Innovation in Nursing; Nurse Practitioner in Midwifery(NPM)-The Future of Indian Nursing

Nursing innovation is a fundamental source of progress for health care systems around the world. According to a report by ICN (2009), innovation in nursing applications is extremely important for improving health, preventing diseases, describing and avoiding risk factors, developing healthy life standard attitudes because innovation helps updated knowledge, method and services be invented and discovered by the institutions. Innovation starts with a good idea, but it is much more than that. It also refers to the process of turning that good idea into something that can be used, something that is implementable and achievable, and hopefully, will bring about better health promotion, disease prevention and better patient care [4]. Considering the necessity for trained human resources to give quality care to 30 million pregnancies each year in India and at a similar time recognizing the challenges earlier, Government of India has proposed an alternate model of service provision for strengthening reproductive, maternal and neonatal health services by nurse practitioners in midwifery through Midwife Led Care Units (MLCUs). The ‘Guidelines on Midwifery Services in India’ set transformative change must be at the center of midwifery education. The ‘Midwifery Services Initiative’ aims to create a new cadre of midwives titled “Nurse Practitioner in Midwifery” (NPM) who are skilled in accordance with ICM competencies, knowledgeable and capable of providing compassionate women centered, reproductive, maternal and new-born health services (RMNCH) and to develop an enabling environment for integration of this cadre into the general public health system so as to achieve the SDGs for maternal and new-born health (MoHFW, 2018). The Nurse Practitioner in Midwifery (NPM) will be responsible for promotion of health of women throughout their life cycle, with special focus on women during their childbearing years and their new-born's. She will be responsible for providing respectful maternity care during preconception, pregnancy, childbirth, and post-natal period including the care of new born. Introduction of NPM will help to strengthen our health work force, and will go a long way in addressing the country’s core need of strengthening human resources for health, and it will empower the nurse practitioner in midwifery as leaders, in tandem with the global movement of role expansion and empowerment of nurse midwives.

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Holistic Nurse Practitioner Care Including Promotion of Shared Decision-Making

Journal of Holistic Nursing ◽

10.1177/08980101211062704 ◽

2021 ◽

pp. 089801012110627

Author(s):

Elizabeth Kinchen

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

Medical Condition ◽

Holistic Care ◽

Special Focus ◽

Free Text ◽

Shared Decision ◽

Convenience Sample

The purpose of this quantitative, descriptive, exploratory study was to gauge the degree to which nurse practitioners (NPs) incorporate holistic nursing values in their care, with a special focus on shared decision-making (SDM), using the Nurse Practitioner Holistic Caring Instrument (NPHCI), an investigator-developed scale. A single open-ended question inviting free-text comment was also included, soliciting participants’ views on the holistic attributes of their care. A convenience sample of NPs ( n = 573) was recruited from a southeastern U.S. state Board of Nursing's (BON) publicly available list of licensed NPs. Results suggest that NPs do indeed perceive their care to be holistic, and that they routinely incorporate elements of SDM in their care. Highest scores were accorded to listening, taking time to talk to patients, knowledge of physical condition, soliciting patient input in care decisions, considering how other areas of a patient's life may affect their medical condition, and attention to “what matters most” to the patient. Age, gender, level of education, practice specialty, and location were also associated with inclusion of holistic care. Free-text responses revealed that NPs value holistic care and desire to practice holistically, but identify “lack of time” to incorporate or practice holistic care as a barrier.

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An Efficient Nurse Practitioner–Led Community-Based Service Model for Delivering Coordinated Care to Persons With Serious Mental Illness at Risk for Homelessness

Journal of the American Psychiatric Nurses Association ◽

10.1177/1078390317704044 ◽

2017 ◽

Vol 24 (2) ◽

pp. 101-108 ◽

Cited By ~ 7

Author(s):

Jeannemarie Baker ◽

Jasmine L. Travers ◽

Penelope Buschman ◽

Jacqueline A. Merrill

Keyword(s):

Mental Health ◽

At Risk ◽

Mental Illness ◽

Serious Mental Illness ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

Quality Care ◽

Coordinated Care ◽

Community Based ◽

Provide Quality Care

BACKGROUND: Access to mental health care is a struggle for those with serious mental illness (SMI). About 25% of homeless suffer from SMI, compared with 4.2% of the general population. OBJECTIVE: From 2003 to 2012, St. Paul’s Center (SPC) operated a unique model to provide quality care to the homeless and those at risk for homelessness, incarceration, and unnecessary hospitalization because of SMI. Data were available for analysis for the years 2008 to 2010. DESIGN: The SPC was developed, managed, and staffed by board-certified psychiatric/mental health nurse practitioners, offering comprehensive mental health services and coordinated interventions. RESULTS: All clients were housed and none incarcerated. From 2008 to 2010, only 3% of clients were hospitalized, compared with 7.5% of adults with SMI. Clinical, academic, and community partnerships increased value, but Medicaid reimbursement was not available. CONCLUSION: Mental health provisions in the recently passed 21st Century Cures Act support community mental health specialty treatment. The SPC provides a template for similar nurse practitioner–led models.

