<scp>analysis &amp; commentary</scp>Unleashing Nurse Practitioners’ Potential To Deliver Primary Care And Lead Teams

Pohl, Joanne M.; Hanson, Charlene M.; Newland, Jamesetta; Cronenwett, Linda R.

doi:10.1377/hlthaff.2010.0374

Cited by 44 publications

(47 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One policy recommendation aimed at expanding primary care capacity is to use nurse practitioners (NPs) more effectively (Dower, Moore, & Langelier, 2013;Naylor & Kurtzman, 2010;Pohl, Hanson, Newland, & Cronenwett, 2010). A projected increase in the NP workforce (HRSA, 2013), along with the essential and steadily growing contributions of NPs to primary care (Druss, Marcus, Olfson, Tanielian, & Pincus, 2003;Kuo, Loresto, Rounds, & Goodwin, 2013), especially their historic and evolving role in improving access to primary care for vulnerable populations (Morgan, Everett, & Hing, 2015), offers compelling evidence for this policy recommendation.…”

Section: Introductionmentioning

confidence: 99%

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

et al. 2016

View full text Add to dashboard Cite

a b s t r a c tBackground: One proposed strategy to expand primary care capacity is to use nurse practitioners (NPs) more effectively in health care delivery. However, the ability of NPs to provide care to the fullest extent of their education is moderated by state scope-of-practice (SOP) regulations. Purpose: The purpose of this study was to examine the impact of state SOP regulations on the following three key issues: (a) NP workforce, (b) access to care and health care utilization, and (c) health care costs. Methods: Systematic review. Results/Discussion: States granting NPs greater SOP authority tend to exhibit an increase in the number and growth of NPs, greater care provision by NPs, and expanded health care utilization, especially among rural and vulnerable populations. Our review indicates that expanded NP practice regulation can impact health care delivery by increasing the number of NPs in combination with easing restrictions on their SOP. Conclusions: Findings show promise that removing restrictions on NP SOP regulations could be a viable and effective strategy to increase primary care capacity.

show abstract

Section: Introductionmentioning

confidence: 99%

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Both organizations recognize that PMH CNSs are important providers of mental health care delivery in the US. But that fact does not discount several advantages of the NP role, particularly our movement into a large group of APNs (approximately 140,000) with national presence, title recognition and numerous platforms to discuss the role of NPs in health reform [56,57].…”

Section: Aligning Nursing Efforts With Health Care Reform Agendamentioning

confidence: 99%

Psychiatric mental health nursing: Why 2011 brings a pivotal moment

Delaney

2011

JNEP

View full text Add to dashboard Cite

Psychiatric nurses in the United States (US) stand at the edge of a changing mental health care landscape. Federal initiatives are moving into place; ones that aim to increase access to care, place a greater emphasis on prevention and wellness, and position recovery as the focus of mental health treatment. The Psychiatric Mental Health (PMH) specialty is at a pivotal moment of choice: it can organize around a future vision of PMH nursing or can silently acquiesce to a marginalized position. At this pivotal time, PMH nurses must build a greater presence in national workforce dialogue and convey the need for nursing in mental health care service delivery; a policy message build on the PMH nurses ability to provide access to safe and quality mental health care and substance use services. This paper discusses how to put these strategies into place via workforce development, strategic alliances, and critical conceptual shifts. Key wordsPsychiatric nurses, Psychiatric mental health, Pivotal moment Psychiatric mental health nurses in the United States (US) stand at the edge of a changing mental health care landscape. The key drivers of change are US health care reform with its emphasis on access, prevention and wellness; an explosion of neurobiological research laying down seeds for future innovation, and recovery as the focus of mental health treatment. Specific to psychiatric mental health (PMH) nursing, a major change is occurring in the certification and licensure of advanced practice nurses (APNs) that moves PMH APNs to a life-span nurse practitioner (NP) role. The specialty is at a pivotal moment of choice: it can organize around a future vision of PMH nursing or we can silently acquiesce to a marginalized position. Indeed PMH nurses can either sort out how our core values fit with health care innovation and move our vision into action or we can remain locked in a titling controversy, tied to traditional models of education, fail to align with recovery, and fall short in gaining a stronger foothold in new health services models. The key drivers of change set the context of PMH nurses' decision since it is these dynamics that are shaping the service delivery landscape.

show abstract

“…As policy makers are undertaking what will be the largest overhaul of the health sector in recent history, use of mid-level providers arouse considerable interest. NPs are a good illustration of DI for several reasons: they are not a new concept, NPs are already involved in primary care and in role substitution in hospitals 6,7,8 and nurses are the largest group of healthcare professionals in the US. 9 Evidence suggests that NPs provide an equivalent quality of care compared to physicians in a number of settings.…”

Section: Nurse Practitioners As a Disruptive Innovationmentioning

confidence: 99%