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| barriers to practice for nurse practitioners: The Future of Nursing Institute of Medicine, Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, 2011-02-08 The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. |
| barriers to practice for nurse practitioners: Assessing Progress on the Institute of Medicine Report The Future of Nursing National Academies of Sciences, Engineering, and Medicine, Institute of Medicine, Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health, 2016-03-22 Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals. |
| barriers to practice for nurse practitioners: The Future of Nursing 2020-2030 National Academies of Sciences Engineering and Medicine, Committee on the Future of Nursing 2020-2030, 2021-09-30 The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report. |
| barriers to practice for nurse practitioners: The Future of the Nursing Workforce in the United States Peter Buerhaus, Douglas Staiger, David Auerbach, 2009-10-06 The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession. |
| barriers to practice for nurse practitioners: The Power of Ten Susan Hassmiller, Jennifer Mensik, 2017 In 2011, The Honor Society of Nursing, Sigma Theta Tau Internationals editors asked 30 global nurse leaders to identify 10 of the most critical issues in the profession. The result was the first edition of The Power of Ten, a collection of essays and data- and talking points that explored the obstacles nurses faced. The book challenged long-held beliefs that were stymying progress and invited readers to join the conversation about how to move nursing forward. The time has come to revisit and revise those issues and drive the conversation even further to support real change and progress in the profession. In this all-new edition, Susan B. Hassmiller and Jennifer S. Mensik connected with more than 50 national and international nurse leaders to survey the most pressing issues in the profession. From that feedback, they arrived at a new list of priorities. Through essays, action items, discussion points, and data, The Power of Ten, Second Edition, will help nurses question, converse, and lead the way into the future of nursing. |
| barriers to practice for nurse practitioners: Advanced Practice Nursing Michaelene P. Jansen, PhD, RN-C, GNP-BC, NP-C, Mary Zwygart-Stauffacher, PhD, RN, GNP/GC, 2009-10-26 Designated a Doody's Core Title! This is a valuable resourceÖto help prepare advanced practice nurses with the skills necessary to navigate the healthcare arena. The editors and contributors are experienced advanced practice nurses with valuable information to share with novice practitioners. Score: 100, 5 stars.óDoodyís Medical Reviews Now in its fourth edition, this highly acclaimed book remains the key title serving graduate-level advanced practice nurses (APNs) and recent graduates about to launch their careers. The book outlines what is required of the APN, with guidelines for professional practice for each of the four APN roles: the nurse practitioner, clinical nurse specialist, certified nurse midwife, and certified registered nurse anesthetist. Advanced Practice Nursing focuses not only on the care and management of patients, but also on how to meet the many challenges of the rapidly changing health care arena. Obtaining certification, navigating reimbursement, and translating research into practice are just a few of the challenges discussed. Key Features: Essential information on educational requirements and certification Advice on how to make the transition into professional practice Guidelines for ethical and clinical decision making Discussions on the DNP and CNL roles in AP nursing Updated and revised content on leadership development, regulation, informatics, health care organization, and health care policy |
| barriers to practice for nurse practitioners: Health Policy and Advanced Practice Nursing Kelly A. Goudreau, PhD, RN, ACNS-BC, FCNS, FAAN, Mary C. Smolenski, EdD, MS, FNP, FAANP, 2013-12-11 There are many policy books, but none are written by APRNs or focus just on APRN practice. This topic is critical in today's healthcare reform movement. APRNs are at the core, or can be, if they use their practice knowledge and education to shape policy...[The] editors eloquently make the case that policy formation is a critical nursing skill.--Doody's Medical Reviews ìGaining a better understanding of the political landscape and its impact on nursing and the APRN practice environment, by learning through textbooks such as this, and then through active involvement at any level in the political process itself, can only strengthen nursing and its influence on health policy .