Certification alignment of nurse practitioners in acute care

Hoyt, Alex; O’Reilly-Jacob, Monica; Souris-Kraemer, Michelle

doi:10.1016/j.outlook.2021.12.009

Cited by 9 publications

(7 citation statements)

References 21 publications

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“…Should the ENP be recognized as a population, states are given the opportunity to license NPs based on certification, in accordance with the Consensus Model. This not only allows employers to hire the appropriately educated NP, and it also provides a framework for accreditors such as The Joint Commission and the American Nurses Credentialing Center (ANCC) to adopt clearer standards for credentialing and privileging NPs (Hoyt et al, 2021).…”

Section: Education Of the Enp At The Population Levelmentioning

confidence: 99%

Consideration of the emergency nurse practitioner as a population within the APRN Consensus Model: A SWOT analysis

Wilbeck

Schumann²,

Comer

et al. 2022

J Am Assoc Nurse Pract

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After adoption of the 2008 Consensus Model for Advanced Practice Registered Nurse (APRN) Regulation, evolution of the nurse practitioner (NP) role and emergency NP (ENP) specialty has outpaced regulatory standards. Lack of uniformity among regulators, health insurance providers, and employers in acknowledging the ENP specialty has created barriers to practice and access to care. This article serves to identify potential outcomes if the ENP specialty was transitioned to a population within the Consensus Model of Regulation. A strengths, weaknesses, opportunities, and threats (SWOT) analysis methodology was used to assess ENP specialty current state, specifically focusing on the licensure, accreditation, certification, and education model for APRN regulation. The data were collected from peerreviewed literature, clinical subject-matter experts, and academic and advanced practice executive leaders. Variances in ENP licensure, recognition, and acknowledgment among State Boards of Nursing leave the ENP specialty in a precarious position. For each of the strengths and opportunities that could exist in recognizing the ENP at the population level of the Consensus Model, there are abundant weaknesses and threats. Although full acknowledgment of the ENP specialty is lacking, regulatory implications are highly variable, and employers' understanding of the APRN educational model is limited, our findings reveal that the ENP specialty is an evolving role that deserves regulatory legitimization. Although ideal placement for the ENP within the Consensus Model remains to be determined, challenges and opportunities exist with both specialty and population options.

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Section: Education Of the Enp At The Population Levelmentioning

confidence: 99%

Consideration of the emergency nurse practitioner as a population within the APRN Consensus Model: A SWOT analysis

Wilbeck

Schumann²,

Comer

et al. 2022

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

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“…As a result, students may be interested in pursuing NP specialties that are less readily available but instead, seek convenience of education over education and career goal alignment. It is necessary to develop a greater understanding of the decision-making processes nurses undertake when selecting NP specialties to ensure that they receive an education that aligns with their career goals (Gonzalez & Gigli, 2021; Hoyt et al, 2022). There has been abundant growth in family NP programs over the past decade (American Association of Nurse Practitioners, 2021).…”

Section: Discussionmentioning

confidence: 99%

Meeting the need for nurse practitioner clinicals: A survey of practitioners

Gigli

Gonzalez

2022

J Am Assoc Nurse Pract

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Background:The increase in the number of nurse practitioner (NP) students requires increased clinical practice sites and prepared preceptors.Purpose:This study describes NPs' clinical experiences as a student and their current practices as an NP preceptor.Methodology:A descriptive study design used a 38-item web-based survey conducted in June and July 2021.Results:A total of 334 NPs practicing in Texas responded; most had been NPs for 10 or fewer years (58.2%) and in their positions less than 5 years (50.3%). A plurality of respondents was required to find their own clinical placements (46%). The most common challenge in obtaining clinical placements was finding preceptors (33%). Nurse practitioners reported excellent clinical experiences (39.3%) as a student and believed that they were generally well prepared for the NP role (38.9%) and to care for their specialty patient population (46.1%) upon graduation. Sixty percent of respondents reported not currently precepting, 37.6% had never been asked to precept, whereas 32.8% reported that employers restricted precepting. Family NPs were the least likely to precept.Conclusions:Nurse practitioners report positive clinical experiences that prepare them for NP careers. Multiple opportunities exist to enlist additional NPs as preceptors for NP students.Implications:There is capacity within the current NP workforce to meet the clinical educational needs of NP students. Future work should examine best practices to engage NPs who are not currently preceptors. As policies change NP education, research should examine the implications of the preparation for NP roles at the time of graduation, organizational outcomes, and quality of care.

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“…Notably, many APP directors believed that after a period of onboarding, aligned and misaligned NPs or PAs had similar clinical practice and outcomes. However, to date, no studies examine outcomes associated with aligned or misaligned practice or PA substitution (Hoyt et al, 2022). This gap in empirical knowledge of the role of NP alignment on outcomes often results in APP directors using their gestalt, influenced by institutional culture and historical precedent, when making hiring decisions.…”

Section: Board Of Nursing (Bon)mentioning

confidence: 99%

The Perspectives of Advanced Practice Provider Directors on Acute Care Nurse Practitioner Alignment and Hiring

Gigli,

Calhoun,

Dierkes

et al. 2023

Policy, Politics, & Nursing Practice

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Demand for acute care is forecasted to grow in the United States. To meet this demand, nurse practitioners (NPs) are increasingly employed in acute care settings. Yet, there is concern about an adequate supply of acute care NPs given demand. Further, professional nursing organizations recommend aligning an NP's role with their education, certification, licensure, and practice. Given workforce constraints and the policy environment, little is known about how hospitals approach hiring NPs for acute care roles. The purpose of this study was to explore advanced practice provider (APP) directors’ approaches to hiring NPs within the context of alignment and describe factors that influence hiring decisions. We conducted semi-structured interviews with 17 APP directors in hospitals and health systems. Interviews were recorded, transcribed, and coded using an iterative, hybrid inductive and deductive method. Two themes emerged: (1) local factors that inform aligned hiring and (2) adaptive hiring responses to changing environments. Practices around hiring NPs varied across institutions influenced by organization and state policies and regulations, workforce availability, and institutional culture. Most APP directors recognized trends towards hiring aligned NPs for acute care roles. However, they also identified barriers to fully aligning their NP workforce and described adaptive strategies including hiring physician assistants, building relationships with APP schools, and leveraging hospital resources to develop the APP workforce to meet care delivery demands given the current NP workforce supply. Future research is needed to assess widespread practices around acute care NP alignment and the implications of alignment for patient and organizational outcomes.

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Certification alignment of nurse practitioners in acute care

Cited by 9 publications

References 21 publications

Consideration of the emergency nurse practitioner as a population within the APRN Consensus Model: A SWOT analysis

Consideration of the emergency nurse practitioner as a population within the APRN Consensus Model: A SWOT analysis

Meeting the need for nurse practitioner clinicals: A survey of practitioners

The Perspectives of Advanced Practice Provider Directors on Acute Care Nurse Practitioner Alignment and Hiring

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