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Where are we short and who are we short of? A review of the human resources for health in South Africa

Health SA Gesondheid ◽

10.4102/hsag.v17i1.622 ◽

2012 ◽

Vol 17 (1) ◽

Cited By ~ 12

Author(s):

Gavin George ◽

Timothy Quinlan ◽

Candice Reardon ◽

Jean-François Aguilera

Keyword(s):

Public Health ◽

South Africa ◽

Health Care ◽

Health Services ◽

Human Resources ◽

Nursing Care ◽

Human Resources For Health ◽

Health Care Personnel ◽

Public Health Services ◽

The Public

This review showed that thinking about the shortage of health care personnel merely in terms of insufficient numbers prevents sound strategic interventions to solve the country’s human resources for health (HRH) problem. It revealed that the numbers shortage was one facet of a broader problem that included the mal distribution of HRH, production of the wrong skills in the nursing care, the attrition of staff from the public health services and, contextually, the ever-changing demands on the health services. The challenge in South Africa was furthermore to train and retain health care personnel with skills and expertise that are commensurate with the changing demands on the public health services.Uit hierdie oorsig het dit duidelik geblyk dat die tekort van gesondheidsorgpersoneel slegs in terme van ontoereikende getalle val en ’n omvattende strategiese ingryping om die land se menslike gesondheidshulpbron krisis op te los, belemmer. Dit het aangedui dat die getalletekort maar slegs een fasset van ’n groter probleem uitmaak, wat onder andere die volgende insluit: die oneweredige verspeiding van menslike gesondheidshulpbronne, ’n fokus op ontoepaslike vaardighede in die opleiding van verpleegpersoneel, die behoud van personeel in die openbare gesondheidsektor, asook die konstant-veranderlike eise van die gesondheidsdienste. Verder was die uitdaging in Suid Afrika die opleiding en behoud van gesondheidsorgpersoneel met kennis en vaardighede wat tred hou met die veranderlike eise van die openbare gesondheidsdienste.

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Nurse Practitioner Led Emergency Clinic for Nosocomial Tuberculosis Exposure in a Level 3 NICU

Neonatal Network The Journal of Neonatal Nursing ◽

10.1891/0730-0832.39.4.222 ◽

2020 ◽

Vol 39 (4) ◽

pp. 222-226

Author(s):

Vidya Catherine Persad

Keyword(s):

At Risk ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

Quality Care ◽

Relationship Building ◽

Therapeutic Management ◽

Initial Assessment ◽

Outbreak Management ◽

Level 3 ◽

Set Up

This article describes the nurse practitioner (NP) led management of a possible nosocomial exposure of tuberculosis (TB) in a level 3 NICU in Toronto, Canada. 26 babies, premature and term, were identified as being at risk and multiple emergency clinics were set up to diagnose possible infection, prescribe window prophylaxis, and monitor for adverse effects to the medication. The NICU NPs were chosen to organize, co-ordinate, and manage these emergency clinics because of their skills in leadership, diagnosing, therapeutic management, and client relationship building. The clinic was able to achieve 100 percent follow up with each at risk baby, from initial assessment through to completion of window prophylaxis with negative tuberculin skin test. Some insight in to the decision making surrounding possible TB outbreak management is provided, and special considerations around therapeutic management specific to this population are discussed. This incident demonstrates how nurse practitioners can be utilized to provide high quality care, across multiple clinical situations, to meet the needs of the health care system.

