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 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 Pract

authors

Brom HM,Salsberry PJ,Graham MC

doi

10.1097/JXX.0000000000000023

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

120-130

issue

3

eissn

2327-6886

issn

2327-6924

pii

01741002-201803000-00003

journal_volume

30

pub_type

杂志文章
  • 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

  • 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

  • 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

  • Intent of health care providers to adopt a clinical decision support tool in the management of minor pediatric head injuries.

    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

    authors: Zarchi TB

    更新日期:2020-02-01 00:00:00

  • Relative value units in health care: Friend, foe, or necessary evil?

    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

    authors: Sheppard KG,Duncan CG

    更新日期:2020-09-01 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

  • An integrative review of nurse practitioner education models: Part three of a four-part series on critical topics identified by the 2015 Nurse Practitioner Research Agenda.

    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

    authors: Kostas-Polston EA,Rawlett K,Miedema J,Dickins K

    更新日期:2018-12-01 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

  • Evolving role of pediatric nurse practitioners.

    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

    authors: Aruda MM,Griffin VJ,Schartz K,Geist M

    更新日期:2016-02-01 00:00:00

  • Variations in follow-up after atrial fibrillation ablation.

    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

    authors: Wood KA,Barnes AH

    更新日期:2020-05-06 00:00:00

  • "That's who I am: a fat person in a thin body": weight loss, negative self-evaluation, and mitigating strategies following weight loss surgery.

    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

    authors: Alegría CA,Larsen B

    更新日期:2015-03-01 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

  • Focus group testing of a mobile app for pharmacogenetic-guided dosing.

    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

    authors: Dodson CH,Baker E

    更新日期:2020-02-04 00:00:00

  • Mast cell activation syndrome.

    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

    authors: Vacheron N,McClinton T,Lynch-Smith DJ,Umberger R

    更新日期:2020-04-08 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

  • Research translation and the evolving PhD and DNP practice roles: A collaborative call for nurse practitioners.

    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

    authors: Falkenberg-Olson AC

    更新日期:2019-08-01 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

  • Biology of obesity and weight regain: Implications for clinical practice.

    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

    authors: Rogge MM,Gautam B

    更新日期:2017-10-01 00:00:00

  • Are college students told by health care providers about their risk factors for developing diabetes?

    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

    authors: Saylor JL,Calamaro CJ,Hardie T,Ness M,Selekman J

    更新日期:2018-07-01 00:00:00

  • After-hours/on-call experience during primary care nurse practitioner education utilizing standard scenarios and simulated patients.

    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

    authors: Kelly MM,Blunt E,Nestor K

    更新日期:2017-12-01 00:00:00

  • The emerging role of Vitamin D in asthma management.

    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

    authors: Rance K

    更新日期:2014-05-01 00:00:00

  • Recognizing obesity as a disease.

    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

    authors: Christensen S

    更新日期:2020-07-01 00:00:00

  • Development and testing of a module to promote generic oral contraceptive prescribing among nurse practitioners.

    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

    authors: Chee M,Lenti G,Farnan J,Cook M,Weissman A,Wallingford S,Moriates C,Shah N,Lynch S,Stebbins M,Ngooi S,Norenberg A,Millard S,Samarth A,Zhang JX,Meltzer DO,Tracy C,Arora VM

    更新日期:2020-01-01 00:00:00

  • The nurse practitioner role in treating the homeless and rough-sleeper population.

    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

    authors: Kirkland-Kyhn H

    更新日期:2020-04-01 00:00:00

  • Evaluation of an international program for nurse practitioner students.

    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

    authors: Steinke MK,Rogers M

    更新日期:2021-01-08 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

  • New cardiovascular guidelines: Clinical practice evidence for the nurse practitioner.

    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

    authors: Lefler LL,Hadley M,Tackett J,Thomason AP

    更新日期:2016-05-01 00:00:00

  • Substantiating the need for primary care-based sexual health promotion interventions for ethnic minority adolescent women experiencing health disparities.

    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

    authors: Champion JD,Young C,Rew L

    更新日期:2016-09-01 00:00:00

  • How does pharmacogenetic testing alter the treatment course and patient response for chronic-pain patients in comparison with the current "trial-and-error" standard of care?

    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

    authors: DeFeo K,Sykora K,Eley S,Vincent D

    更新日期:2014-10-01 00:00:00

  • Beyond competencies: Practice standards for emergency nurse practitioners-A model for specialty care clinicians, educators, and employers.

    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

    authors: Ramirez E,Schumann L,Agan D,Hoyt KS,Wilbeck J,Tyler D,Evans DD

    更新日期:2018-10-01 00:00:00