î -Loretta C. Ford, RN, EdD, PNP, FAAN, FAANP From the Foreword This view of health policy from the perspective of APRN practice is a call to action for advanced practice nurses to learn about the impact and implications of current initiatives in health policy. This knowledge will assist them in determining how they define and create positive change for their patients and have an impact on community, national, and world health. This is the only text that satisfies the need for policy discussions for all APNs , it is designed to meet the requirements of both the IOM report on The Future of Nursing and the DNP criteria V for inclusion of health policy and advocacy in the curriculum. The text encompasses evolving health care policy and reform in the U.S., Canada, and internationally, addressing its impact on advanced practice nursing, APRN roles, care for special populations, health care quality, and patient safety . The book brings together a wealth of information written by luminaries in the field. Dr. Goudreau is a Past President, and Board Member of the National Association of Clinical Nurse Specialists (NACNS), and Dr. Smolenski was Director of Certification Services at the ANCC for 11 years, directing certification for 150,000 nurses in over 30 specialties. The text discusses issues surrounding the regulation of APRNs, how the local regulatory environment shapes their practice and how they can shape their local regulatory environment. Additionally, the text brings in international perspectives on how APRNs can and are impacting patient care globally. In order to provide content relevant to a universal APRN readership, each section of the text endeavors to present information from all four APRN perspectives: NPs, CNSs, CRNAs , and CNMs. For all of these roles, the book covers the implications of current and future health policy changes for APRN practice. Key Features: Addresses the role-specific policy informational needs of all APRN roles including NPs, CNSs, CRNAs , and CNMs Brings together in one volume all of the requisite information about health care policy and reform and its impact on advanced practice nursing Meets the requirements of the IOM report on The Future of Nursing and the DNP criteria V for inclusion of health policy and advocacy in the curriculum Offers guidance on how APRNs can influence policy development Covers impact and implications of health care policy and reform in the U.S., Canada, and internationally |
| barriers to practice for nurse practitioners: The Advanced Practice Registered Nurse as a Prescriber Louise Kaplan, Marie Annette Brown, 2021-03-02 The Advanced Practice Registered Nurse as a Prescriber is an authoritative reference guide designed for students and practicing APRNs alike—delivering the evidence-based information required for informed and ethical prescribing of medication in various clinical settings. It assists the reader to identify and avoid common prescribing mistakes and pitfalls whilst presenting specific strategies to respond appropriately to an array of typical clinical experiences.This revised second edition includes new and expanded chapters with information on authorizing medical marijuana, prescription monitoring programs, electronic prescribing, prescribing globally and issues surrounding controlled substance prescribing and prescribing for opioid use disorder. This leading single-volume resource: Addresses the opportunities, challenges and responsibilities that APRNs face as prescribers Covers the laws, regulations, and professional issues that affect prescribing Discusses global approaches to registered nurse and APRN prescribing such as task sharing, formularies, and independent authority Guides APRNs through difficult clinical situations such as patients seeking controlled substances and requesting inappropriate care Navigates the multiple facets of prescribing controlled substances Examines the role of the APRN in states with medical marijuana laws Serves as a resource to engage in advocacy for fully autonomous prescribing The Advanced Practice Registered Nurse as a Prescriber is essential reading for APRN and pharmacotherapeutics students, registered nurses transitioning to the role of APRN prescriber, and all APRNs including Nurse Practitioners (NP), Clinical Nurse Specialists (CNS), and Certified Registered Nurse Anesthetists (CRNA). |
| barriers to practice for nurse practitioners: Clinical Case Studies for the Family Nurse Practitioner Leslie Neal-Boylan, 2011-11-28 Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use. |
| barriers to practice for nurse practitioners: Crossing the Quality Chasm Institute of Medicine, Committee on Quality of Health Care in America, 2001-07-19 Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change. |
| barriers to practice for nurse practitioners: Introduction to Advanced Nursing Practice Madrean Schober, 2016-10-20 Prepared under the auspices of the International Council of Nurses (ICN), this first volume provides a comprehensive overview of the rapidly emerging field of advanced nursing practice. It addresses central issues in the role and practice development that are fundamental to defining and differentiating the nature of this field. Topics include defining the role, role characteristics, scope of practice, education, regulation and research. Obstacles to and facilitators of that role are addressed and include ethical questions arising in the context of practice development. With an international focus, this volume examines international developments in the field, as reflected in country-specific case studies and examples. It offers a valuable resource for advanced practice nurses, educators and administrators at healthcare institutions. |
