Misalignment of specialty nurse practitioners and the Consensus Model

Martsolf, Grant R.; Gigli, Kristin Hittle; Reynolds, Benjamin R.; McCorkle, Michele

doi:10.1016/j.outlook.2020.03.001

Cited by 14 publications

(6 citation statements)

References 6 publications

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“…A review of US medical billing and health record data found rural NPs practice more autonomously than their urban counterparts despite no significant differences in the complexity of care [ 29 ]. Whilst 70% of all US NPs have a Family Practice certification, less than one-third consider primary care their main focus, with an increasing number of NPs employed in sub-speciality ambulatory practices or inpatient units [ 51 ], effectively reducing the availability of NPs to work in primary care.…”

Section: Resultsmentioning

confidence: 99%

Practice pathways, education, and regulation influencing nurse practitioners’ decision to provide primary care: a rapid scoping review

Elvidge,

Hobbs,

Fox

et al. 2024

BMC Prim. Care

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Background/Objective Initially established to improve access to healthcare, particularly for primary care, the full potential of the nurse practitioner role is yet to be realised in most countries. Despite this, most countries are working to meet an ageing population’s increasing healthcare needs and reduce healthcare costs and access disparities. Achieving these outcomes requires reform at multiple levels, including nurse practitioner practice pathways, education and regulation, and identifying the barriers and facilitators to optimising their primary care role. Methods A rapid scoping review of nurse practitioner practice pathways, education and regulation inclusive of: (1) a systematic search of Medline and CINAHL for peer-reviewed English language articles, including opinion pieces published between January 2015 and February 2022; and (2) a web-based search of nurse practitioner program entry requirements of International Nurse Regulator Collaborative country members with a protected nurse practitioner title and prescribing rights, plus the Netherlands. The individually summarised search data was integrated and synthesised using Popay’s narrative approach. Results Emerging evidence from the included nurse practitioner courses (n = 86) and articles (n = 79) suggests nurse practitioners working in primary care provide safe, effective care and improve healthcare efficiencies. However, different regulatory and educational models are required if the primary care nurse practitioner is to meet growing demand. Conclusions International variations in entry criteria, curriculum, and regulation shape the global profile of the nurse practitioner primary care workforce and their practice setting. For countries to grow their primary care nurse practitioner workforce to meet unmet needs, different entry requirements, program content and accredited post-registration transitional programs must be urgently considered.

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Section: Resultsmentioning

confidence: 99%

Practice pathways, education, and regulation influencing nurse practitioners’ decision to provide primary care: a rapid scoping review

Elvidge,

Hobbs,

Fox

et al. 2024

BMC Prim. Care

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“…However, it is unclear how NP specialty information should be collected and reported. NP accreditation is not regulated by state boards of nursing, and NPs’ education and certification does not always align with their practice setting (Martsolf et al., 2020). To address this issue, specialty information could potentially be self-reported by NPs or determined by an algorithm that includes a combination of self-reported specialty, certifications, and employment setting (UNC, n.d.).…”

Section: Discussionmentioning

confidence: 99%

Surveying Primary Care Nurse Practitioners: An Overview of National Sampling Frames

Harrison

Germack

Poghosyan

et al. 2020

Policy, Politics, & Nursing Practice

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Nurse practitioners (NPs) represent the fastest growing segment of the U.S. primary care workforce. Surveys of primary care NPs can help to better understand the care NPs deliver across different health care settings, the factors that impact NP job satisfaction and burnout, and the structural capabilities required to support their practice. The purpose of this article is to provide an overview of national sampling frames that can be used by researchers interested in surveying or studying the U.S. primary care NP workforce. We conducted an environmental scan and review of published literature on the NP workforce to identify data sources that can be used to sample primary care NPs. In this article, we (a) identify the data elements needed to develop an NP sampling frame and (b) describe national data sets that can be used to sample primary care NPs, including the strengths and weaknesses of each. This information is intended to facilitate research on the primary care NP workforce to inform practice and policy.

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“…Responding to growing demand for subspecialty ambulatory and inpatient providers, the NP workforce and training programs have shifted to increasingly fill subspecialty needs beyond primary care. As these subspecialties and associated NP certifications evolved to meet population needs, there was lack of standardization of core competencies for specialties and guidance on alignment of training, certification, employment, and state licensure (Martsolf et al, 2020). Consistent terminology and standards in APRN education, regulation, and practice are essential in optimizing access to APRN services and enabling mobility of this workforce between states.…”

Section: Introductionmentioning

confidence: 99%

An evaluation of nurse practitioner and physician assistant hiring patterns after implementation of the advanced practice registered nurse consensus model

Patel¹,

Burris

Munn

et al. 2023

J Am Assoc Nurse Pract

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Misalignment of specialty nurse practitioners and the Consensus Model

Cited by 14 publications

References 6 publications

Practice pathways, education, and regulation influencing nurse practitioners’ decision to provide primary care: a rapid scoping review

Practice pathways, education, and regulation influencing nurse practitioners’ decision to provide primary care: a rapid scoping review

Surveying Primary Care Nurse Practitioners: An Overview of National Sampling Frames

An evaluation of nurse practitioner and physician assistant hiring patterns after implementation of the advanced practice registered nurse consensus model

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