Does the title nurse practitioner denote a level of practice, a nursing role or a mixture of the two? Pippa Gough outlines the RCN's concerns about the current model of specialist practice, and its possible implications for nurse prescribing, while remaining strongly supportive of the UKCC's ongoing review

1998 ◽  
Vol 8 (5) ◽  
pp. 12-12
Author(s):  
Pippa Gough
Keyword(s):  
Nurse Practitioner ◽  
Current Model ◽  
Nursing Role ◽  
Nurse Prescribing ◽  
Specialist Practice

scholarly journals I Have Never Felt so Novice: Using Narrative Reflection to Explore the Transition from Expert RN to Novice NP Student

2021 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Erin Ziegler ◽  
Sarah Kalvoda ◽  
Elyse Ancrum-Lee ◽  
Erin Charnish
Keyword(s):  
Nurse Practitioner ◽  
Registered Nurse ◽  
Student Experience ◽  
Ways Of Knowing ◽  
Advanced Practice Nursing ◽  
Future Research ◽  
Competency Development ◽  
Mixed Emotions ◽  
Nursing Role ◽  
Expert Theory

Aim: To explore the experiences of nurse practitioner students moving from expert registered nurses to novice nurse practitioner program students.  Background: Moving from registered nurse to nurse practitioner can be a time filled with mixed emotions, lack of confidence, adaptation, and competency development. Learning about and navigating the advanced practice nursing role can be challenging. Students in the nurse practitioner program are encouraged to engage in regular reflective writing to foster role development and learning.  This paper aims to reflectively explore the experiences of transition from registered nurse to nurse practitioner student.  Methods: Inspired by Benner’s Novice to Expert Theory and Carper’s ways of knowing, the authors personally reflected on their transition experiences during NP schooling and then collectively developed a composite reflection of the shared experience.  From this exercise common themes were identified.  Conclusion: This unique reflective paper identified common themes in the experience of transitioning to the student role. Potential areas for future research-based exploration of the nurse practitioner student experience were identified. By understanding these experiences, students can be better prepared in advance and faculty can design both formal and informal support measures to better support the student experience.   

The DNP Storm

2008 ◽  
Vol 27 (5) ◽  
pp. 297-298
Author(s):  
Patricia Johnson
Keyword(s):  
Nurse Practitioner ◽  
Nursing Practice ◽  
Acute Setting ◽  
Nursing Role

I DON’T REMEMBER THIS LEVEL OF PASSIONATE DISAGREEMENT over a nursing role since the birth of the neonatal nurse practitioner/clinician in the 1970s. At that time, a handful of nurse and physician visionaries saw the merits of advancing nursing practice in an acute setting; but most leaders in both organized nursing and medicine objected to the role’s potential to blur traditional professional lines.

scholarly journals Using the PEPPA Framework to Develop and Implement a Nurse Practitioner Role Within Canada’s National Ballet School

2021 ◽  
Vol 1 (1) ◽  
pp. 10-22
Author(s):  
Erin Ziegler ◽  
Sophia Kim ◽  
Rachel J. Bar
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Advanced Practice Nursing ◽  
Health And Wellness ◽  
Physical And Mental Health ◽  
Wellness Program ◽  
Nursing Role ◽  
Dance Training ◽  
Timely Access ◽  
Practitioner Role

Aim: To outline the successful development and implementation of a nurse practitioner role within a professional ballet school. Background: Nurse practitioners are well integrated into primary and acute care in Ontario, yet the role within schools and private athletic institutions is not well documented. Canada’s National Ballet School is a professional ballet school with a combination of day students and those living in residences. Students complete both dance training and academics at the School. The physical and mental health of students was identified as a key priority by the school, leading to the development of an integrated health and wellness program. To facilitate more timely access to healthcare and provide an opportunity for collaboration and consultation within the school, a plan to implement a nurse practitioner role into the school was developed. Methods: In order to develop and implement the role of the nurse practitioner within the institution, the participatory, evidence-based, patient-focused process for advanced practice nursing role development, implementation, and evaluation (PEPPA) framework was used. The first seven steps of the PEPPA framework were applied in this project. Findings: The PEPPA framework allowed for us to identify key barriers and facilitators for the role implementation and successfully implement the nurse practitioner role. While the initial plan was for a slower implementation, the COVID-19 pandemic highlighted the need for a nurse practitioner in the institution more urgently. Conclusion: The PEPPA framework provided us with an organized process for developing and implementing the nurse practitioner role at Canada’s National Ballet School.

scholarly journals Patient needs and resource intensity weighting in the ambulatory care unit

2021 ◽  
pp. 476-482
Author(s):  
Andrea Knox ◽  
John Larmet
Keyword(s):  
Ambulatory Care ◽  
Current Model ◽  
Patient Needs ◽  
Role Clarity ◽  
Model Of Care ◽  
Improvement Project ◽  
Nursing Role ◽  
Practice Elements ◽  
Resource Intensity ◽  
Staffing Requirements

Across British Columbia Cancer (BC Cancer), oncology nurses work as part of an interdisciplinary team in the outpatient ambulatory care unit (ACU) and support patients across the trajectory of their cancer journey. Previous initiatives, which focused on identifying patient needs and nursing role optimization work, have enhanced role clarity, enabling nurses to articulate their scope of practice and specialty competencies required to best meet the needs of patients and families. However, while the patient needs and fundamental practice elements have been identified to optimize the ACU nursing role, a gap still exists in quantifying the staffing resources required to operationalize the current model of care. To address this gap, a quality improvement project was initiated to develop an internally validated ACU Nursing Resource Intensity Weighting (RIW) tool for projecting baseline staffing requirements. The tool can be utilized to inform strategic and operational planning discussions focused on improving the outpatient model of care in oncology.