| barriers to practice for nurse practitioners: Stories from the Tenth-Floor Clinic Marianna Crane, 2018 When a nurse practitioner takes charge of a senior clinic in a Chicago subsidized housing building, she finds herself doing much more than providing medical care. |
| barriers to practice for nurse practitioners: Rural Health in the United States Thomas C. Ricketts, 1999-10-07 Many of the 61 million people who live in rural America have limited access to health care. Almost a quarter of the nation's population lives in rural places yet only an eighth of our doctors work there. Sponsored by the U.S. Office of Rural Health Policy, this unique book provides the facts about this imbalance and interprets them in the context of government programs that promote the placement of doctors and the operation of hospitals in rural places while paying them less to treat Medicare and Medicaid beneficiaries. The authors' comprehensive analysis of rural health care delivery shows where there are differences in rates of death and disease between rural areas using maps, graphs, and plain-English descriptions. The book provides a thorough look at health care in rural America, giving a snapshot of how doctors, hospitals, and technology are unevenly distributed outside the nation's metropolitan areas. |
| barriers to practice for nurse practitioners: Neonatal Advanced Practice Nursing Michele Beaulieu, DNP, ARNP, NNP-BC, Sandra Bellini, DNP, APRN, NNP-BC, CNE, 2016-11-25 A strikingly effective, one-of-a-kind learning resource This one-of-a-kind learning resource for neonatal nurse practitioner/clinical nurse specialist students in both academic and clinical settings uses complex case studies to reinforce the best practices in treating vulnerable neonatal patients. Based on applications and outcomes, the case study approach develops critical thinking and clinical decision making and fosters effective role transition in practice-based disciplines. Authored by leading neonatal nurse practitioner (NNP) educators nationwide, these multifaceted, unfolding case studies address and synthesize the most important content covered throughout the NNP curriculum. Additional audiences for this book include interprofessional staff working in Level II and Level III nursery settings. Beginning with case studies for identifying maternal risk factors, and culminating in case studies for communicating with parents, this text shows a holistic view of caring for neonatal patients. Chapters organized by body system address diseases and disorders and prompt the reader for diagnosis and treatment. Progressing from basic to complex, case studies include objectives, clinical pearls, and critical thinking questions. A robust instructor tool kit contains pedagogical strategies for facilitating online discussion, chapter conclusion quizzes, a variety of simulation experiences, and more. Key Features: Uses a complex case-based learning approach for neonatal advanced practice nursing-the first book to do so Authored by leading NNP educators nationwide Provides case studies synthesizing key content areas Helps prepare students for effective role transition Includes a robust instructor toolkit and can be used in online courses |
| barriers to practice for nurse practitioners: Successful Transition to Practice: A Guide for the New Nurse Practitioner Deborah Dillon, 2020-09-22 An expert guide to the complex, yet vital transition from student to employed nursing practitioner The transition from nursing school graduate to professional nursing practitioner can be stressful and confusing. Unlike educational programs, life doesn’t provide a set syllabus. After graduation, what steps do you need to take? How do you get certified? Where should you apply for work? Successful Transition to Practice is a much-needed guide to help you navigate the path from new graduate to the certification and on-boarding process and successful employment. Successful Transition to Practice walks you through the most confusing aspects of transitioning, from studies to full-time work, including applying for licensure, what to expect in an interview, insurance needs, hospital credentialing and more. Filled with expert advice, illuminating examples, and essential information, this important resource provides a framework to help you complete the transition to nurse practitioner with confidence. The book includes valuable information on: Planning for graduation Getting board certified Applying for state Licensure How to ace a job interview Employment contracts Negotiating salaries Malpractice insurance Hospital credentialing and privileging Billing and coding Full practice authority, and more |
