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 practice. METHODS:This was a retrospective descriptive study of NPs' scope of practice legislation from 1994 to 2016 using regulatory theory. Data sources included annual reports on NP legislation and state-level legislative and media coverage. CONCLUSIONS:Eight states adopted full practice authority (FPA) from 2011 to 2016, representing a two-fold increase compared with the previous 10 years. Seven states adopted Medicaid expansion. Nursing interest groups and politicians shaped their argument in favor of FPA around the increasingly insured population because of the ACA, provider shortages, and rural health care access issues. IMPLICATIONS FOR PRACTICE:Shaping the discourse of FPA beyond the benefits to the NP profession makes way for broader political interest and participation. Although the future of the ACA is unknown, as the 28 states without FPA continue to advocate for legislative change, they could benefit from the strategies of these newly adapted FPA states.
journal_name
J Am Assoc Nurse Practauthors
Brom HM,Salsberry PJ,Graham MCdoi
10.1097/JXX.0000000000000023subject
Has Abstractpub_date
2018-03-01 00:00:00pages
120-130issue
3eissn
2327-6886issn
2327-6924pii
01741002-201803000-00003journal_volume
30pub_type
杂志文章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
更新日期:2015-09-01 00:00:00
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
更新日期:2013-03-01 00:00:00
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
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Radiographic neuroimaging in minor pediatric head injuries contains risks of radiation-induced malignancy. The Pediatric Emergency Care Applied Research Network (PECARN) head injury protocol identifies head-injured children who are at very low risk of clinically important traumatic brain injuries and can saf...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000208
更新日期:2020-02-01 00:00:00
abstract::The purpose of this article is to describe this use of relative value units (RVUs) among nurse practitioners (NP), including the challenges NPs may experience. Relative value units were developed as a means to determine reimbursement for health care based on time spent with the patient and skills required to complete ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000515
更新日期:2020-09-01 00:00:00
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
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Critical research topics were identified after nurse practitioner (NP) organization stakeholders participated in the Fellows of the American Association of Nurse Practitioner, 2015 Nurse Practitioner Research Agenda Roundtable. Strategies and recommendations were identified to support further wor...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章,评审
doi:10.1097/JXX.0000000000000150
更新日期:2018-12-01 00:00:00
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
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:To report and interpret findings from national pediatric nurse practitioner (PNP) job analysis surveys reflecting the changes in the knowledge and skills required for advanced practice. DATA SOURCES:National role delineation studies (RDS) conducted by American Nurses Credentialing Center (ANCC) in 2003, 2008, ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12289
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:A multidisciplinary patient-centered approach using evidence-based care is recommended in recent atrial fibrillation (AF) guidelines to achieve quality patient outcomes. Professional society guidelines are conflicting and vague in recommendations on timing of follow-up after AF ablation. PURPOSE:The aim of ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000424
更新日期:2020-05-06 00:00:00
abstract:OBJECTIVE:To explore negative self-evaluation following weight loss surgery (WLS). METHODS:In-depth interviews were conducted with 11 women who had WLS. Thematic analysis was conducted through an iterative process, allowing categories and themes to emerge. To ensure rigor, two coders analyzed the data. Data were colle...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12158
更新日期:2015-03-01 00:00:00
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
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:A common barrier to implementation of precision medicine is the lack of use of published clinical practice guidelines. Consequently, a user-friendly mechanism to easily adopt these guidelines is imperative. PURPOSE:The purpose of this study was to evaluate the perceptions of a prototype of a clinical decisi...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000392
更新日期:2020-02-04 00:00:00
abstract::Mast cell activation syndrome (MCAS) is a systemic autoinflammatory disease in which mast cells behave erratically. It is unknown whether MCAS recently evolved or if it has been an unrecognized entity for years. Clinically, the patient may present in a constant to near-constant state of allergic reaction. However, the...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000396
更新日期:2020-04-08 00:00:00
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
更新日期:2020-12-01 00:00:00