Using the PEPPA framework to develop the nurse practitioner role in emergency care: Critical reflections

2021 ◽  
pp. 205715852098847
Author(s):  
Erika Boman ◽  
Kim Gaarde ◽  
Rika Levy-Malmberg ◽  
Frances Kam Yuet Wong ◽  
Lisbeth Fagerström
Keyword(s):  
Emergency Department ◽  
Nurse Practitioner ◽  
Current Model ◽  
Models Of Care ◽  
Advanced Practice Nursing ◽  
Model Of Care ◽  
New Model ◽  
New Models ◽  
Nursing Roles ◽  
Practitioner Role

In this article, we describe and critically reflect on how the PEPPA framework, a Participatory Evidence-based Patient-focused Process for Advanced Practice Nursing, was used to develop a new model of care including the nurse practitioner (NP) role in an emergency department in Norway, where the role is in its infancy. While there is limited earlier research on the applicability of the PEPPA framework, it was here found to be useful. Supported by the framework, we mapped the current model of care, identified stakeholders and participants, determined the need for a new model of care, identified priority problems and goals, and defined the new model of care and the NP role. The PEPPA framework is recommended to develop new models of care including the NP role. Nonetheless, the process has not been straightforward. It is noted that to communicate and establish the new role in a setting as demanding as an emergency department takes time. Support from the management team is essential to succeed in developing and establishing new models of care and new nursing roles, such as the nurse practitioner role.

High-risk obstetric nursing role: Perinatal nurse practitioner

1995 ◽  
Vol 9 (3) ◽  
pp. 22-31 ◽  
Author(s):  
Karren Kowalski ◽  
Susan Gennaro ◽  
Deborah McGee ◽  
Constance R Murphy ◽  
Lynna Littleton
Keyword(s):  
High Risk ◽  
Nurse Practitioner ◽  
Nursing Role

scholarly journals Perception of the implementation of the nurse practitioner role in a Norwegian out-of-hours primary clinic: An email survey among healthcare professionals and patients

2020 ◽  
pp. 205715852096463
Author(s):  
Elisabeth Holm Hansen ◽  
Erika Boman ◽  
Lisbeth Fagerström
Keyword(s):  
Registered Nurses ◽  
General Practitioners ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Current Model ◽  
Waiting Times ◽  
Care Providers ◽  
Chi Square ◽  
Out Of Hours ◽  
Tract Infections

In Norway, more patients are visiting the out-of-hours primary clinic than before, and with a higher urgency level. As the first out-of-hours clinic in Norway, the leader at one medium/large clinic wanted to introduce the role of nurse practitioner (NP) for more effective and safer service for patients. The aim of this study was to explore challenges in the current model of care and whether NPs can perform new tasks in an out-of-hours clinic seen from both care providers’ and patients’ perspectives. All general practitioners and registered nurses who took part in out-of-hours shifts and patients classified as urgent priority during one week were invited to participate in a survey. Descriptive statistics and a chi-square test were used to identify statistically significant differences between groups. Long waiting times in the clinic and lack of patient information during waiting time were identified. General practitioners (GPs) were skeptical about task shifting, while the registered nurses and patients were more positive. All groups agreed that nurse practitioners could perform advanced assessment of patients until a GP took over. Possible new tasks were stitching wounds, referral to X-ray and treating lower urinary tract infections.

Early ossicle growth in the regenerating disc of a brittle star

1994 ◽  
Vol 52 ◽  
pp. 364-365
Author(s):  
M. Shlepr ◽  
R. L. Turner
Keyword(s):  
Cell Membrane ◽  
Light Microscopy ◽  
De Novo ◽  
Current Model ◽  
Syncytium Formation ◽  
Brittle Star ◽  
Intracellular Location ◽  
Limited Volume ◽  
Tissue Calcification

Calcification in the echinoderms occurs within a limited-volume cavity enclosed by cytoplasmic extensions of the mineral depositing cells, the sclerocytes. The current model of this process maintains that the sheath formed from these cytoplasmic extensions is syncytial. Prior studies indicate that syncytium formation might be dependent on sclerocyte density and not required for calcification. This model further envisions that ossicles formed de novo nucleate and grow intracellularly until the ossicle effectively outgrows the vacuole. Continued ossicle growth occurs within the sheath but external to the cell membrane. The initial intracellular location has been confirmed only for elements of the echinoid tooth.The regenerating aboral disc integument of ophiophragmus filograneus was used to test the current echinoderm calcification model. This tissue is free of calcite fragments, thus avoiding questions of cellular engulfment, and ossicles are formed de novo. The tissue calcification pattern was followed by light microscopy in both living and fixed preparations.

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