| barriers to practice for nurse practitioners: Hamric & Hanson's Advanced Practice Nursing - E-Book Mary Fran Tracy, Eileen T. O'Grady, 2018-01-03 - NEW and UNIQUE! Expanded coverage of interprofessional collaborative practice includes the latest Interprofessional Education Collaborative (IPEC) Core Competencies for Interprofessional Collaborative Practice. - NEW! Updated coverage of APRN roles related to implementation of healthcare in the U.S. reflects current and anticipated changes in APRN roles related to healthcare reform. - NEW! Coverage of IOM and QSEN has been updated and expanded. - NEW! Refocused International Development of Advanced Practice Nursing chapter has been rewritten to be more global and inclusive in focus, to reflect the state of advanced practice nursing practice throughout all major regions of the world. - NEW! Expanded content on the role of advanced practice nurses in teaching/education/mentoring and health policy related to the APRN role is featured in the 6th edition. |
| barriers to practice for nurse practitioners: Code of Ethics for Nurses with Interpretive Statements American Nurses Association, 2001 Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making. |
| barriers to practice for nurse practitioners: Nurse Practitioners, Physician Assistants, and Certified Nurse-midwives United States. Congress. Office of Technology Assessment, 1986 |
| barriers to practice for nurse practitioners: Patients at Risk Niran Al-Agba, Rebekah Bernard, 2020-11-01 Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans. With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision. Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm. WORDS OF PRAISE and REVIEWS Al-Agba and Bernard tell a frightening story that insiders know all too well. As mega corporations push for efficiency and tout consumer focused retail services, American healthcare is being dumbed down to the point of no return. It's a story that many media outlets are missing and one that puts you and your family's health at real risk. --John Irvine, Deductible Media Laced with actual patient cases, the book’s data and patterns of large corporations replacing physicians with non-physician practitioners, despite the vast difference in training is enlightening and astounding. The authors' extensively researched book methodically lays out the problems of our changing medical care landscape and solutions to ensure quality care. --Marilyn M. Singleton, MD, JD A masterful job of bringing to light a rapidly growing issue of what should be great concern to all of us: the proliferation of non-physician practitioners that work predominantly inside algorithms rather than applying years of training, clinical knowledge, and experience. Instead of a patient-first mentality, we are increasingly met with the sad statement of Profits Over Patients, echoed by hospitals and health insurance companies. --John M. Chamberlain, MHA, LFACHE, Board Chairman, Citizen Health A must read for patients attempting to navigate today’s healthcare marketplace. --Brian Wilhelmi MD, JD, FASA |
| barriers to practice for nurse practitioners: Institutional Change and Healthcare Organizations W. Richard Scott, 2000-05 The changes in the US healthcare system since World War II are documented here, from new technologies, service-delivery arrangements, to financing mechanisms and underlying sets of organizing principles. The authors illustrate the work with five types of healthcare organizations. |
| barriers to practice for nurse practitioners: Knowledge Translation in Health Care Sharon E. Straus, Jacqueline Tetroe, Ian D. Graham, 2011-08-24 Health care systems worldwide are faced with the challenge of improving the quality of care. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation (KT), the scientific study of methods for closing the knowledge-to-action gap and of the barriers and facilitators inherent in the process, is gaining significance. Knowledge Translation in Health Care explains how to use research findings to improve health care in real life, everyday situations. The authors define and describe knowledge translation, and outline strategies for successful knowledge translation in practice and policy making. The book is full of examples of how knowledge translation models work in closing the gap between evidence and action. Written by a team of authors closely involved in the development of knowledge translation this unique book aims to extend understanding and implementation worldwide. It is an introductory guide to an emerging hot topic in evidence-based care and essential for health policy makers, researchers, managers, clinicians and trainees. |
| barriers to practice for nurse practitioners: Transforming the Workforce for Children Birth Through Age 8 National Research Council, Institute of Medicine, Board on Children, Youth, and Families, Committee on the Science of Children Birth to Age 8: Deepening and Broadening the Foundation for Success, 2015-07-23 Children are already learning at birth, and they develop and learn at a rapid pace in their early years. This provides a critical foundation for lifelong progress, and the adults who provide for the care and the education of young children bear a great responsibility for their health, development, and learning. Despite the fact that they share the same objective - to nurture young children and secure their future success - the various practitioners who contribute to the care and the education of children from birth through age 8 are not acknowledged as a