Nurse practitioners and physician assistants in Dutch hospitals: their role, extent of substitution and facilitators and barriers experienced in the reallocation of tasks

Abstract

Nurse practitioners and physician assistants have wide ranging but different responsibilities in public hospitals. By performing medical procedures and new tasks or tasks for which there was not enough capacity, they function as substitutes and supplements for doctors. However, barriers are affecting the extent of substitution. The challenge ahead is to remove the barriers experienced by nurse practitioners and physician assistants.

Determinants of the sustained employment of physician assistants in hospitals: a qualitative study

“…8 In the Netherlands, PAs have been introduced in 2001, and the majority has traditionally been employed in hospitals, especially to take care of hospitalised patients within a certain surgical or medical speciality. 9 It is expected that within the next decades, the role of PAs in the management of hospitalised patients will increase worldwide. However, the effectiveness of delivered care by new professionals is greatly affected by its implementation.…”

Nurse practitioners, medical negligence and crime: A case study

“…[37] An NP can be convicted of manslaughter if their omission exposes the patient to the risk of death and subsequently causes death. Based on this case study, Nps can potentially identify with the issues and learn from mistakes: engaging in nursing practice according to the established standard of care; providing appropriate nursing assessment, intervention and evaluation; and consulting with the on-call physician in a timely manner to identify the cause of unusual clinical findings in patients are required practice.…”

Present Condition Analysis of Physician Assistant in Korea

“…In the United States, however, the term PA refers to assistant personnel for doctors acting within a medical model and is distinguished from NP in both name and legal responsibility (4). A difference between an NP and a PA is that while the NP plays a role in patient cure and care, the PA only plays a role in the cure.…”

“…A difference between an NP and a PA is that while the NP plays a role in patient cure and care, the PA only plays a role in the cure. The role of the NP mainly includes taking the patient's medical history, performing a physical examination, medical prescription, and providing a supportive role in the operating room (4). …”

“…In the United Kingdom, in which the PA system has not yet been established, a systematic educational program was initiated early by a joining of the PA training in the United States with the UK PMS practice in 2003. The PAs in the UK differ from the NPs in the United States in that they cannot prescribe medicines (4). …”