Impact of Clinical Nurse Specialist Roles on COVID-19 Pandemic Care

2020 ◽  
Vol 14 (3) ◽  
pp. 141-146
Author(s):  
Kathleen Posa-Kearney ◽  
Samantha M. Aranda ◽  
Elizabeth M. Day ◽  
Erin Dowding ◽  
Kristen Fisher ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Medical Center ◽  
Academic Medical Center ◽  
Nurse Specialist ◽  
Critical Care Nursing ◽  
Clinical Nurse ◽  
Certified Registered Nurse Anesthetists ◽  
Practice Nurses ◽  
Clinical Nurse Specialists ◽  
Academic Medical

Advanced practice nurses including nurse practitioners, clinical nurse specialists (CNS), certified registered nurse anesthetists, and certified nurse midwives contribute in many ways to improve care in the intensive care unit. This article reports on the roles of the CNS at an academic medical center and how they contribute to improving patient outcomes and support critical care nursing practice during the COVID-19 pandemic.

Outcomes of Clinical Nurse Specialist Practice in the Implementation of Video Monitoring at an Academic Medical Center

2018 ◽  
Vol 32 (2) ◽  
pp. 90-96 ◽  
Author(s):  
Suzanne Purvis ◽  
Alazda Kaun ◽  
Andrea McKenna ◽  
Jessica Weber Viste ◽  
Emilie Fedorov
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Clinical Nurse Specialist ◽  
Video Monitoring ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Academic Medical ◽  
Specialist Practice

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.

A chemotherapy privileging process for advanced practice providers at an academic medical center

2019 ◽  
Vol 26 (1) ◽  
pp. 116-123
Author(s):  
Michelle A Carrasquillo ◽  
Tyler A Vest ◽  
Jill S Bates ◽  
Aimee Faso ◽  
Jessica Auten ◽  
...  
Keyword(s):  
Supportive Care ◽  
Nurse Practitioners ◽  
Medical Center ◽  
Academic Medical Center ◽  
Physician Assistants ◽  
Advanced Practice ◽  
Training Process ◽  
Academic Medical ◽  
The Creation ◽  
Oncology Practice

Purpose Nurse practitioners, physician assistants, and pharmacists are advanced practice providers who are highly trained and qualified healthcare professionals that can help support traditional demands on oncologists' increased time in direct patient care. The purpose of this study was to detail and assess the creation of a privileging process for this group of medical professionals within an academic medical center. Obtaining the designation of limited oncology practice provider (LOPP) gives the right to modify chemotherapy orders and to order supportive care medications. Methods An interdisciplinary team developed a comprehensive training process inclusive of required educational domains, knowledge goals, and educational activities to become an LOPP. In 2018, five years after the implementation of the privileging process, a survey was distributed to assess perceptions of the training process and integration of LOPPs within oncology practice. Results Most oncologists noted that working with LOPPs is beneficial to oncology practice (94%) and that they make modifying chemotherapy orders more efficient (87%). Greater than 82% of LOPPs also reported that their privileges streamline the chemotherapy process and make them feel valuable. Conclusion The creation of the LOPP designation is an effective way to integrate nurse practitioners, physician assistants, and pharmacists within oncology practice. The inclusion of a focused privileging process ensures the safety of cancer care provided and has created a streamlined process for chemotherapy modifications and supportive care.

Acute Care Nurse Practitioners: Creating and Implementing a Model of Care for an Inpatient General Medical Service

2002 ◽  
Vol 11 (5) ◽  
pp. 448-458 ◽  
Author(s):  
Jill N. Howie ◽  
Mitchel Erickson
Keyword(s):  
Acute Care ◽  
Nurse Practitioners ◽  
Medical Service ◽  
Medical Center ◽  
Academic Medical Center ◽  
Public Funding ◽  
General Medical Service ◽  
Care Nurse ◽  
Insurance Reimbursement ◽  
Academic Medical

Changes in medical education and healthcare reimbursement are recent threats to most academic medical centers’ dual mission of patient care and education. Financial pressures stem from reduced insurance reimbursement, capitation, and changes in public funding for medical residency education. Pressures for innovation result from increasing numbers of patients, higher acuity of patients, an aging population of patients with complex problems, and restrictions on residency workloads. A framework for addressing the need for innovation in the medical service at a large academic medical center is presented. The framework enables acute care nurse practitioners to provide inpatient medical management in collaboration with a hospitalist. The model’s development, acceptance, successes, pitfalls, and evaluation are described. The literature describing the use of nurse practitioners in acute care settings is reviewed.