workforce unified by the common knowledge and competencies needed to do their jobs well. Transforming the Workforce for Children Birth Through Age 8 explores the science of child development, particularly looking at implications for the professionals who work with children. This report examines the current capacities and practices of the workforce, the settings in which they work, the policies and infrastructure that set qualifications and provide professional learning, and the government agencies and other funders who support and oversee these systems. This book then makes recommendations to improve the quality of professional practice and the practice environment for care and education professionals. These detailed recommendations create a blueprint for action that builds on a unifying foundation of child development and early learning, shared knowledge and competencies for care and education professionals, and principles for effective professional learning. Young children thrive and learn best when they have secure, positive relationships with adults who are knowledgeable about how to support their development and learning and are responsive to their individual progress. Transforming the Workforce for Children Birth Through Age 8 offers guidance on system changes to improve the quality of professional practice, specific actions to improve professional learning systems and workforce development, and research to continue to build the knowledge base in ways that will directly advance and inform future actions. The recommendations of this book provide an opportunity to improve the quality of the care and the education that children receive, and ultimately improve outcomes for children. |
| barriers to practice for nurse practitioners: Nurse Practitioner's Business Practice and Legal Guide Carolyn Buppert, 2004 Every NP should own a copy of this book! - The Nurse Practitioner Journal Written by a nurse practitioner who is also a practicing attorney, Nurse Practitioner's Business Practice and Legal Guide, Second Edition provides the unique point of view of an author who knows what legal and business problems arise on a daily basis. The second edition to this best seller will teach you: --How to write an effective business plan using the most up-to-date information and planning strategies-How to avoid malpractice and other lawsuits-What rights an employed NP has-What to do if rejected for payment-How to effectively negotiate managed care contracts-How to get the highest marks on performance report cards-What must take place for NPs to become primary care providers-What decisions need to be made before starting a practice-How to handle patient flow-And more!Nurse practitioners and NP students who read this book will have a solid foundation of knowledge with which they may continue their practice confidently and effectively, whether it be in developing an employment relationship, undertaking a business venture, giving testimony before the state legislature, composing a letter to an insurance company about an unpaid bill, teaching at a school of nursing, or serving as president of a state or national organization. |
| barriers to practice for nurse practitioners: Evidence-Based Practice in Nursing & Healthcare Bernadette Mazurek Melnyk, Ellen Fineout-Overholt, 2018-10-17 Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice, 4th Edition Bernadette Mazurek Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN and Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN Enhance your clinical decision-making capabilities and improve patient outcomes through evidence-based practice. Develop the skills and knowledge you need to make evidence-based practice (EBP) an integral part of your clinical decision-making and everyday nursing practice with this proven, approachable text. Written in a straightforward, conversational style, Evidence-Based Practice in Nursing & Healthcare delivers real-world examples and meaningful strategies in every chapter to help you confidently meet today’s clinical challenges and ensure positive patient outcomes. NEW! Making Connections: An EBP Exemplar opens each unit, immersing you in an unfolding case study of EBP in real-life practice. NEW! Chapters reflect the most current implications of EBP on health policy and the context, content, and outcomes of implementing EBP competencies in clinical and academic settings. NEW! Learning objectives and EBP Terms to Learn at both the unit and chapter levels help you study efficiently and stay focused on essential concepts and vocabulary. Making EBP Real features continue to end each unit with real-world examples that demonstrate the principles of EBP applied. EBP Fast Facts reinforce key points at a glance. Clinical Scenarios clarify the EBP process and enhance your rapid appraisal capabilities. |
| barriers to practice for nurse practitioners: An Analysis of Nurse Practitioner Perceptions of Competency and Barriers in the Management of CHF Clients in Primary Care Michele Karen LaFave, 1999 |
| barriers to practice for nurse practitioners: DNP Capstone Projects Barbara A. Anderson, Joyce M. Knestrick, Rebeca Barroso, 2014-09-22 Print+CourseSmart |
