The History of the Neonatal Nurse Practitioner: Reflections from “Under the Looking Glass”

2002 ◽  
Vol 21 (5) ◽  
pp. 51-60 ◽  
Author(s):  
Patricia Johnson
Keyword(s):  
Health Care ◽  
Nurse Practitioner ◽  
Newborn Care ◽  
Medical Personnel ◽  
Health Care Team ◽  
Advanced Practice ◽  
Health Care Environment ◽  
Educational Preparation ◽  
History Of ◽  
Personnel Shortages

The neonatal nurse practitioner (NNP) emerged in the 1970s. During the first two decades, nurses who functioned in this new advanced-practice role were forced to overcome interprofessional isolation, variable educational preparation, underutilization, and title ambiguity. However, after nearly 30 years of evolution influenced by the changing health care environment, technological advancements in newborn care, medical personnel shortages, and the advanced-practice nurse movement, the NNP is now a recognized member of the neonatal health care team nationwide. The NNP has achieved the level of provider status, but only after successfully overcoming many practice restrictions and restraints over the decades. This article chronicles the history of the NNP and recounts the external and internal elements that contributed to the development of this profession.

The Role of the NNP in Facilitating Family-Centered Care

2007 ◽  
Vol 26 (4) ◽  
pp. 271-272 ◽  
Author(s):  
Nicole Bowen
Keyword(s):  
Health Care ◽  
Nurse Practitioner ◽  
Health Care Team ◽  
Team Approach ◽  
Certificate Programs ◽  
Centered Care ◽  
Effective Part ◽  
Family Centered ◽  
Limited Scope

THE NEONATAL NURSE practitioner (NNP) has come a long way since the 1970s. A profession that was once educated in certificate programs is now one in which each nurse practitioner is master’s prepared. The practitioner role has evolved from one of limited scope to its form as originally intended—an effective part of the collaborative team. The neonatal nurse practitioner collaborates not only with a physician, but with the entire NICU staff and family members. NNPs are excellent examples of the health care team approach that combines educated, research-based care with compassionate family-centered objectives.

Off the Beaten Track: MSN Education for a Changing Health Care Environment

1999 ◽  
Vol 1 (3) ◽  
pp. 175-180
Author(s):  
Sandra J. Genrich ◽  
Phyllis S. Karns ◽  
Jacquelin Neatherlin
Keyword(s):  
Health Care ◽  
Outcome Evaluation ◽  
Advanced Practice ◽  
Master's Program ◽  
Health Care Environment ◽  
Care Environment ◽  
School Of Nursing ◽  
Baylor University ◽  
Beaten Track ◽  
Advanced Knowledge

Given the dynamic nature of the health care environment, what should be the focus of graduate education in nursing? New advanced practice roles for nurses are emerging, but few university-based educational programs exist to respond to the need. In developing a Master’s program, Baylor University School of Nursing accepted the challenge to deviate from tradition by preparing a nurse who has the advanced knowledge and skills necessary to proactively address the present and future needs of health care in multiple settings and roles. This article discusses this unique and creative program in patient care management. Outcome evaluation reveals that students are attaining the terminal objectives, meeting the outcome criteria, and readily securing employment.

scholarly journals Historical aspects of the medical education system transformation

2021 ◽  
Vol 2 (1) ◽  
pp. 32-40
Author(s):  
I. N. Kagramanyan ◽  
A. I. Tarasenko ◽  
I. A. Kupeeva ◽  
O. O. Yanushevich ◽  
K. A. Pashkov ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health Care System ◽  
Education System ◽  
Medical Personnel ◽  
17Th Century ◽  
Historical Aspects ◽  
Medical Education System ◽  
History Of ◽  
Care System

The history of medical and pharmaceutical education development is part of the social history. The quality of medical personnel training determines the efficiency of the entire health care system and has been a priority area of development throughout the history of the Russian state. The paper reflects the main stages of the medical education system development in the period from the 17th century to the present. The training of medical personnel in Russia began in the second half of the 17th century, when, under the Pharmaceutical Order, a medical school was established in 1654to train doctors for the needs of the army.The need to provide qualified medical personnel remains relevant, both in wartime and in peacetime. The reforms of medical education that have been taking place over the centuries make it possible to diversify educational programs, as well as the to introduce new educational technologies, considering modern requirements and global trends. The study of the historical aspects of domestic medicine determines a more competent approach to the development of the health care system and medical education.

