China
Africa
Explore chapters and articles related to this topic
An alternative to seeing the doctor?
Published in Naomi Chambers, Nurse Practitioners in Primary Care, 2021
Although there is no agreed definition of the term ‘nurse practitioner’, there is an emerging view that this nurse is an autonomous professional, with expertise in the diagnosis and management of undifferentiated health problems (Fawcett-Henesy, 1992). There were a number of experiments on the part of nurses in the 1980s to address this issue, the two most notable examples being those of Stilwell (1988) and Burke-Masters (1990, personal communication) (see also Cohen, 1984). The 1990s have seen a growing interest in the potential for nurse practitioners, and the introduction of a number of nurse practitioner diploma courses. This has resulted in a significant increase in the number of nurses calling themselves nurse practitioners and some experimental schemes funded by the Department of Health and Regions. There has not yet been any examination initiated and undertaken from outside nursing and medicine as to the viability and desirability of nurse practitioner-run surgeries. This book aims to fill that gap by pursuing the issue from an organizational rather than a professional perspective, by looking at the results of a study in Derbyshire and by using the mainly nursing work already undertaken in this field as a valuable reference point.
Specialist ServicesChild and Adolescent Mental Health Services (CAMHS)
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
Nurse prescribing can be a part of the consultant nurse role and the advanced nurse practitioner role. Since 2005, consultant nurse practitioners are qualified to prescribe, with a widening of prescribing to take in controlled medication, in 2009. Figures from the National Nursing and Midwifery Council (NMC), correct as of 1 April 2016, record a total of 73,804 qualified nurse, including midwife, prescribers on the register. This represents 10.7% of the total work force.
What Promotes Joy
Published in Eve Shapiro, Joy in Medicine?, 2020
My joy in work is informed not only by the work I do but also by my gratitude to the team I work with. Because the members of my team understand the level of stress we all work under, we are extremely supportive of one another. I think that makes it possible for me to do my job and to find the joy in it. Of course, there’s a shared joy, inherently, in the work we do because it’s meaningful in and of itself, but also because we’re doing it together. Our staff is large, diverse, multidisciplinary, and not hierarchical. There are nurses, attendings, and mid-level nurse practitioners. I work alongside the nurses. Everyone appreciates everyone else’s expertise.
Examining the value and roles of palliative care nurse practitioners: A scoping review
Published in Progress in Palliative Care, 2023
S. Chan, D. M. Wilson, A. Santos Salas
While physician shortages were one driver behind the initiation and development of the nurse practitioner (NP) professional designation long ago, the role of the NP has evolved over the last four decades.8 The growing potential for NPs to address gaps in healthcare systems, notably Canada’s universal one, has been evident for some time,8,9 but NPs are still not fully integrated and optimally used across Canada. There are now 6,159 NPs out of 439,975 nurses, all of whom are members of the Canadian Nurses Association.10 For a Canadian population of 38 million people,11 and with just over 300 000 deaths each year now,12 it is not clear how many of these NPs are PC NPs. Furthermore, the value and potential roles of NPs in PC settings within Canada have not been formally explored. This scoping review sought international evidence on the current roles of NPs in relation to planning and providing PC in any work setting, and the value of the NP role in PC service delivery to inform the expansion and development of the PC NP role in Canada.
The top 100 cited Nurse Practitioner publications: a bibliometric analysis
Published in Contemporary Nurse, 2023
Natasha Jennings, Kathleen Tori
Nurse practitioners (NPs) are integral to the health care systems in most developed countries. The NP role is acknowledged as augmenting identified health care service deficits and adding value to the contemporary landscape (Clifford et al., 2020; Lowe et al., 2019), as an advanced nursing role. However, there are marked differences in the nomenclature within the profession of nursing as to what constitutes either an Advanced Nurse Practitioner (APN), or indeed the NP role. For the purposes of this study, and within the Australian context, an NP is defined and legislated as a Registered Nurse with the experience, expertise, and authority to diagnose and treat people of all ages with a variety of acute or chronic health conditions (Australian College of Nurse Practitioners, 2021). In Australia, NPs were introduced to address service gaps in a health care system stretched to capacity (Jennings et al., 2015). The NP is endorsed to practice within their scope of practice under a legislatively protected title of ‘Nurse Practitioner’ under Australian National Law (Nursing and Midwifery Board Australia, 2021). Internationally, however, the NP role is not as well defined by Law, nor protected (Feyereisen & Goodrick, 2021; Gardner et al., 2016; King et al., 2017), which adds to the confusion surrounding the collation of the metrics regarding the NP role from a research perspective. Confusion regarding the collations of metrics with the Nurse collocation ‘Nurse Practitioner’ is clarified in methods.
Disparities in receipt of medications for opioid use disorder among pregnant women
Published in Substance Abuse, 2022
Laura E. Henkhaus, Melinda B. Buntin, Sarah Clark Henderson, Pikki Lai, Stephen W. Patrick
Recent changes in policy and federal practice guidelines have increased access to MOUD through expansions in the type of health care providers who can prescribe buprenorphine9,29 and the number of patients to whom a provider can prescribe buprenorphine.9,30 State scope of practice laws still govern who can prescribe buprenorphine,31 and in July and August 2020, new Tennessee legislation went into effect to allow nurse practitioners and physician assistants to prescribe buprenorphine under certain restrictions at approved facilities meeting a series of requirements.32,33 In June 2020, another important state policy change occurred: TennCare began coverage of methadone for OUD.34 Future research should continue to examine racial disparities in MOUD receipt for pregnant women under changing policy landscapes to understand to what extent particular policies can drive increases in treatment rates and reduce disparities in receipt of MOUD. Also, as policymakers consider mechanisms to improve access to MOUD among pregnant women, they should consider the role that structural barriers may play and work to promote MOUD receipt among groups with lower rates of use – for the health of mothers and their newborns.