| barriers to practice for nurse practitioners: DNP Education, Practice, and Policy Stephanie W. Ahmed, DNP, FNP-BC, DPNAP, Linda C. Andrist, PhD, RN, WHNP, Sheila M. Davis, DNP, ANP-BC, FAAN, Valerie J. Fuller, PhD, DNP, AGACNP-BC, FNP-BC, FNAP, FAANP, 2012-07-11 Named a 2013 Doody's Core Title! This is an excellent book for both students and current DNPs. The primary areas it addresses--leadership, healthcare policy, and information technology---are essential for the advanced practice nurse to function as a change agent in today's healthcare environment. The book challenges DNPs to engage in clinical practice to the full scope of their capabilities.--Score: 100, 5 Stars. Doody's Medical Reviews This is the only professional issues-oriented Doctor of Nursing Practice (DNP) text to fully integrate all eight American Association of Colleges of Nursing DNP competencies into one volume. It defines practice scholarship for the DNP role and facilitates the sound development of key leadership skills that enable DNP graduates to effectively influence politics and health care policy in order to improve patient and population health care outcomes. The text focuses on the educational requirements of DNPs engaged in the arenas of leadership, health care policy, and information technology. It covers the growth and development of the DNP role, particularly in the context of contemporary health care challenges. With a focus on the Capstone Project, the text addresses the relationship of the DNP role to ongoing scholarship. It covers three important essentials of the DNP curriculumóevidence-based practice, health information technology, and outcomes measurementóand how they can be used to transform health care in the 21st century. The textís challenging and thought-provoking content is of particular value not only to students, but also to professors who will welcome the clarity it offers to the highly complex DNP curriculum. Key Features: Simplifies the highly complex DNP curriculum and integrates DNP core competencies throughout Demonstrates the application of core competencies to practice and aggregate care Provides a well-organized supplement to all courses across the DNP curriculum Uses exemplars of students and practicing DNPs to illustrate effective implementation Offers concrete guidance for achieving a thorough understanding of how DNP graduates utilize core competencies |
| barriers to practice for nurse practitioners: Primary Care Institute of Medicine, Committee on the Future of Primary Care, 1996-09-05 Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals. |
| barriers to practice for nurse practitioners: Nurse Practitioners in South Australia , 2010 |
| barriers to practice for nurse practitioners: EBOOK: Decentralization in Health Care: Strategies and Outcomes Richard Saltman, Vaida Bankauskaite, Karsten Vrangbaek, 2005-12-16 Decentralization has become a popular management strategy in many European health care systems. The term describes a wide variety of power transfer arrangements and accountability systems. The logic of decentralization is grounded in an intrinsically powerful idea; that smaller organizations, properly structured and steered, are inherently more agile and accountable than larger organizations. In a world where large organizations control wide swathes of both public and private sector activity, the possibility of establishing more locally operated, locally responsible institutions holds out great attraction. This text explores the capacity and impact of decentralization within European health care systems. It examines both the theoretical underpinnings as well as recent practical experiences, drawing upon both published literature and evidence collected directly from the field. The book also assesses the appropriateness of management processes within health systems for implementing a successful decentralization strategy. Decentralization in Health Care will appeal to health policy makers, postgraduates taking courses in health services management, HR, health policy and health economics, and human resource professionals. |
| barriers to practice for nurse practitioners: Disrupt Aging Jo Ann Jenkins, 2016-04-05 This book sets out to change the current conversation about what it means to get older. In it, Jenkins chronicles her own journey, as well as those of others who are making their mark as disrupters, to show readers how we can all be active, financially unburdened, and happy as we get older. It's [a] ... narrative that touches on all the important issues facing people 50+ today, from caregiving and mindful living to building age-friendly communities and attaining financial freedom-- |