Moving Vision-Related Rehabilitation into the U.S. Health Care Mainstream

1997 ◽  
Vol 91 (2) ◽  
pp. 107-116 ◽  
Author(s):  
L. Lidoff
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Vision Loss ◽  
Service Providers ◽  
Public Funding ◽  
The United States ◽  
Functional Impairments ◽  
Health Care Environment ◽  
History Of ◽  
Independent Functioning

Little public funding is available in the United States for vision-related rehabilitation services to restore the independent functioning of people who do not have an explicit vocational goal. This problem especially affects older adults, who constitute a large majority of the population experiencing severe vision loss. Some service providers have begun to find ways to have Medicare and other health insurance plans, which pay for rehabilitation for many other functional impairments, cover vision-related rehabilitation in some cases. This article discusses the history of coverage of vision-related rehabilitation by health insurance and identifies opportunities for expanded coverage within the rapidly changing health care environment.

The Physical Therapy and Society Summit (PASS) Meeting: Observations and Opportunities

2010 ◽  
Vol 90 (11) ◽  
pp. 1555-1567 ◽  
Author(s):  
Colleen M. Kigin ◽  
Mary M. Rodgers ◽  
Steven L. Wolf
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Care Delivery ◽  
Cost Effective ◽  
Steering Committee ◽  
Health Care Team ◽  
Health Care Environment ◽  
Care Needs

The construct of delivering high-quality and cost-effective health care is in flux, and the profession must strategically plan how to meet the needs of society. In 2006, the House of Delegates of the American Physical Therapy Association passed a motion to convene a summit on “how physical therapists can meet current, evolving, and future societal health care needs.” The Physical Therapy and Society Summit (PASS) meeting on February 27–28, 2009, in Leesburg, Virginia, sent a clear message that for physical therapists to be effective and thrive in the health care environment of the future, a paradigm shift is required. During the PASS meeting, participants reframed our traditional focus on the physical therapist and the patient/client (consumer) to one in which physical therapists are an integral part of a collaborative, multidisciplinary health care team with the health care consumer as its focus. The PASS Steering Committee recognized that some of the opportunities that surfaced during the PASS meeting may be disruptive or may not be within the profession's present strategic or tactical plans. Thus, adopting a framework that helps to establish the need for change that is provocative and potentially disruptive to our present care delivery, yet prioritizes opportunities, is a critical and essential step. Each of us in the physical therapy profession must take on post–PASS roles and responsibilities to accomplish the systemic change that is so intimately intertwined with our destiny. This article offers a perspective of the dynamic dialogue and suggestions that emerged from the PASS event, providing further opportunities for discussion and action within our profession.

scholarly journals Globalization and Health in Kosovo

2014 ◽  
Vol 2 (1) ◽  
pp. 193
Author(s):  
Albina Balidemaj ◽  
Festina Balidemaj
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Healthcare System ◽  
Health Care System ◽  
Medical Personnel ◽  
Food Trade ◽  
History Of ◽  
Global Food ◽  
Care System

Kosovo and the region have had a traditionally long history of problems with the health care system. The situation worsened since the ex-Yugoslav conflict in the nineties when Kosovo inherited a large, hierarchical, and centralized healthcare system from socialist Yugoslavia (UNDP, 2013). This paper focuses on the effects of globalization on health in Kosovo; more specifically the effect of Global Food Trade in Kosovo's health and the development of information technology and telemedicine in Kosovo. Further, this paper focuses on the opportunities for Kosovars to obtain healthcare outside of Kosovo as well as prospects for the medical personnel to practice their profession abroad.

Nurse-Performed Endoscopy

2017 ◽  
Vol 18 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Christine Duffield ◽  
Susan Chapman ◽  
Samantha Rowbotham ◽  
Nicole Blay
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Cancer Screening ◽  
Nurse Practitioner ◽  
System Model ◽  
Advanced Practice ◽  
Advanced Training ◽  
Pilot Program ◽  
Practice Model ◽  
Increasing Demand

Increasing demands for health care globally often lead to discussions about expanding the involvement of nurses in a range of nontraditional roles. Several countries have introduced nurse endoscopists as a means of easing the burden of demand for a range of endoscopic procedures. A shortage of medical staff in Australia combined with increasing demand for endoscopy led to the implementation of nurse endoscopists as a pilot program in the state of Queensland, where a nurse practitioner model was implemented, and Victoria, where an advanced practice model was used. This article will discuss the implementation of and responses from the nursing, medical, and policy community to nurse-performed endoscopy in this country. Regarding health policy, access to cancer screening may be improved by providing nurses with advanced training to safely perform endoscopy procedures. Moreover, issues of nurse credentialing and payment need to be considered appropriate to each country’s health system model.

scholarly journals Rifampicin Induced Hyperbilirubinemias: A Case Report.

