Broadening the Scope of Nursing Practice

Fairman, Julie; Hassmiller, Susan B.; Shalala, Donna E.

doi:10.1097/jdn.0b013e3182120038

Cited by 45 publications

(59 citation statements)

References 3 publications

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“…This fluidity has, as happened in the case of the nurse prescribing of ionising radiation initiative that we report here, been enabled by government policies and initiatives that facilitate a redefinition of roles and responsibilities of those in allied health professions (King et al 2015) to enhance patient care and reduce the public cost of healthcare (Fairman et al 2011, Department of Health 2011. The re-definition of occupational boundaries has involved the allied health occupations taking on roles formerly undertaken by physicians.…”

Section: Requirements and Standards For Nurse Education Programmes Fomentioning

confidence: 93%

Nurses’, physicians’ and radiographers’ perceptions of the safety of a nurse prescribing of ionising radiation initiative: A cross-sectional survey

Hyde

Coughlan

Naughton

et al. 2016

International Journal of Nursing Studies

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Section: Requirements and Standards For Nurse Education Programmes Fomentioning

confidence: 93%

Nurses’, physicians’ and radiographers’ perceptions of the safety of a nurse prescribing of ionising radiation initiative: A cross-sectional survey

Hyde

Coughlan

Naughton

et al. 2016

International Journal of Nursing Studies

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“…Many health policy experts have proposed that nurse practitioners (NPs) and physician assistants (PAs) can play an important role in addressing primary care shortages (Auerbach et al, 2013;Fairman, Rowe, Hassmiller, & Shalala, 2011;Hooker, Brock, & Cook, 2016;Institute of Medicine, 2011;Naylor & Kurtzman, 2010). It has been estimated that up to 75% of rural primary care services could be provided by NPs and PAs (Doescher, Andrilla, Skillman, Morgan, & Kaplan, 2014;Sullivan-Marx, 2008).…”

Section: Introductionmentioning

confidence: 99%

Nurse Practitioner Autonomy and Satisfaction in Rural Settings

2016

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Rural primary care shortages may be alleviated if more nurse practitioners (NPs) practiced there. This study compares urban and rural primary care NPs (classified by practice location in urban, large rural, small rural, or isolated small rural areas) using descriptive analysis of the 2012 National Sample Survey of NPs. A higher share of rural NPs worked in states without physician oversight requirements, had a DEA (drug enforcement administration) number, hospital admitting privileges, and billed using their own provider identifier. Rural NPs more often reported they were fully using their NP skills, practicing to the fullest extent of the legal scope of practice, satisfied with their work, and planning to stay in their jobs. We found lower per capita NP supply in rural areas, but the proportion in primary care increased with rurality. To meet rural primary care needs, states should support rural NP practice, in concert with support for rural physician practice.

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“…During creation of the survey, state regulations were considered, specifically the California requirement for a collaborative agreement for ACNPs to diagnose, treat, and prescribe. 16 Data collected included ACNP and hospital demographics, the presence of trainees at the institution, frequency and type of procedures performed by ACNPs, and the specific proctoring and credentialing process (see Appendix). Three attempts were made to call each hospital.…”

Section: Methodsmentioning

confidence: 99%

Credentialing and Privileging of Acute Care Nurse Practitioners to Do Invasive Procedures: A Statewide Survey

Jalloh

Tadlock

Cantwell

et al. 2016

American Journal of Critical Care

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Background Acute care nurse practitioners have been successfully integrated into inpatient settings. They perform invasive procedures in the intensive care unit and other acute care settings. Although their general scope of practice is regulated at the state level, local and regional scope of practice is governed by hospitals. Objective To determine if credentialing and privileging of these nurses for invasive procedures varies depending on the institution. Methods Personnel in medical staff offices of 329 hospitals were surveyed by telephone with 6 questions. Data collected included acute care nurse practitioner and hospital demographics, frequency and type of procedures performed, proctoring and credentialing process, and the presence of residents and fellows at the institution. Results The response rate was 74.8% (246 hospitals). Among these, 48% (118) employed acute care nurse practitioners, of which 43.2% performed invasive procedures. Three hospitals were excluded from the final analysis. Of the hospitals that credentialed and granted privileges to the nurse practitioners for invasive procedures, 60.4% were teaching hospitals. A supervising physician was the proctor in 94% of the nonteaching hospitals and 100% of the teaching hospitals. The most common number of cases proctored was 4 to 7. Conclusion The majority of hospitals employ acute care nurse practitioners. The most common method of privileging for invasive procedures is proctoring by a supervising physician. However, the amount of proctoring required before privileges and independent practice are granted varies by procedure and institution.

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Broadening the Scope of Nursing Practice

Cited by 45 publications

References 3 publications

Nurses’, physicians’ and radiographers’ perceptions of the safety of a nurse prescribing of ionising radiation initiative: A cross-sectional survey

Nurses’, physicians’ and radiographers’ perceptions of the safety of a nurse prescribing of ionising radiation initiative: A cross-sectional survey

Nurse Practitioner Autonomy and Satisfaction in Rural Settings

Credentialing and Privileging of Acute Care Nurse Practitioners to Do Invasive Procedures: A Statewide Survey

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