Nurse‐Managed Primary Care: Outcomes of a Faculty Practice Network

Edwards, RN Joellen B.; Oppewal, RN Sonda; Logan, Carol Lee

doi:10.1111/j.1745-7599.2003.tb00349.x

Cited by 18 publications

(14 citation statements)

References 12 publications

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“…Authors consistently attributed this success to building a strong infrastructure to support the practice initiative, including administrative support for business, legal, and regulatory oversight [51, 55, 57, 60, 66]. Equally important were trust among partners [57], and a shared and well-articulated mission and vision [54, 55, 58, 60, 61]. …”

Section: Resultsmentioning

confidence: 99%

Academic-Service Partnerships in Nursing: An Integrative Review

Beal

2012

Nursing Research and Practice

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This integrative review summarizes currently available evidence on academic-service partnerships in the profession of nursing. More than 300 articles, published primarily in refereed journals, were accessed. Articles (110) were included in this review as they presented detailed and substantive information about any aspect of a nursing academic-service partnership. The majority were anecdotal in nature. Topics clustered around the following categories:pre-requisites for successful partnerships, benefits of partnerships, types of partnerships, andworkforce developmentwith its themes ofacademic-practice progressionandeducational re-design.Many examples of partnerships between academic and service settings were thoroughly described and best practices suggested, most often, however, without formal evaluation of outcomes. Nursing leaders in both settings have a long tradition of partnering with very little replicable evidence to support their efforts. It is critical that future initiatives evaluate the effectiveness of these partnerships, not only to ensure quality of patient outcomes but also to maximize efforts at building capacity for tomorrow's workforce.

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Section: Resultsmentioning

confidence: 99%

Academic-Service Partnerships in Nursing: An Integrative Review

Beal

2012

Nursing Research and Practice

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“…While faculty may believe that an ideal clinical placement would pair students with preceptors in one-to-one relationships with clients arriving at set appointment times, there may be great value in developing partnerships with agencies and individuals who provide care in different models and settings [47]. The development of community partnerships with a service-learning framework can provide APRN students with innovative opportunities to engage in health promotion, physical and mental health assessments, and intervention with individuals who might not otherwise receive healthcare services in a given setting.…”

Section: Strategies and Solutionsmentioning

confidence: 99%

Advanced Practice Nursing Education: Challenges and Strategies

Fitzgerald

Kantrowitz‐Gordon

Katz

et al. 2012

Nursing Research and Practice

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Nursing education programs may face significant difficulty as they struggle to prepare sufficient numbers of advanced practice registered nurses to fulfill the vision of helping to design an improved US healthcare system as described in the Institute of Medicine's “Future of nursing” report. This paper describes specific challenges and provides strategies to improve advanced practice nursing clinical education in order to ensure that a sufficient number of APRNs are available to work in educational, practice, and research settings. Best practices are identified through a review of classic and current nursing literature. Strategies include intensive interprofessional collaborations and radical curriculum revisions such as increased use of simulation and domestic and international service work. Nurse educators must work with all stakeholders to create effective and lasting change.

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“…Comparable results between an NP and a GP for physiological results, health status according to the patient and patient satisfaction. Edwards et al (2003) 9 clinics of nursemanaged primary care…”

Section: Authormentioning

confidence: 99%

Nurses in Advanced Roles

Delamaire¹,

Lafortune

2010

OECD Health Working Papers

129

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All Health Working Papers are now available through the OECD's Internet Website at http:/www.oecd.org/els/health/workingpapers This series is designed to make available to a wider readership health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language -English or French -with a summary in the other.Comment on the series is welcome, and should be sent to the Directorate for Employment, Labour and Social Affairs, 2, rue André-Pascal, 75775 PARIS CEDEX 16, France.The opinions expressed and arguments employed here are the responsibility of the author(s) and do not necessarily reflect those of the OECD. ABSTRACTMany countries are seeking to improve health care delivery by reviewing the roles of health professionals, including nurses. Developing new and more advanced roles for nurses could improve access to care in the face of a limited or diminishing supply of doctors. It might also contain costs by delegating tasks away from more expensive doctors. This paper reviews the development of advanced practice nurses in 12 countries (Australia, Belgium, Canada, Cyprus, Czech Republic, Finland, France, Ireland, Japan, Poland, United Kingdom and United States), with a particular focus on their roles in primary care. It also reviews the evaluations of impacts on patient care and cost.The development of new nursing roles varies greatly. The United States and Canada established "nurse practitioners" in the mid-1960s. The United Kingdom and Finland also have a long experience in using different forms of collaboration between doctors and nurses. Although development in Australia and Ireland is more recent, these two countries have been very active in establishing higher education programmes and posts for advanced practice nurses in recent years. In other countries, the formal recognition of advanced practice nurses is still in its infancy, although unofficial advanced practices may already exist in reality.Evaluations show that using advanced practice nurses can improve access to services and reduce waiting times. Advanced practice nurses are able to deliver the same quality of care as doctors for a range of patients, including those with minor illnesses and those requiring routine follow-up. Most evaluations find a high patient satisfaction rate, mainly because nurses tend to spend more time with patients, and provide information and counselling. Some evaluations have tried to estimate the impact of advanced practice nursing on cost. When new roles involve substitution of tasks, the impact is either cost reducing or cost neutral. The savings on nurses' salaries -as opposed to doctors -can be offset by longer consultation times, higher patient referrals, and sometimes the ordering of more tests. When new roles involve supplementary tasks, some studies report that the impact is cost increasing.Keywords: nurses, advanced roles, skills, nurse practitioners, clinical nurse specialists, primary care, OECD countrie...

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Nurse‐Managed Primary Care: Outcomes of a Faculty Practice Network

Abstract: This model demonstrates that faculty practice can work, can meet the evaluation components of guidelines of a major national organization, and can contribute to the improvement of health for vulnerable populations.

Cited by 18 publications

References 12 publications

Academic-Service Partnerships in Nursing: An Integrative Review

Academic-Service Partnerships in Nursing: An Integrative Review

Advanced Practice Nursing Education: Challenges and Strategies

Nurses in Advanced Roles

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