Comparing nurse practitioners/physician assistants and physicians in diagnosing adult abdominal pain in the emergency department.

Abstract:

BACKGROUND AND PURPOSE:This retrospective study compared nurse practitioners and physician assistants (NPs/PAs) with physicians on their assignment of Emergency Severity Index level 3 (ESI level 3) acute abdominal pain (AAP) in the emergency department (ED). METHODS:Data obtained from a large ED group staffing four hospitals yielded 12,440 de-identified, adult patients diagnosed on ED admission with AAP ESI level 3 for descriptive analysis with logistic regression. CONCLUSIONS:Results revealed that the comparison of ESI level 3 AAP diagnoses was consistent between admission and discharge 95.3% for physicians, 92.9% for NPs/PAs, and 97.1% for NP/PA and physician collaboration (χ = 46.01, p < .001). Logistic regression suggested that NP/PA had significantly reduced odds (31%) of consistent admitting/discharge diagnoses, whereas collaboration of NP/PA with physicians had significantly increased odds of consistent diagnosis (41%) compared with physicians alone. Two hospitals with similar distributions of NPs/PAs and physicians exhibited greater odds of consistent diagnoses over hospitals with disproportionate distributions; a secondary finding worth exploring. Consistent AAP ESI level 3 diagnoses by outcomes were admissions (>99%), discharges (94%), and left against medical advice/transferred (98%; χ = 102.94, p < .001). IMPLICATIONS FOR PRACTICE:The highest percentage of consistent AAP ESI level 3 diagnoses between ED admission and discharge was when NPs/PAs and physicians collaborated.

journal_name

J Am Assoc Nurse Pract

authors

Hoyt KS,Ramirez E,Topp R,Nichols S,Agan D

doi

10.1097/JXX.0000000000000083

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

655-661

issue

11

eissn

2327-6886

issn

2327-6924

journal_volume

30

pub_type

杂志文章
  • Barriers to implementation of long-acting reversible contraception: A systematic review.

    abstract:BACKGROUND AND PURPOSE:Long-acting reversible contraception (LARC) is one of the most effective forms of contraception available. The utilization of LARC remains low despite being recommended by major health organizations such as Centers for Disease Control and Prevention, American Congress of Obstetricians and Gynecol...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1097/JXX.0000000000000019

    authors: Phillips J,Sandhu P

    更新日期:2018-04-01 00:00:00

  • Scope of practice and legislation for nurse practitioners in Taiwan.

    abstract:PURPOSE:The purpose of the article is to describe the scope of practice legislation in Taiwan, with some comparisons to the scope of practice legislation in the United States, as well as to identify the issues of nurse practitioner (NP) practice. DATA SOURCES:A literature review was conducted to determine the limitati...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12248

    authors: Chiu HJ,Tsay SL,Tung HH

    更新日期:2015-09-01 00:00:00

  • Predicting student success in nurse practitioner programs.

    abstract:BACKGROUND AND PURPOSE:Criteria for admission to nurse practitioner (NP) and other professional programs provide a snapshot of students' potential for success in those programs. Critical examination of admission criteria is a vital component of ensuring timely matriculation and completion of NP programs. The purpose of...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12502

    authors: Richard-Eaglin A

    更新日期:2017-10-01 00:00:00

  • Improving diabetes outcomes by an innovative group visit model: a pilot study.

    abstract:PURPOSE:To develop a group visit model that improves A1C, blood pressure, lipids, depression, and satisfaction among patients with diabetes that can be used in primary care practice settings. DATA SOURCES:Using a pre/post-test descriptive design, data were collected from 22 adult patients of a private family practice ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1745-7599.2012.00796.x

    authors: Riley SB

    更新日期:2013-09-01 00:00:00

  • Is the ICH score a valid predictor of mortality in intracerebral hemorrhage?

    abstract:PURPOSE:The intracerebral hemorrhage (ICH) score utilizes a 0- to 6-point scoring system to predict 30-day mortality in ICH patients. The purpose of this analysis was to (a) validate the ICH score in an international, heterogeneous population of ICH patients; and (b) assess the usefulness of a 72-h ICH score. DATA SOU...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12198

    authors: Meyer DM,Begtrup K,Grotta JC,Recombinant Activated Factor VII Intracerebral Hemorrhage Trial Investigators.