Orientation Program for Hospital-Based Nurse Practitioners

2009 ◽  
Vol 20 (1) ◽  
pp. 82-90
Author(s):  
Mona N. Bahouth ◽  
Mary Beth Esposito-Herr
Keyword(s):  
Nurse Practitioners ◽  
Medical Center ◽  
Academic Medical Center ◽  
Orientation Program ◽  
Team Members ◽  
University Of Maryland ◽  
Academic Medical ◽  
Key Variables ◽  
Preceptor Programs ◽  
The University

The transition from student to practicing clinician is often a challenging and difficult period for many nurse practitioners. Newly graduated nurse practitioners commonly describe feelings of inadequacy in assuming clinical responsibilities, lack of support by team members, unclear expectations for the orientation period, and role isolation. This article describes the formal nurse practitioner orientation program implemented at the University of Maryland Medical Center, a large urban academic medical center, to facilitate the transition of new nurse practitioners into the workforce. This comprehensive program incorporates streamlined administrative activities, baseline didactic and simulation-based critical care education, ongoing and focused peer support, access to formalized resources, and individualized clinical preceptor programs. This formalized orientation program has proven to be one of the key variables to successful integration of nurse practitioners into our acute care clinical teams.

scholarly journals Productivity Assessment of Physician Assistants and Nurse Practitioners in Oncology in an Academic Medical Center

2012 ◽  
Vol 8 (3) ◽  
pp. 167-172 ◽  
Author(s):  
Marc Moote ◽  
Ron Nelson ◽  
Robin Veltkamp ◽  
Darrell Campbell
Keyword(s):  
Nurse Practitioners ◽  
Medical Center ◽  
Academic Medical Center ◽  
Physician Assistants ◽  
Economic Indicators ◽  
Productivity Measurement ◽  
Academic Medical ◽  
Relative Value ◽  
Productivity Assessment

Productivity measurement for physician assistants and nurse practitioners can be challenging. This study quantifies their productivity in oncology according to economic indicators such as charges and work relative value units.

Examining the Roles and Competencies of Nurse Leaders, Educators, and Clinicians With a Doctor of Nursing Practice at an Academic Medical Center

2018 ◽  
Vol 11 (2) ◽  
pp. 119-125 ◽  
Author(s):  
Esther Chipps ◽  
Todd Tussing ◽  
Ruth Labardee ◽  
Mary Nash ◽  
Kimberly Brown
Keyword(s):  
Nurse Practitioners ◽  
Nursing Practice ◽  
Medical Center ◽  
Core Competencies ◽  
Academic Medical Center ◽  
Healthcare Setting ◽  
Nurse Leaders ◽  
Advanced Nursing Practice ◽  
Doctor Of Nursing Practice ◽  
Academic Medical

Background: As the nursing profession has gained experience with Doctor of Nursing Practice (DNP) graduates, it is important to examine the integration, operationalization, and contributions of the DNP-prepared nurse within healthcare systems. Administrators and leaders must have a clear vision of how DNP graduates will contribute within and outside of their organizations. Objectives: This article describes the outcomes of a workgroup comprised of DNP-prepared staff at a large academic medical center. The overarching goal of this group was to examine current practices of our DNP-prepared staff and make recommendations regarding roles and practice to the senior nursing leadership. Methods:A crosswalk comparing the current job descriptions of our DNP-prepared nurse leaders, nurse practitioners, clinical nurse specialists, and nurse educators with the core competencies of The Essentials of Doctoral Education for Advanced Nursing Practice as outlined by the American Association of Colleges of Nursing was completed. Results: Strategies and tactics to enrich current practice and build leadership capacity were identified. Conclusions: DNP-prepared nurses must continue to document their contributions to the healthcare setting. Implications for Nursing: DNP-prepared nurses in the health-care setting must work collaboratively with their senior nursing leaders to seek opportunities to increase their visibility within their organizations, and increase their scholarly output.

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