Service Value Activities by Nurse Practitioners in Ambulatory Specialty Care

Winter, Shira; Duderstadt, Karen G.; Chan, Garrett K.; Spetz, Joanne; Stephan, Linda; Matsuda, Erin; Chapman, Susan

doi:10.1177/1527154420927689

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…Of note, a key outcome of this study confirms a growing trend of research around the NP being an educator and provider of advice to patients and other staff (Lowe et al., 2018; Lutze et al., 2018; Winter et al., 2020). The participants report providing education about medications, follow‐up care and wound care advice, together with providing education for other staff.…”

Section: Discussionsupporting

confidence: 74%

“…The significance of NPs using an external provider to undertake the necessary tests is that this process would likely have resulted in an “out of pocket” expense for the patient. Access to the Medicare Benefits Schedule for NPs has been previously reported in association with sustainability of NP roles and equity issues for patient groups (Considine & Fielding, 2010; Lowe et al., 2018; Middleton et al, 2011) and linked to other reports of NP activities not fitting well into a fee for services model (Winter et al., 2020).…”

Section: Discussionmentioning

confidence: 98%

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Nurse practitioner work patterns: A cross‐sectional study

et al. 2021

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Aim The aim was to determine how nurse practitioner (NP) roles are translated into clinical practice across Victoria, Australia. This paper reports details about NP work patterns and scopes of practice across multiple clinical settings and geographic locations. Design A quantitative survey design was used. A data abstraction tool, based on previous work, was adapted for this study. Methods All NPs in one state of Australia were eligible to participate in the study and invited to complete an online survey about their NP practice. A previously developed data collection tool, capturing practice patterns of NPs, was adapted for online use in REDCAP. The data were exported, and descriptive statistics were analysed using SPSS. Results Participants were mostly female, with males accounting for 25%. Findings indicate several NPs working in outpatient settings, community settings and forensic care. Patterns of practice—prescribing and ordering diagnostics—are associated with clinical context and model of care of the NP work.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 98%

Nurse practitioner work patterns: A cross‐sectional study

et al. 2021

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“…The skill set that is most lacking in the transition from hospital-based nurse leader to an ANL revolves around cost-effective care and understanding value-based care. Value-based care is here to stay 14,15. ANLs play a critical role that can influence nursing performance and patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Value-based 304 NURSING ADMINISTRATION QUARTERLY/OCTOBER-DECEMBER 2022 care is here to stay. 14,15 ANLs play a critical role that can influence nursing performance and patient outcomes. Nurses are integral to the provision of coordinated, evidence-based care, and they must optimize their skills and abilities, practicing at the top of their scope of practice, to transcend boundaries across the care continuum to help provide the most cost-effective and high-quality care possible.…”

mentioning

confidence: 99%

Ambulatory Nurse Leadership

Hughes

2022

Nursing Administration Quarterly

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This article discusses the role of and need for nursing leadership in ambulatory care spaces. Challenges within health care and increasing complexity of patients exist, regardless of whether a nurse leader works in a traditional hospital setting or outside of that setting. Regardless of setting, nurse leaders want the same things for their patients and staff. The required skill set and characteristics for nurse leaders are the same, just used in a different venue. Traditional hospital nurse leaders must collaborate with nurse leaders in ambulatory to ensure each patient navigates through the continuum with as little disruption as possible. Nurse leaders in ambulatory can offer hospital leaders a fresh perspective on leadership, highlighting the value they bring to the table and how transferrable their skill set is to this setting, given the same support for success that is fundamental in the hospital setting. Strong nurse leadership is critical for driving innovation and inspiring transformative change in ambulatory settings.

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“…(2020). When developing future cardiovascular occupational standards, it would be necessary to include the results from this study referring to the generic skills, as Winter et al. (2020) have described them as the key in reaching the overall quality and efficiency of care.…”

Section: Discussionmentioning

confidence: 99%

A Survey on Cardiovascular Nursing Occupational Standard: Meeting the Needs of Employers

Matić¹,

Froelicher

Uzokov

et al. 2020

Policy, Politics, & Nursing Practice

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Occupational standard is the result of the agreement between relevant stakeholders in the labor market and education on optimal content for a particular occupation. While drafting occupational standard, the primary instrument for researching competencies at a workplace is a survey on occupational standard. This study identifies key competencies, roles, and responsibilities that are deemed necessary by employers of cardiovascular nurses. The survey addressed the responses of 41 organizations from 11 out of 21 counties in Croatia which were represented by the head nurses of cardiology departments in the hospitals. The survey consisted of 24 questions that covered the main responsibilities, competencies, generic skills, and psychometric abilities. Descriptive statistics were used to analyze the data. Conducting diagnostic and therapeutic procedures, health care, education, administration of medications, monitoring, and documentation were listed as the main responsibilities of cardiovascular nurses. The most common skills included assessment, monitoring patient’s condition, knowledge of the diagnostic or therapeutic procedures and cardiovascular diseases, interpreting the electrocardiograms, preparing patients for checkups, conducting patient’s education, and following practice guidelines. Generic skills included communication and organizational skills, teamwork, and responsibility. Reaction time and attention span were the most assessed psychomotor abilities. Artificial lighting and radiation were the most important environmental risk factors. The most appropriate level of education for cardiovascular nursing was specialist graduate studies. The results of the study could be used to develop occupational standards for cardiovascular nursing and to guide the curriculum for the educational program development.

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Service Value Activities by Nurse Practitioners in Ambulatory Specialty Care

Cited by 4 publications

References 26 publications

Nurse practitioner work patterns: A cross‐sectional study

Nurse practitioner work patterns: A cross‐sectional study

Ambulatory Nurse Leadership

A Survey on Cardiovascular Nursing Occupational Standard: Meeting the Needs of Employers

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