| barriers to practice for nurse practitioners: The Advanced Practice Registered Nurse as a Prescriber Marie Annette Brown, Louise Kaplan, 2012-02-28 A new era of opportunity is emerging for advanced practice registered nurses (APRNs) to increasingly address gaps in access to quality healthcare. APRNs must be prepared to practice to the full scope of their education and abilities. As more and more states pass legislation enhancing prescriptive authority and fully autonomous practice for APRNs, a comprehensive resource on prescribing practices is needed. The increasing demands of today's fast-paced healthcare environment require a new level of prescriber expertise. Knowledge about medication characteristics and effectiveness must be accompanied by an understanding of the context and process of prescribing. The Advanced Practice Registered Nurse as a Prescriber provides practicing APRNs and students with the information necessary to make fully informed, rational and ethical decisions as prescribers. This book opens with an overview of the role of the APRN prescriber and moves on to discussing practical issues such as managing difficult patient situations, special considerations when prescribing controlled substances, the influence of pharmaceutical marketing, state regulation, and legal aspects of prescribing. The book also examines barriers to prescribing, and the concluding chapter underscores key information to build cultural competence when prescribing. An evidence-based resource for all APRNs and APRN students, The Advanced Practice Registered Nurse as a Prescriber provides a comprehensive and practical resource essential for APRNs in all advanced practice roles. |
| barriers to practice for nurse practitioners: Geriatric Rehabilitation Manual Timothy L. Kauffman, John O. Barr, Michael L. Moran, 2007-01-01 This manual gives step-by-step guidance on the evaluation and treatment of geriatric diseases and disorders. It covers incidence of disorders, diagnostic tests, associated diagnoses, clinical implications for mobility, and rehabilitation techniques. It offers a broad overview of the effects of aging on all body systems. Special geriatric considerations for laboratory assessment, thermoregulations, and pharmacology are also discussed. This manual is a resource for all training clinicians in geriatric care and is a quick-reference guide for students and practitioners in this field. |
| barriers to practice for nurse practitioners: Nursing and Nursing Education Institute of Medicine, Division of Health Care Services, 1983-02-01 Results are presented of a study of nursing and nursing education that focused on the need for continued federal support of nursing education, ways to attract nurses to medically underserved areas, and approaches to encourage nurses to stay in the profession. Findings are presented on whether the aggregate supply of generalist nurses will be sufficient to meet future demand, and how changes that could occur in the health care system might affect demand. Attention is also directed to: how the current and future supply of nurses may be influenced by the costs of nursing education and the sources of education financing; and education for generalist positions in nursing. In addition, the supply and demand situation for nurses educationally prepared for advanced professional positions in nursing is examined. The influence of employer policies and practices in utilization of nursing resources on demand and supply is also addressed. Finally, areas in which further data and studies are needed to better monitor nursing supply and demand are identified. In addition to 21 recommendations, appendices include information on Nursing Training Act appropriations, state reports on nursing issues, certificates for specialist registered nurses, projections of registered nurse supply and requirements, and doctoral programs in nursing. (SW) |
| barriers to practice for nurse practitioners: Nursing Leadership and Management Denise M. Korniewicz, 2015-04-06 Provides a practical approach to leadership and management principles specific to clinical settingsCoverage includes clinical decision-making, technology to improve patient outcomes, and leadership and management practice in inter-professional healthcare deliveryMultiple case studies This textbook is intended for students preparing as advanced practice nurses, doctoral physical therapists, doctoral pharmacists, and other advanced practice professionals. The book provides practical approaches to the application of leadership and management principles while systematically presenting the content needed for skilled leadership in varied clinical settings. Chapters are devoted to leadership change, understanding health organizations and systems, technology to improve population-based care, using critical thinking principles to improve patient outcomes, clinical decision-making using evidence-based practice, and inter-professional healthcare delivery. Telehealth and the impacts of the Affordable Care Act are also discussed. A case study is presented at the beginning of each chapter and incorporated into the theoretical material as a continuing illustration. |
