scholarly journals The primary care nurse--the generalist in a structured health care team.

1972 ◽  
Vol 62 (6) ◽  
pp. 785-794 ◽  
Author(s):  
E Brunetto ◽  
P Birk
2016 ◽  
Vol 10 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Karan Kverno

Mental disorders are the leading cause of non-communicable disability worldwide. Insufficient numbers of psychiatrically trained providers and geographic inequities impair access. To close this treatment gap, the World Health Organization (WHO) has called for the integration of mental health services with primary care. A new innovative online program is presented that increases access to mental health education for primary care nurse practitioners in designated mental health professional shortage areas. To create successful and sustainable change, an overlapping three-phase strategy is being implemented. Phase I is recruiting and educating primary care nurse practitioners to become competent and certified psychiatric mental health nurse practitioners. Phase II is developing partnerships with state and local agencies to identify and support the psychiatric mental health nurse practitioner education and clinical training. Phase III is sustaining integrated mental health care services through the development of nurse leaders who will participate in interdisciplinary coalitions and educate future students.


2019 ◽  
Vol 10 (3) ◽  
pp. 51
Author(s):  
Jennifer M. Hackel ◽  
Teresa M. Eliot Roberts

This article reports on the effectiveness of a pilot project, where older adult volunteers attending college campus programs were recruited to act as mock patients (MP) in a two-hour clinical simulation experience for primary care nurse practitioner (NP) students learning about geriatric assessment. Primary care providers, such as NPs, study variable content on geriatrics and see older adults in their primary care clinical practica yet report they desire more time in their training to practice geriatric assessment techniques, apply clinical practice recommendations, and discuss broader aspects of cases being managed by NPs within the interdisciplinary team. Utilization of live models acting as MPs with small groups of students acting as one provider is one way in which health care trainees can take more time to learn from each other as well as the models in the simulated clinical setting. The professor wrote a hypothetical case study based on clinical practice experience that either a male or female volunteer retiree could play as the MP. The case was a 75-year-old retiree with multiple other chronic conditions, on multiple medications, presenting with acute on chronic fatigue. Of the 48 students who participated, 47 returned surveys. Aggregate scores indicated an overall effectiveness of 88% across multiple aspects of geriatric primary care. Qualitative data indicated that the NP students would like more such cases in which they get more lead time with the case information to consider the myriad factors at play and have smaller groups of students per MP. The older adults who volunteered as MPs reported overwhelmingly that they found participating in the students’ education to be rewarding and a chance to offer input about improvement in the care of older adults in the current health system in our aging society. There was consistent feedback that the program should be continued and enhanced. The case content is offered in this article for use by other health care professionals who educate trainees in primary care.


2011 ◽  
Vol 3 (2) ◽  
pp. 128 ◽  
Author(s):  
Susan Pullon ◽  
Eileen McKinlay ◽  
Maria Stubbe ◽  
Lindsay Todd ◽  
Christopher Badenhorst

INTRODUCTION: Effective teamwork in primary care settings is integral to the ongoing health of those with chronic conditions. This study compares patient and health professional perceptions about teams, team membership, and team members’ roles. This study aimed to test both the feasibility of undertaking a collaborative method of enquiry as a means of investigating patient perceptions about teamwork in the context of their current health care, and also to compare and contrast these views with those of their usual health professionals in New Zealand suburban general practice settings. METHODS: Using a qualitative methodology, 10 in-depth interviews with eight informants at two practices were conducted and data analysed using inductive thematic analysis. FINDINGS: The methodology successfully elicited confidential interviews with both patients and the health professionals providing their care. Perceptions of the perceived value of team care and qualities facilitating good teamwork were largely concordant. Patient and health professionals differed in their knowledge and understanding about team roles and current chronic care programmes, and had differing perceptions about health care team leadership. CONCLUSION: This study supports the consensus that team-based care is essential for those with chronic conditions, but suggests important differences between patient and health professional views as to who should be in a health care team and what their respective roles might be in primary care settings. These differences are worthy of further exploration, as a lack of common understanding has the potential to consistently undermine otherwise well-intentioned efforts to achieve best possible health for patients with chronic conditions. KEYWORDS: Primary health care; chronic disease; physicians; nurses; patients; patient care team


2019 ◽  
Vol 29 (5) ◽  
pp. 385-391 ◽  
Author(s):  
Carol Dawson-Rose ◽  
Yvette P. Cuca ◽  
Martha Shumway ◽  
Katy Davis ◽  
Edward L. Machtinger

2017 ◽  
Vol 13 (3) ◽  
pp. 282-291 ◽  
Author(s):  
Elizabeth Tobin Tyler

Medical-legal partnership (MLP) is a health care delivery innovation that embeds civil legal aid expertise into the health care team to address health-harming legal needs for vulnerable populations at risk for poor health. The MLP approach focuses on prevention by addressing upstream structural and systemic social and legal problems that affect patient and population health. Because many unmet legal needs affect health (such as residing in substandard housing; wrongful denial of government income supports, health insurance, or food assistance; family violence; and barriers to care based on immigration status), lawyers are important members of the health care team. This review describes the MLP approach to addressing the social determinants of health, examines its benefits for improving the delivery of primary care for vulnerable patients and populations, and explores new opportunities for MLP in primary care with the advent of systems reforms driven by the Affordable Care Act.


2020 ◽  
Vol 33 (5) ◽  
pp. 754-764
Author(s):  
Alden Yuanhong Lai ◽  
Christina T. Yuan ◽  
Jill A. Marsteller ◽  
Susan M. Hannum ◽  
Elyse C. Lasser ◽  
...  

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