drastically improved, these groups will suffer from increasingly inadequate health supervision. This paper describes an educational and training program in pediatrics for professional nurses (the “pediatric nurse practitioner” program), which prepares them to assume an expanded role in providing increased health care for children in areas where there are limited facilities for such care.


PEDIATRICS ◽  
1974 ◽  
Vol 53 (4) ◽  
pp. 588-588
Author(s):  
Louis I. Hochheiser

The recent letter to Pediatric Nurse Associates and members of the American Academy of Pediatrics reporting the division between the AAP and American Nurses Association on certification, is an unfortunate and deplorable happening. Since the onset of the first Pediatric Nurse Practitioner Program in 1965, more than 1,000 nurses have graduated from over 45 programs adding a new dimension to care for children. Although touted by many as the answer to manpower problems for child health care, evidence over the past five years indicates that a new dimension has been added to pediatric care.


2018 ◽  
Vol 27 (4) ◽  
pp. 207-219
Author(s):  
Lisa Brzezinski ◽  
Nancy Mimm ◽  
Sallie Porter

Infant health and development outcomes are positively affected by breastfeeding. Despite the multitude of breastfeeding benefits to mothers and infants along with strong recommendations for exclusive breastfeeding from government agencies and professional associations, the rate of exclusive breastfeeding during the first six months of life remains low. Strongly positive attitudes make pediatric nurse practitioners, especially those in primary care settings, ideally positioned to encourage, support, and provide breastfeeding management to mothers and infants. However, pediatric nurse practitioners may report breastfeeding education and breastfeeding skills deficits along with other barriers to optimal breastfeeding care.


PEDIATRICS ◽  
1971 ◽  
Vol 47 (6) ◽  
pp. 1080-1084
Author(s):  
Abraham B. Bergman ◽  
La Verne Fakkema ◽  
John P. Connelly

On October 22, 1970 a portion of the annual meeting of the American Academy of Pediatrics in San Francisco was devoted to a conference on the utilization of allied health workers in meeting the manpower crisis. It was jointly sponsored by the American Academy of Pediatrics and the American Nurses' Association and was the third and most successful of similar meetings. The first one, held at the Academy's Chicago meeting in October, 1969, provided an introduction to the concept of pediatric nurse practitioners. The second, held at the Washington meeting of the Academy in April, 1970, resulted in a frank exchange of views of the official nursing organizations and academy representatives and pointed to the need for open discussion and collaboration on the subject. The San Francisco meeting got down to the business of a more objective analysis of issues, and though there was much heated discussion most of it was constructive. An attempt was made by the planning committee to include on the program different models of allied health workers in pediatrics. The program highlighted discussion about discharged medical corpsmen, laboratory technologists, pediatric assistants, as well as the more familiar pediatric nurse practitioner. Of the 418 persons in attendance, 294 were nurses, 43 physicians, and 81 were other interested persons. When one of the nurses criticized the fact that there were so few physicians in attendance, Donald Frank of Cincinnati, a member of the Academy's Manpower Committee, pointed out that there was a fivefold improvement in physician attendance since the first conference. The opening keynote address was given by Philip R. Lee, M.D., former HEW official, now Chancellor of the University of California at San Francisco, who refreshingly offered no simple solutions.


PEDIATRICS ◽  
1979 ◽  
Vol 64 (1) ◽  
pp. 113-114
Author(s):  
Loretta C. Ford

Kahn's article, "The Influence of Funding on the Future of Nurse Practitioner Programs" (p 106) presents the thesis that despite the effectiveness of and the need for nurse prcb actitioners, future programs are in jeopardy because funding sources are inadequate and, further, that the trend to prepare nurse practitioners at the master's level will discourage physician participation to the detriment of the program. I share some of Kahn's concerns on the former issue and challenge him on the latter. My response to Kahn's work, focusing first on the latter issue, offers information and opinion on historic, academic, and professional dimensions of the discussion; clarifies some misconceptions of the nurse practitioner movement and nursing education; and raises questions about the future.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (6) ◽  
pp. 928-929
Author(s):  
Patricia R. McAtee ◽  
Paul S. Goldstein ◽  
Louis Hochheiser

Through the collaborative efforts of nursing and medicine, a national entry-level certification for pediatric nurse practitioners and associates has been developed and offered. This marked the culmination of a decade of effort in which the American Academy of Pediatrics (AAP) joined with pediatric nurse practitioners and associates and the faculty of nurse practitioners programs to develop a means of recognizing and accrediting the special skills and competencies of pediatric nurse practitioners and associates. In May of 1977 the National Board of Pediatric Nurse Practitioners and Associates (which includes representation from the AAP, the National Association of Pediatric Nurse Associates and Practitioners [NAPNAP], and the Association of Faculties of Nurse Practitioner and Associate Programs [AFNPP]) announced the certification of 823 pediatric nurse practitioners and associates.


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