Hiring and Credentialing of Nurse Practitioners as Hospitalists: A National Workforce Analysis

Certification alignment of nurse practitioners in acute care

“…N u r s O u t l o o k 0 0 ( 2 0 2 1 ) 1 À1 2 orientation when they started; this was not associated with certification. Finally, we find little evidence of market rewards of aligning acute care practice and certification, which echo results of a study documenting the lack of influence NP alignment has on hiring decision in hospitals (Klein et al, 2020). Despite being twice as likely to be doctorally prepared and hold multiple NP certifications, those with acute care certification did not earn more than those with primary care certification.…”

“…Malpractice data is an unreliable source because (a) the majority of malpractice cases are settled out of court and not captured in the data, and (b) the clinician at fault is often not named as the primary defendant. Notably, those who hire, credential, and privilege hospitalist NPs rated prior, current, or pending lawsuits as the least important factor in assessing qualifications (Klein et al, 2020). Claims data are also problematic because the work of NPs is often obscured by "incident to" billing.…”

“…This inadequate adoption permits employers to hire NPs into positions for which their certification is not aligned. Recent surveys found that three quarters of those responsible for hiring, credentialing, and privileging hospitalist NPs were unaware of the Consensus Model (Klein, Kaplan, Stanik-Hutt, Cote, & Brooks, 2020) and a minority of hospitals require NP acute care certification to care for acutely or critically ill patients (Gigli, Dietrich, Buerhaus, & Minnick, 2018;Klein et al, 2020). However, the majority of NPs in such positions perform bedside procedures that are only addressed in the educational standards for acute care NPs (National Task Force on Quality Nurse Practitioner Education, 2016).…”

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

“…With increased awareness of NP practice in emergency care, concerns from nursing and medicine colleagues (Berlin, 2018;Greene, 2018;Klein, et al, 2020) have amplified the misalignment and confusion felt by regulatory bodies such as the State Boards of Nursing. The regulatory landscape for APRN licensure and specialty recognition is one of the most immediate concerns that was discovered.…”

Reenvisioning the Emergency Nurse Practitioner Role

“…Despite efforts to adopt uniform employment and credentialing standards for nurse practitioners (NPs), recent evidence indicates misalignment exists with the Consensus Model for Advanced Practice Registered Nurse Regulation's ( 2008) recommendations (Klein et al, 2020). This impacts NPs working in emergency care settings.…”