A Nurse Practitioner‒Led Intervention to Reduce Hospital Readmissions

Smith, Jemma; Pan, Dongmei; Novelli, Marianne

doi:10.1016/j.nurpra.2015.11.020

Cited by 11 publications

(18 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…44 Another example is NP-led interventions to reduce hospital readmissions by conducting post-discharge follow-up care. 116 The modeled evolving care delivery system scenario used the moderate-APRN/PA assumptions described in Section IV. We used the lower estimates of the degree to which APPs would reduce demand for physicians under the assumption that to achieve the other modeled outcomes (e.g., achieving population health outcomes), there would be a net increase in provision of health care services and APPs would be major contributors to addressing this increase in services.…”

Section: Increased Supply and Expanding Role Of Advanced Practice Promentioning

confidence: 99%

PA job availability in primary care during 2014 and 2016

Rana

Blazar

Jones

et al. 2020

Jaapa

View full text Add to dashboard Cite

Objectives: The objective of this project was to evaluate demand for PAs by examination of job postings. We compared proportions of PAs in primary care with proportions of job postings in primary care in 2014 and 2016 and described job postings for PAs by specialty in 2014 and 2016. Methods: Internet job postings for PAs supplied by Burning Glass Technologies were evaluated for practice specialty. Job postings were compared with existing filled positions by specialty as reported by the National Commission for the Certification of Physician Assistants. Results: In both years, more than 25% of PAs in practice were in primary care and fewer than 20% of job openings were in primary care. More than half of postings were in medical and surgical subspecialties. Conclusions: Our findings provide insights into which specialties have emerging high demand for PAs. The demand for PAs appears to remain much stronger for specialty jobs than for primary care jobs.

show abstract

Section: Increased Supply and Expanding Role Of Advanced Practice Promentioning

confidence: 99%

PA job availability in primary care during 2014 and 2016

Rana

Blazar

Jones

et al. 2020

Jaapa

View full text Add to dashboard Cite

show abstract

“…Another example where growth in the supply of APRNs and PAs might lead to growth in care they provide that does not overlap with care provided by physicians is APRN-and PA-led interventions to reduce hospital readmissions by conducting postdischarge follow-up care (often involving visits to the patient's home). [47][48][49][50] To better understand the modeled assumptions and the sensitivity of physician-demand projections to greater use of APRNs and PAs, we looked at the following:…”

Section: Advanced Practice Registered Nurses and Physician Assistantsmentioning

confidence: 99%

Undergraduate Knowledge of Osteopathic Medicine: What Premedical Students Know About Osteopathic Medicine and Its Effect on Burnout

Collins¹,

Collins²,

Darrow³

et al. 2020

Journal of Osteopathic Medicine

View full text Add to dashboard Cite

Context Undergraduate student interest in becoming a physician continues to rise, but so too does the difficulty of earning acceptance to medical school. In this competitive environment, little is known about premedical students’ knowledge of their medical school options. Moreover, as undergraduate students’ emotional health continues to decline, little is known about whether premedical students experience or are at increased risk for the burnout symptoms reported by medical students and other physicians in training. Objective To examine premedical undergraduate students’ knowledge of osteopathic medicine, assess how they learned of osteopathic medicine, and collect information about any reported feelings of burnout. Methods In this institutional review board-approved study, we electronically distributed an anonymous survey to 342 premedical undergraduate students at a midsize, public research undergraduate institution. The survey included 56 questions. Students were surveyed on their preference of medical schools, knowledge of osteopathic medicine, and experience with burnout via the Maslach Burnout Inventory which measures exhaustion, cynicism, and professional efficacy. Of those who completed the survey, only those who confirmed that they currently considered themselves to be premedical students were included in our analysis. A 2×2 factorial analysis of variance (ANOVA) test was applied to assess main and interaction effects amongst respondents who preferred osteopathic or allopathic programs, whether they learned of osteopathic medicine programs by their own research, and their scores on the 3 measures of the Maslach Burnout Inventory: exhaustion, cynicism, and professional efficacy. Bivariate and factorial analyses were completed using SPSS v26 software (IBM). All tests were 2-tailed and used a .05 standard P value. Results Of 342 students to whom the survey was sent, 160 (46.8%) responded, and only 92 (26.9%) considered themselves premedical students. Of the 160 students analyzed in our study, 80 (50%) reported first learning of osteopathic medicine through their own research. A 2×2 factorial ANOVA revealed a significant interaction effect for cynicism in respondents who reported learning of osteopathic medicine programs on their own. Conversely, when respondents reported learning of osteopathic medicine programs from another source, they also reported significantly lower cynicism (F[1,1]5.23, P=.03) and exhaustion (F[1,13] 5.79, P=.02) scores. Of the 92 respondents, only 2 students (2.2%) answered all questions regarding general osteopathic medical knowledge correctly. Conclusion The results of this study suggest that among premedical students, knowledge of osteopathic medicine may be incomplete and may be impeding medical school applications. Furthermore, respondents who reported interest in osteopathic medical schools and learned of this option through their own research seemed to experience greater burnout. Based on these findings, increased outreach and education have the potential to not only better inform students of the osteopathic profession, but also to reduce burnout.

show abstract

“…The assessment may include screening tools that screens patients at risk for readmission. 15 It is important that the patients, family members and interdisciplinary team members involved in TOC practices understand the necessity and value of TOC screening and assessment, which requires both communication and coordination with all involved in TOC.…”

Section: Patient and Family Engagementmentioning

confidence: 99%

Nurse competencies for transitions of care: Implications for education and practice

et al. 2020

View full text Add to dashboard Cite

Although there are a number of transitions of care initiatives that address specific needs as patients move across healthcare settings, adverse events still occur during handoffs. Transitions of care create periods of vulnerability for populations with complex needs that include communication gaps, medication changes, and poorly coordinated treatment plans, often without involving patients and their families. This paper outlines what nurses need to know to provide for safe transitions of care across the healthcare continuum. The theoretical basis for transitions of care at the macro level, examples of nurse-led models for transitions of care, and key activities and implications for nursing education and practice are described. A holistic framework for effective transitions of care across healthcare settings can guide nursing educators in the development of specific nursing competencies for transitions of care.

show abstract

A Nurse Practitioner‒Led Intervention to Reduce Hospital Readmissions

Cited by 11 publications

References 9 publications

PA job availability in primary care during 2014 and 2016

PA job availability in primary care during 2014 and 2016

Undergraduate Knowledge of Osteopathic Medicine: What Premedical Students Know About Osteopathic Medicine and Its Effect on Burnout

Nurse competencies for transitions of care: Implications for education and practice

Contact Info

Product

Resources

About