Effectiveness and outcomes of a nurse practitioner–run chest pain evaluation unit

Zhu, Zahra; Islam, Sirajul; Bergmann, Steven R.

doi:10.1002/2327-6924.12377

Cited by 6 publications

(4 citation statements)

References 13 publications

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“…A similar evaluation has been forthcoming from Masso and Thompson (2017), who criticizes the lack of context in NP research to date, resulting in difficulties related to the transferability of the evidence. The literature related to NPs effect on health care, such as patient outcomes, is limited to a single‐role, single‐centre research over a limited time frame (Tucker & Bernard, 2015; Wand, White, Patching, Dixon, & Green, 2012; Zhu, Islam, & Bergmann, 2016). Litchman et al (2018), supported this as they have identified gaps in NP research related to patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

An integrative review to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes

Ryder

Jacob

Hendricks

2020

Int J of Nursing Practice

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Aims This study aimed to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes. Background Changing health‐care delivery is synonymous with the nurse practitioner role. The literature is critical of the lack of research by nurse practitioners, reporting the effects of a change to health‐care delivery. Design This study used a systematic integrative review by using Torraco's approach. Data sources Databases Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Web of Science and SCOPUS were searched for peer‐reviewed publications from 2000 to 2019. Review Methods A systematic approach was used to screen and analyse the literature. Inclusion/exclusion criteria were applied, and quality appraisal was undertaken by two reviewers. Results Eighteen articles were selected. The research projects were across the community and acute care settings. Research methodologies varied including preintervention and postintervention studies, evaluation of quality improvement projects, randomized controlled trial and descriptive studies. Multiple data collection tools were used. Two major themes were identified including evidence‐based practice champions and improved patient outcomes. Conclusion The nurse practitioner role is pertinent toward improving evidence‐based practice in clinical settings. Positive patient outcomes and praise for clinical leadership are evident in the literature. Research by nurse practitioners to date has focused on individual services.

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Section: Introductionmentioning

confidence: 99%

An integrative review to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes

Ryder

Jacob

Hendricks

2020

Int J of Nursing Practice

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“…However, their impact is contingent upon receiving education, preparing them for rural healthcare's unique challenges. Traditional nursing programs often fall short in this regard, highlighting the need for specialized curriculum development tailored to rural healthcare's intricacies [8,9]. This study aims to evaluate the demand for APNs in rural community hospitals, targeting the specific needs of rural healthcare.…”

Section: Introductionmentioning

confidence: 99%

Applying Advanced Practice Nurses in Rural Japan: A Mixed-Methods Perspective

Ohta,

Maejima,

Sano

2024

Cureus

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IntroductionRural hospitals, particularly those in geographically isolated regions like Shimane Prefecture, Japan, face significant healthcare delivery challenges. These include limited resources, an aging population, and a scarcity of healthcare professionals. Advanced practice nurses (APNs) have emerged as pivotal in addressing these gaps, offering specialized patient assessment, diagnosis, and management skills. This study aimed to evaluate the demand for APNs in rural community hospitals, focusing on the specific educational needs and clinical competencies required to improve healthcare outcomes in these settings. MethodEmploying a mixed-methods approach, this research combined qualitative insights from stakeholder interviews with quantitative data analysis of electronic health records (EHRs) at Unnan City Hospital. This sequential exploratory design aimed to capture comprehensive educational needs and outcomes, integrating the depth of qualitative data with the breadth of quantitative evidence to tailor a curriculum for APNs in rural healthcare contexts. ResultsThe study revealed a critical demand for APNs skilled in managing common medical issues in rural settings, such as infections, circulatory failures, and respiratory problems. Stakeholder interviews highlighted the necessity for a curriculum that enhances clinical competencies and emphasizes soft skills like communication and leadership. An analysis of EHRs identified 21 specific diseases across six categories, underlining the importance of targeted education on these prevalent conditions. ConclusionThe findings underscore the urgent need for specialized education programs for APNs in rural hospitals to address these communities' unique healthcare challenges. Developing a curriculum that focuses on clinical and soft skills essential for rural healthcare delivery can significantly enhance the quality of care. This study advocates for implementing such tailored educational programs to empower APNs, thereby contributing to healthcare equity and improving patient outcomes in rural settings.

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“…For example, it empowers patients and makes them feel respected and more compliant with treatment plans, in turn improving their prognosis [10]. Many studies highlighted that NPs provide medical care equivalent to that of physicians and facilitate access to healthcare [11][12][13]. Igrarshi et al [4], interviewed NPs in Japan and discovered that NPs can improve the quality of healthcare by proposing practical solutions to problems faced by patients and medical organizations.…”

Section: Introductionmentioning

confidence: 99%

A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors

et al. 2022

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Cultural competence refers to a healthcare provider’s ability to consider cultural factors that affect an individual’s health and attitudes toward disease and disability. Nurse practitioners (NPs) are increasingly important in healthcare, practicing culturally competent care strategies to improve the quality of patient care. The aim of this study was to explore cultural competence and its related factors among NPs. A cross sectional study design with a structured questionnaire survey was used. Purposive sampling was employed, for which 86 NPs were recruited from a medical center in northern Taiwan. A T-test, one-way ANOVA, and Pearson’s product-moment correlation coefficient were used for data analysis. The results were as follows: (1) overall, the total score for cultural competence was above-average, with a score of 3.75; (2) years of experience as a NP was found to have a statistically significant correlation with overall clinical competence, with r = 0.23, p < 0.05; (3) there were significant differences in clinical awareness and cultural sensitivity related to the clinical ladder system (t = −2.42, p = 0.01; t = −2.04, p = 0.04). The findings of this study can provide information for directors of medical institutions to design an in-service educational program for NPs to enhance their cultural competence and nursing quality.

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Effectiveness and outcomes of a nurse practitioner–run chest pain evaluation unit

Cited by 6 publications

References 13 publications

An integrative review to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes

An integrative review to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes

Applying Advanced Practice Nurses in Rural Japan: A Mixed-Methods Perspective

A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors

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