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The role of information technology in strengthening human resources for health

Health Education ◽

10.1108/he-02-2013-0008 ◽

2013 ◽

Vol 114 (1) ◽

pp. 67-79 ◽

Cited By ~ 5

Author(s):

Nicole Sarkis ◽

Lillian Mwanri

Keyword(s):

Information Technology ◽

Health Services ◽

Human Resources ◽

Health Professionals ◽

Service Providers ◽

Health Workers ◽

Human Resources For Health ◽

English Literature ◽

Content Type ◽

The Pacific

Purpose – The purpose of this paper is to discuss innovative ways of addressing human resources for health (HRH) shortage in the Pacific, supported by a review of the literature and the Pacific Open Learning Health Network (POLHN), a programme created in response to the Pacific's HRH concern. Design/methodology/approach – A systematic search was conducted of English literature between 1990 and 2012. A number of key words, singly and/or in combination, were used to search for articles on ProQuest and PubMed. Original articles were identified and reference lists scrutinised to obtain additional literature. Due to the paucity of information, only narrative review was conducted and themes emerging from the literature identified and critically reviewed. Findings – There is a worldwide HRH shortage and a need to improve the skills of the health workforce to respond to changing population health needs. Continuing education (CE) through use of information technology (IT) is a means to strengthen HRH. POLHN is one example of an initiative to improve health worker skills and motivation. Technological change is increasingly common place in society. To make sense of these changes, practitioners can look for common themes in successful technological innovations of interactivity; information access, creation or sharing; communication; and simplicity. To ensure effective regulation of CE and IT there is a need to incorporate qualitative as well as quantitative measures, to prioritise the creation of quality, relevant, and appropriate resources and to facilitate access and active participation by health workers. Originality/value – The paper highlights the complexity of HRH shortage as a global problem, which demands multiple initiatives to respond to the shortage in the pursuit of skilled, equitable and just delivery of health services and distribution of health service providers. One initiative that has worked elsewhere is professional development of health professionals through the provision of CE using IT. Online learning offers a pathway to address HRH shortage and overcomes challenges posed by distance, limited infrastructure and in small remote communities. POLHN contributes to improved skills and knowledge among health professionals who can, as a result, deliver better health services in a region as geographically dispersed and isolated as the Pacific.

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Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services

The Lancet ◽

10.1016/s0140-6736(10)62035-1 ◽

2011 ◽

Vol 377 (9767) ◽

pp. 769-781 ◽

Cited By ~ 140

Author(s):

Churnrurtai Kanchanachitra ◽

Magnus Lindelow ◽

Timothy Johnston ◽

Piya Hanvoravongchai ◽

Fely Marilyn Lorenzo ◽

...

Keyword(s):

International Trade ◽

Health Services ◽

Human Resources ◽

Southeast Asia ◽

Human Resources For Health

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Nurse practitioners and pharmacist prescribers in primary health care: A realist evaluation of the New Zealand experience

10.26686/wgtn.17068688.v1 ◽

2021 ◽

Author(s):

◽

Tara Officer

Keyword(s):

Health Care ◽

Primary Health Care ◽

New Zealand ◽

Health Services ◽

Health System ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

Health Workforce ◽

Primary Health ◽

Advanced Practitioner

<p>Internationally, health workforce redesign provides a means to cope with an increasing demand for health services. The development of advanced practitioner professions provides a major change in health service delivery that challenges traditional practice boundaries. Yet, we know very little about how to introduce such roles into existing health systems successfully. This research investigates how nurse practitioner and pharmacist prescriber roles are developing in New Zealand primary health care, and what is needed to better support the future development of these roles. A realist methodology guided this research. The study used a qualitative research design involving semi-structured interviews of (1) policy, training, and advocacy stakeholders; (2) primary health care nurse practitioners, pharmacist prescribers, and general practitioners; and (3) patients of advanced practitioners and carers of patients using such services. Documents provided by interviewees relating to practice-specific roles supplemented these interviews. Data analysis facilitated the generation, testing, and refinement of theories on nurse practitioner and pharmacist prescriber role development. This research provided an account of the complexities of developing new health professional roles in an already established health system. Theories formed in this research considered advanced practitioner role creation, realisation, and subsequent delivery of health services. Mechanisms for their development included: (1) engagement in planning and integrating roles; (2) establishing opportunities as part of a well-defined career pathway; and (3) championing role uptake and work to full scopes of practice. Various health system and workplace contexts, practitioner goals, and patient needs influenced the ability for these mechanisms to trigger and thus have an effect on role development. Theories arising from this research emphasise the complexity inherent in the development of advanced practitioner roles. In addition, the findings demonstrate that a structured and informed health workforce redesign could improve use of roles, such as those of the nurse practitioner and pharmacist prescriber. In light of these results, this study recommends, implementing a national strategy that aligns policy and practice decisions if we are to succeed in making better use of such practitioner skills and expertise.</p>

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