| barriers to practice for nurse practitioners: Burnout for Experts Sabine Bährer-Kohler, 2012-11-11 Wherever people are working, there is some type of stress—and where there is stress, there is the risk of burnout. It is widespread, the subject of numerous studies in the U.S. and abroad. It is also costly, both to individuals in the form of sick days, lost wages, and emotional exhaustion, and to the workplace in terms of the bottom line. But as we are now beginning to understand, burnout is also preventable. Burnout for Experts brings multifaceted analysis to a multilayered problem, offering comprehensive discussion of contributing factors, classic and less widely perceived markers of burnout, coping strategies, and treatment methods. International perspectives consider phase models of burnout and differentiate between burnout and related physical and mental health conditions. By focusing on specific job and life variables including workplace culture and gender aspects, contributors give professionals ample means for recognizing burnout as well as its warning signs. Chapters on prevention and intervention detail effective programs that can be implemented at the individual and organizational levels. Included in the coverage: · History of burnout: a phenomenon. · Personal and external factors contributing to burnout. · Depression and burnout · Assessment tools and methods. · The role of communication in burnout prevention. · Active coping and other intervention strategies. Skillfully balancing scholarship and accessibility, Burnout for Experts is a go-to resource for health psychologists, social workers, psychiatrists, and organizational, industrial, and clinical psychologists. |
| barriers to practice for nurse practitioners: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
| barriers to practice for nurse practitioners: Graduate Medical Education that Meets the Nation's Health Needs Institute of Medicine (U.S.). Committee on the Governance and Financing of Graduate Medical Education, Board on Health Care Services, 2014 Intro -- FrontMatter -- Reviewers -- Foreword -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 Background on the Pipeline to the Physician Workforce -- 3 GME Financing -- 4 Governance -- 5 Recommendations for the Reform of GME Financing and Governance -- Appendix A: Abbreviations and Acronyms -- Appendix B: U.S. Senate Letters -- Appendix C: Public Workshop Agendas -- Appendix D: Committee Member Biographies -- Appendix E: Data and Methods to Analyze Medicare GME Payments -- Appendix F: Illustrations of the Phase-In of the Committee's Recommendations. |
| barriers to practice for nurse practitioners: Nursing Scope and Standards of Practice, 4th Edition American Nurses Association, 2021-03-31 |
| barriers to practice for nurse practitioners: Pediatric Fundamental Critical Care Support, Second Edition Maureen A. Madden, Society of Critical Care Medicine, 2013-06-01 |
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The Journal for Nurse Practitioners
a. Identify common barriers and support measures that new NPs report during transition to practice b. Evaluate how these barriers and supports differ from pre-pandemic transition to …
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Oct 18, 2018 · of practice barriers. The published literature uniformly shows that nurse practitioners provide care that is high quality, cost effective and equal to or better than the …
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The growth of nurse practitioners (NPs) across all 50 states is unsur-prising given the current landscape of health care, yet barriers that limit practice need action at both the state and …
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and reimbursement for Advanced Practice Nurse (APN) services in creating or removing barriers to access to care while controlling health costs. Throughout its discussion on scope of practice …
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The growth of nurse practitioners (NPs) across all 50 states is unsur-prising given the current landscape ... BARRIERS TO PRACTICE PRACTICE MATTERS of Nursing: Leading Change, …
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origins of authorised nurse practitioners in this country. The first authorised nurse practitioner was appointed in Australia as recently as 2001. The only systematic review (of qualitative studies …
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practice of advanced practice registered nurses was described in the report. Recommendations were made tolift barriers toscope of practice and increase full practice authority of NPs in …
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Nurse Practitioners (NPs) play a crucial role in managing chronic diseases, but they face barriers that hinder their full integration into healthcare teams. This abstract explores facilitators and …
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The Journal for Nurse Practitioners
The Mountain Model (MM) for evidence-based practice quality improvement was developed to guide robust nurse-driven evidence-based practice quality improvement initiatives, with the …
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that examined their employment and practice barriers. The number of nurse practitioners per capita varies across California counties and is positively correlated with the number of …
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which would remove federal barriers to practice on advanced practice registered nurses (APRNs) in the Medicare and Medicaid programs. Background: The ICAN Act removes barriers to care …