    更新日期:2015-07-01 00:00:00

  • Health care system changes supporting the development of the nurse practitioner role in Tanzania.

    abstract:BACKGROUND AND PURPOSE:Accessibility to health care services remains a global challenge, and this has affected the quality of services delivered. This has affected the quality of health care services. Poor accessibility to health care services in Tanzania has hindered the achievements of health care system goals. The d...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000168

    authors: Mboineki JF,Chen C

    更新日期:2019-09-01 00:00:00

  • Screening, brief intervention, and referral to treatment training for family nurse practitioner students.

    abstract::Alcohol and substance-related disorders affect individuals throughout the global community. It is important that nurse practitioners understand the use of screening, brief intervention, and referral to treatment (SBIRT) in recognizing these disorders before development of chronic disease conditions. The SBIRT curricul...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000423

    authors: Arends R,Anderson Elverson C,Pike Keefner T,Mylant M

    更新日期:2020-05-21 00:00:00

  • Leveraging health care reform to accelerate nurse practitioner full practice authority.

    abstract:BACKGROUND AND PURPOSE:Since development of the nurse practitioner (NP) role, NPs have been advocating for policy allowing them to practice to the full extent of their training. The aim of this research was to determine whether passage of the Affordable Care Act (ACA) had an impact on expansion of NPs' scope of practic...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000023

    authors: Brom HM,Salsberry PJ,Graham MC

    更新日期:2018-03-01 00:00:00

  • Group cognitive behavioral therapy to improve the quality of care to opioid-treated patients with chronic noncancer pain: a practice improvement project.

    abstract:PURPOSE:To enhance outcomes of patients with chronic noncancer pain (CNCP) treated with opioids in a primary care setting by implementing an evidence-based quality improvement project. DATA SOURCES:The project consisted of the implementation of a 6-week cognitive behavioral therapy (CBT) program. Twenty-two patients w...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1111/j.1745-7599.2012.00800.x

    authors: Whitten SK,Stanik-Hutt J

    更新日期:2013-07-01 00:00:00

  • Project Five Wishes: promoting advance directives in primary care.

    abstract:BACKGROUND:Despite the widely known and well-established benefits of advance care planning, it is estimated that 15-30% of American adults have completed advance directives (ADs). Evidence suggests that the best place for advance care planning (ACP) is in primary care, but many barriers to this practice exist. LOCAL P...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000289

    authors: Atherton KN

    更新日期:2020-10-01 00:00:00

  • Attitudes toward evidence-based clinical decision support tools to reduce exposure to ionizing radiation: The Canadian CT Head Rule.

    abstract:BACKGROUND AND PURPOSE:A large degree of variation in clinical practice exists among clinicians evaluating and treating individuals with minor head injuries. Noncontrast head computerized tomography (CT) scans are commonly used to assess for intracranial damage in patients presenting with head injury. This practice is ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12402

    authors: Zakhari R,Sterrett SE

    更新日期:2016-12-01 00:00:00

  • Nurse practitioners and intent to retire.

    abstract:BACKGROUND AND PURPOSE:Demand for primary care services is rising. Nurse practitioners (NPs) serve vital roles in meeting primary care demands. Workforce planning requires understanding NP retirement intentions. This study examines factors that relate to NPs, aged 55 years and older, and their intent to retire within 5...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12406

    authors: Falk NL,Rudner N,Chapa D,Greene J

    更新日期:2017-03-01 00:00:00

  • Psoriasis for the primary care practitioner.

    abstract::Primary care practitioners (PCPs) are playing an increasingly important role in the management and care of psoriasis. Thus, it is important for PCPs to be knowledgeable about the disease and to be able to differentiate between common myths and facts related to diagnosis and treatment. By building relationships with th...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12443

    authors: Young M,Aldredge L,Parker P

    更新日期:2017-03-01 00:00:00

  • The changing landscape of nephrology physician assistants and nurse practitioners.

