Interprofessional “on-call” e-learning for family nurse practitioner students: Preparing for primary care across the life span

Abstract

Background and Purpose: Nurse practitioners (NPs) are expected to fill gaps in providing primary care in the United States and need vital skills to meet the growing need for primary care providers. One necessary skill is managing “on-call” clinical questions/concerns by patients across the life span. To date, there are no published studies that address “on-call” simulations for family NP (FNP) students across the life span. Methods: This quasi-experimental, mixed-methods design used a confidence scale and Krippendorff's method for content analysis of discussion pages to determine the effectiveness and confidence of simulated “on-call” scenarios for FNP students during each of their clinical courses. Conclusions: There was a significant increase in the confidence level of students as measured by the confidence questionnaire (t = 3.07 [33]; p < .001), at the end of the FNP didactic and clinical courses. Krippendorff content analysis revealed three themes: self-reliance; thinking on your feet; and uncertainty of management. Implications for Practice: “On-call” processing is a skill that is needed in graduate FNP programs so that these providers are fully prepared to meet any challenge they may encounter.

Scoping review: Diagnostic reasoning as a component of clinical reasoning in the U.S. primary care nurse practitioner education

“…Benbenek et al ( 2016 ; Calohan et al ( 2016 ); Conelius et al ( 2019 ); Downes et al ( 2014 ); Durham et al ( 2014 ); Granger et al ( 2018 ); John et al ( 2012 ); Johnson et al ( 2018 ); LaManna et al ( 2019 ); Merrritt (2020); Pearson et al ( 2012 ); Reinoso et al ( 2018 ); Schumaker and Bergeron ( 2016 ); Shawler ( 2008 ); Surjadi et al ( 2019 ); Weber and Snow ( 2006 )…”

“…All but two studies were published in the past seven years. The research papers varied in design and included qualitative ( n = 2; Burt, Corbridge, et al, 2021 ; Tiffen et al, 2014 ), quantitative ( n = 6; Burt, Finnegan, et al, 2021 ; Gorton & Hayes, 2014 ; Jeffries et al, 2011 ; O'Rourke & Zerwic, 2016 ; Posey et al, 2018 ; Sweeney et al, 2017 ), mixed methods ( n = 2; Conelius et al, 2019 ; Kelley et al, 2007 ), and literature reviews ( n = 3; Burt & Corbridge, 2018 ; Gatewood & De Gagne, 2019 ; Lawson, 2018 ). Like the case reports, the research typically evaluated a teaching strategy, using convenience samples recruited from individual NP programs in which the reported innovation/intervention or study took place.…”

“…Beckham ( 2013 ); Benbenek et al ( 2016 ; Calohan et al ( 2016 ); Conelius et al ( 2019 ); Downes et al ( 2014 ); LaManna et al ( 2019 ); Pearson et al ( 2012 ); Schumaker and Bergeron ( 2016 ); Shawler ( 2008 ); Surjadi et al ( 2019 ); Sweeney et al/ (2017)…”

“…Ballman et al ( 2016 ); Beckham ( 2013 ); Benbenek et al ( 2016 ; Colella and Beery ( 2014 ); Conelius et al ( 2019 ); Day et al ( 2018 ); Distler ( 2008 ); Downes et al ( 2014 ); Durham et al ( 2014 ); Granger et al ( 2018 ); John et al ( 2012 ); Johnson et al ( 2018 ); LaManna et al ( 2019 ); Merritt ( 2020 ); O‐Rourke & Zerwic (2016); Payne ( 2015 ); Pearson et al ( 2012 ); Posey et al ( 2018 ); Reinoso et al ( 2018 ); Schumaker and Bergeron ( 2016 ); Shawler ( 2008 ); Surjadi et al ( 2019 )…”

Family health nursing: A Recent Review

“…Nurse practitioners are expected to fill gaps in providing primary care and need vital skills to meet the growing need for primary care providers. One necessary skill is managing "on-call" clinical questions/concerns by patients across the life span (Conelius et al, 2019).…”