abstract::Doctoral prepared nurse practitioners (NPs) are uniquely positioned for responsible leadership as essential members of the health care system and have a professional responsibility to contribute to research and clinical inquiry initiatives that advance health care delivery and improve outcomes. Academic preparation of...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000266
更新日期:2019-08-01 00:00:00
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
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Weight loss is recommended as first-line therapy for many chronic illnesses, including obesity. Most patients who do successfully lose weight are unable to maintain their reduced weight. Recent research findings are reviewed and synthesized to explain the biology of obesity, adaptation to weight ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12504
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Communication about risk factors for diabetes between nurse practitioners and college students may not be occurring as the prevalence of Type 2 diabetes increases. The purpose of this secondary analysis was to evaluate if college students are being told of their risk for diabetes based on known r...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000051
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Few nurse practitioner (NP) programs include an after-hours/on-call component in their clinical preparation of NP students. This role is expected in many primary and specialty care practices, and is one that students feel unprepared to competently navigate. METHODS:Utilizing simulated callers as...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12526
更新日期:2017-12-01 00:00:00
abstract:PURPOSE:Vitamin D deficiency and asthma share risk factors. Epidemiologists suggest that the U.S. prevalence of Vitamin D deficiency has increased as a result of the Westernization of culture and less time spent outdoors. Numerous studies support a patient's Vitamin D deficiency as a contributing cause to increased ast...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12062
更新日期:2014-05-01 00:00:00
abstract::Obesity is a chronic, progressive, relapsing disease that impairs health and quality of life and shortens lifespan. Genetic and environmental factors contribute to its development and persistence. If left untreated, it worsens and leads to serious health consequences for those affected, as well as their offspring and ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000482
更新日期:2020-07-01 00:00:00
abstract::Although generic oral contraceptives (OCPs) can improve adherence and reduce health care expenditures, use of generic OCPs remains low, and the factors that affect generic prescribing are not well understood. We aimed to understand the barriers and facilitators of generic OCP prescribing and potential solutions to inc...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000349
更新日期:2020-01-01 00:00:00
abstract::Homelessness has always existed worldwide and it presents challenges to society. Delivering health care can be challenging but relationships can be built by starting with wound care, a common problem. Often, the homeless and rough-sleepers need expert attention from caring individuals. However, this population does no...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000391
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:There are few opportunities for nurse practitioner (NP) students to develop relationships and exchange ideas with international counterparts. In addition, discovering differences in instructional pedagogy between programs is beneficial for every student. PURPOSE:To facilitate an international understanding ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000525
更新日期:2021-01-08 00:00:00
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
更新日期:2017-10-01 00:00:00
abstract:PURPOSE:Guidelines for the prevention and treatment of cardiovascular disease (CVD) have recently changed. Goals of these guidelines have shifted to the promotion of health and control of risk rather than solely on treatment of CVD. This article summarizes the six new cardiovascular screening, prevention, and treatment...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12262
更新日期:2016-05-01 00:00:00
abstract:PURPOSE:Assess the context of psychological distress, violence, and substance use among African- and Mexican-American adolescent women with a history of STI, violence, or high sexual risk behavior. These adolescents experience multiple health disparities, limited access to care, and are at particularly high risk of adv...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12346
更新日期:2016-09-01 00:00:00
abstract:PURPOSE:To evaluate if pharmacogenetic testing (PT) holds value for pain-management practitioners by identifying the potential applications of pharmacogenetic research as well as applications in practice. DATA SOURCES:A review of the literature was conducted utilizing the databases EBSCOhost, Biomedical Reference Coll...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12154
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND/PURPOSE:The growth of advanced practice nursing specialties requires additional expertise for practice that goes beyond entry-level competencies, knowledge, skills, and abilities. A practice standards model for specialty nurse practitioners (PSMSNPs) is introduced that differentiates entry-to-practice popula...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000139
更新日期:2018-10-01 00:00:00