    abstract:BACKGROUND:Physician assistants (PAs) and nurse practitioners (NPs) have expanded roles in nephrology as both the patient load and acuity of care needed for this population have increased. PURPOSE:To evaluate workforce patterns of PAs and NPs working in nephrology over the past decade. METHODS:Using the biannual surv...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000490

    authors: Davis J,Zuber K

    更新日期:2021-01-01 00:00:00

  • Effective professional networking.

    abstract::The reasons for nurse practitioners to develop a professional network are boundless and are likely to change over time. Networking opens doors and creates relationships that support new opportunities, personal development, collaborative research, policy activism, evidence-based practice, and more. Successful professio...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12484

    authors: Goolsby MJ,Knestrick JM

    更新日期:2017-08-01 00:00:00

  • Idiopathic anaphylaxis: What you do not know may hurt you.

    abstract::Idiopathic anaphylaxis (IA), like immunologic and nonimmunologic anaphylaxis, is a life-threatening, sometimes fatal allergic disease. Although the priority is immediate recognition and initiation of treatment, long-term care planning is important to help reduce anxiety and promote healthy growth and development. Lear...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000221

    authors: Chan S,John RM

    更新日期:2020-01-01 00:00:00

  • Effects of an energy balance educational intervention and the COPE cognitive behavioral therapy intervention for Division I U.S. Air Force Academy female athletes.

    abstract:BACKGROUND AND PURPOSE:Female athletes struggle harder than male athletes to lose body fat and maintain a leaner physique. The purpose of this study was to determine the effects of an educational and cognitive behavioral therapy (CBT)-based intervention on knowledge, body composition, anxiety, stress, and nutritional i...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12359

    authors: Buffington BC,Melnyk BM,Morales S,Lords A,Zupan MR

    更新日期:2016-04-01 00:00:00

  • Positive precepting: Identifying NP student learning levels and needs.

    abstract:BACKGROUND AND PURPOSE:Clinical preceptors are vital partners in the education of nurse practitioner (NP) students. This article describes NP student learning stages and proposes strategies preceptors can use to facilitate precepting NP students who enter clinical rotations at varied learner levels. METHODS:Searches w...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1097/JXX.0000000000000106

    authors: Pearson T,Hensley T

    更新日期:2019-02-01 00:00:00

  • New-onset seizure activity in a transplant patient on immunosuppressive therapy.

    abstract::The evaluation of new-onset seizure activity must raise a much broader differential than just epilepsy. This case study highlights that broad differential and identifies an important, but less common, cause of seizure activity in specific patient populations. Information is summarized from recent primary research, cas...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000331

    authors: Gersch K,Spencer TR

    更新日期:2020-12-01 00:00:00

  • Supporting cardiovascular risk reduction in overweight and obese hypertensive patients through DASH diet and lifestyle education by primary care nurse practitioners.

    abstract:PURPOSE:To describe an intervention among overweight and obese hypertensive patients, encouraging Dietary Approaches to Stop Hypertension (DASH) diet and lifestyle changes, designed and led by a primary care nurse practitioner (NP). DATA SOURCES:A pre- and postintervention quasi-experimental time-series design was imp...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12124

    authors: Jarl J,Tolentino JC,James K,Clark MJ,Ryan M

    更新日期:2014-09-01 00:00:00

  • Development of an algorithm to facilitate the clinical management of syphilis.

    abstract:BACKGROUND:Syphilis staging is important to determine treatment, post-treatment monitoring, and sexual partner follow-up. Many prescribers find syphilis staging to be challenging. Current guidelines for the management of patients diagnosed with syphilis provide little direction aside from an overview of some common sym...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000370

    authors: Orser L,OʼByrne P,Bourgault A,Scherling N

    更新日期:2020-02-20 00:00:00

  • The acceptance of mobile teledermoscopy by primary care nurse practitioners in the state of Arizona.