2019 ◽  
pp. 1-4
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Team ◽  
Low Grade ◽  
Gradual Improvement ◽  
Learning Programs ◽  
History Of ◽  
Chest X Ray ◽  
Hepatitis C Viruses ◽  
Anti Tubercular Therapy

Abstract Anti-tubercular therapy (ATT) induced hepatitis is a major problem which a physician encounters in his clinical practice. A case of 28-year old female, weighing 45 kg was brought to hospital with the chief complains of low-grade fever for the past two months, cough, shortness of breath and 4-5 kg weight loss in two months. She had no history of hypertension (HTN), diabetes mellitus (DM), pulmonary tuberculosis (PTB). Her Chest X-ray showed right sided bilateral pulmonary TB and sputum acid fast bacilli (AFB) smear was repeatedly positive. Pulmonologist has started Category-I anti-tubercular regimen (Rifampicin, Isoniazid, Pyrazinamide and Ethambutol) under DOTS as per RNTCP guidelines. After 7 days of starting the treatment (DOTS regimen), she noticed yellowish discoloration of sclera, orange discoloration of urine but in spite of this she continued the drug for a further two weeks. Patient was found to be developing hepatotoxicity with the findings of elevated total bilirubin (10.2 mg/dl), conjugated bilirubin (2.5 mg/dl) and unconjugated bilirubin (7.2 mg/dl). Viral markers for hepatitis including hepatitis B viruses (HBsAg), hepatitis C viruses (HCV), human immunodeficiency virus (HIV), were all are non-reactive. Pulmonologist made provisional diagnosis of anti-tubercular drugs (specially rifampicin) induced hyperbilirubinemias. Pulmonologist initially hold Rifampicin and Pyrazinamide, but started Isoniazid, Ethambutol, Ofloxacin, Pyridoxine along with liver enzyme. She showed gradual improvement as bilirubin after one-week had dropped down to 1.2 mg/dl. Rifampicin was added to the regimen and the serum bilirubin checked after 1 week was found 1 mg/dl. Pyrazinamide was added after repeated LFTs showed normal values. Patient continued her drugs and came for review after three months. She was advised to continue and complete the course of anti-tubercular drugs. Since Rifampicin is the most important first line anti-tubercular drug it is very important to restart this drug in order to have a satisfactory response to anti-tubercular therapy. We have reported this case because of its rarity in clinical practice. As a health care team member clinical pharmacist are need to be made aware of these potentially fatal adverse effects associated with anti-tubercular therapy via conduction of quality-based seminars, published medical literature, conferences, learning programs and health care camps.

scholarly journals Impact of pharmacists on outcomes for patients with psychiatric or neurologic disorders

2020 ◽  
Vol 10 (6) ◽  
pp. 358-380
Author(s):  
Amy Werremeyer ◽  
Jolene Bostwick ◽  
Carla Cobb ◽  
Tera D. Moore ◽  
Susie H. Park ◽  
...  
Keyword(s):  
Health Care ◽  
Meta Analysis ◽  
Medication Management ◽  
Health Care Team ◽  
Significant Heterogeneity ◽  
Health Care Environment ◽  
Patient Level ◽  
Neurologic Disorders ◽  
Practice Approach ◽  
Provision Of Care

Abstract Introduction Psychiatric and neurologic illnesses are highly prevalent and are often suboptimally treated. A 2015 review highlighted the value of psychiatric pharmacists in improving medication-related outcomes. There is a need to describe areas of expansion and strengthened evidence regarding pharmacist practice and patient care impact in psychiatric and neurologic settings since 2015. Methods A systematic search of literature published from January 2014 to June 2019 was conducted. Publications describing patient-level outcome results associated with pharmacist provision of care in a psychiatric/neurologic setting and/or in relation to central nervous system (CNS) medications were included. Results A total of 64 publications were included. There was significant heterogeneity of published study methods and data, prohibiting meta-analysis. Pharmacists practicing across a wide variety of health care settings with focus on CNS medication management significantly improved patient-level outcomes, such as medication adherence, disease control, and avoidance of hospitalization. The most common practice approach associated with significant improvement in patient-level outcomes was incorporation of psychiatric pharmacist input into the interprofessional health care team. Discussion Pharmacists who focus on psychiatric and neurologic disease improve outcomes for patients with these conditions. This is important in the current health care environment as most patients with psychiatric or neurologic conditions continue to have unmet needs. Additional studies designed to measure pharmacists' impact on patient-level outcomes are encouraged to strengthen these findings.

Sign in / Sign up

Export Citation Format

Share Document