Full Scope of Practice for Alabama Nurse Practitioners: Act Now
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The purpose of this study was to explore the concept of scope of practice in dietetics in Canada.Using interpretative description methodology, data were collected through 4 phases. This article reports on phases I and IV. In phase I, 8 provincial dietetic regulatory bodies participated in semi-structured telephone interviews on dietetic scope of practice. Phase IV consisted of a document analysis of Canadian dietetic scope of practice statements.A review of dietetic statements found in legislation across Canada has shown considerable variability in terms of length, wording, and reference to specific practice areas. Phase I participant discussion focused on 3 concepts: creating a scope of practice, using a scope of practice, and perceived or expected outcomes of a scope of practice.Dietetic scopes of practice statements are a product of a complex multi-player process. The nature of provincial health care makes it unrealistic to expect similar dietetic scope of practice statements across all provinces. However, maintaining relationships between dietetic regulatory bodies can aid in the replication of ideas, best practices, and policies between provinces.
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Seale et al 1 have provided a much-needed comparative analysis of the different communication patterns used by GPs and nurse practitioners in their consultations with general practice patients. Their findings, namely that nurse practitioners conduct longer consultations with increased dialogue by both patient and nurse practitioners alike has resonance with previous consultation research regarding variant communication styles among doctors and nurses2.
However, while acknowledging that a longer consultation time may have a short-term adverse …
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Since 1889, when the role of the nurse anesthetist as an advanced practice nurse was first recognized in the United States, the roles and utilization of the advanced practice nurse in general and that of the nurse practitioner in particular have expanded significantly. Nurse practitioners are moving into the home health care setting and practice in a variety of specialties within home care. This article discusses the need for the nurse practitioner role in home care, the benefits of the role, and the potential for the role in home care for the future.
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Since the late 1960s, nurse practitioners have played a major role in the provision of primary health-care services to previously underserved communities. However, with the accelerated supply of primary care providers, particularly physicians, and with the declining utilization of services, opportunities for practice are becoming increasingly constrained for nurse practitioners. This article examines some of the factors that influence workplace encroachment experienced by a growing number of nurse practitioners. It also suggests strategies for mitigating the limiting effects of these factors and for achieving stable practice opportunities for nurse practitioners.
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Even though nurse practitioners (NPs) have been widely accepted as members of the health care team for more than 30 years, their unique contributions in health care delivery are still unclear. It is critical that NPs collectively define their role, which is a blend of nursing and medicine, and consistently adhere to a model that defines practice parameters. This article proposes use of The Shuler Nurse Practitioner Practice Model as the critical missing link needed to guide NPs toward the demonstration of their unique contributions.
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Interview with Dr. Bianca Frogner on scope-of-practice regulations and how they can be redesigned to better serve the needs of patients. (10:23)Download Many health care organizations are experimenting with new ways of unleashing their workforce’s potential. Such approaches require reconfiguring of provider roles, but states and organizations often place restrictions on health professionals’ scope of practice.
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The work of a nurse practitioner was compared with that of a general practitioner. Both were equally available to the same patient population over the same period. The nurse practitioner saw a similar age and sex distribution of patients to the doctor but saw different types of problems. More of the patients she saw were for followup of chronic diseases, health advice and screening measures while fewer were acutely ill. The doctor dealt with four times as many patients. The nurse practitioner managed 78% of her consultations without referral to a doctor, and 89% without resorting to prescribed drugs. There was a high level of patient satisfaction with her work and 97% of the patients who saw the nurse would choose to consult her again. The role of the nurse practitioner in our practice has developed differently from a similar post in another setting, thus emphasizing the need for flexibility when defining the role.Nurse practitioners are a valuable extra resource for the development of new areas of care, rather than a cheaper substitute for a general practitioner.
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In recent years, collaborative practice has gained much attention from nurse practitioners in primary health care settings. This is because many nurse practitioners feel that nurse practitioners and physicians can complement each other's roles. Together, they can provide more comprehensive, quality primary health care than either profession can provide by itself. Nurse practitioners and physicians working together to care for a common group of patients may have varying degrees of collaboration in their practice. This article discusses some elements and components necessary to maximize the quality and extent of collaboration.
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