    abstract:PURPOSE:To conduct a pilot survey to assess acceptance of mobile teledermoscopy (MTD) by primary care nurse practitioners (NPs) working in Arizona. DATA SOURCES:Sixty-two participants recruited from NP and academic listservs in Arizona completed an online survey prefaced by a MTD definition, device photographs, and a ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12313

    authors: Stratton D,Loescher LJ

    更新日期:2016-06-01 00:00:00

  • Characteristics of nurse practitioners and physician assistants in the United States.

    abstract:BACKGROUND:Nurse practitioners (NP) and physician assistants (PA) serve as independent or semiautonomous providers and as fundamental members of healthcare teams. PURPOSE:Differentiating roles of health professionals is needed for optimal employment utilization. Clinically practicing PAs and NPs were characterized. M...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12293

    authors: Hooker RS,Brock DM,Cook ML

    更新日期:2016-01-01 00:00:00

  • Diarrhea-predominant irritable bowel syndrome: Diagnosis, etiology, and new treatment considerations.

    abstract:PURPOSE:To provide an overview of irritable bowel syndrome (IBS), specifically the efficacy and tolerability of treatment options for diarrhea-predominant IBS (IBS-D). DATA SOURCES:Research articles available via PubMed were reviewed. CONCLUSIONS:IBS is a chronic multifactorial disorder that has a negative impact on ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12387

    authors: Lacy BE,Moreau JC

    更新日期:2016-07-01 00:00:00

  • Standardized adult-gerontology acute care nurse practitioner point-of-care ultrasound training: A new perspective in the age of a pandemic.

    abstract::Our health care landscape is rapidly changing. With the aging population and seemingly increasing outbreak of communicable diseases, it is expected that there will be a continued demand for inpatient/critical care providers. The current COVID-19 pandemic provides a glimpse of a health care system in severe provider sh...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000448

    authors: Chen LL

    更新日期:2020-06-01 00:00:00

  • Precepting nurse practitioner students: One medical center's efforts to improve the precepting process.

    abstract:PURPOSE:To describe the challenges shared by schools of nursing and precepting institutions in meeting the clinical rotation requirements for nurse practitioner (NP) students. A formal process was developed to screen students and provide appropriate clinical placement with ongoing evaluations. Detailed description of a...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12265

    authors: Logan BL,Kovacs KA,Barry TL

    更新日期:2015-12-01 00:00:00

  • Metabolic syndrome: clinical perspective for best practice.

    abstract:PURPOSE:To explore current studies on metabolic syndrome (MetS), including its complex pathophysiology and to describe the unique role of the advanced practice nurse including management and ethical decision making utilizing a case study to exemplify salient points. DATA SOURCES:From original research articles extract...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12048

    authors: Olde D,Alpert P,Dalusung-Angosta A

    更新日期:2013-12-01 00:00:00

  • Precepting nurse practitioner students: A new view-Results of two national surveys of nurse practitioner preceptors.

    abstract:PURPOSE:The aim of two national studies was to identify characteristics of nurse practitioners (NPs) who precept and the benefits, incentives, and barriers associated with the NP preceptor role. METHODS:Stratified randomized sampling was used to invite a representative number of NPs from each state to participate in a...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12482

    authors: Roberts ME,Wheeler KJ,Tyler DO,Padden DL

    更新日期:2017-08-01 00:00:00

  • Can a smartphone app help manage wounds in primary care?

    abstract:BACKGROUND AND PURPOSE:Although wound care guidelines are available for primary care providers, barriers to assessment and treatment remain. This article examines current evidence supporting wound management, wound guidelines, and provider comfort with wound management in primary care and discusses the need for improve...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000100

    authors: Kulikov PS,Sandhu PK,Van Leuven KA

    更新日期:2019-02-01 00:00:00

  • Organizational climate in primary care settings: implications for nurse practitioner practice.

    abstract:PURPOSE:The purpose of this review is to investigate literature related to organizational climate, define organizational climate, and identify its domains for nurse practitioner (NP) practice in primary care settings. DATA SOURCES:A search was conducted using MEDLINE, PubMed, HealthSTAR/Ovid, ISI Web of Science, and s...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1111/j.1745-7599.2012.00765.x

    authors: Poghosyan L,Nannini A,Clarke S

    更新日期:2013-03-01 00:00:00