The Shuler Nurse Practitioner Practice Model: A Theoretical Framework for Nurse Practitioner Clinicians, Educators, and Researchers, Part 1

Shuler, Pamela; Davis, Jean E.

doi:10.1111/j.1745-7599.1993.tb00835.x

Cited by 32 publications

(33 citation statements)

References 12 publications

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“…The model guides how patient interaction, assessment, intervention and evaluation should occur with wellness, and acute and chronic illnesses. Lastly, the environment is recognized as affecting people [8]. …”

mentioning

confidence: 99%

Nurse Practitioners as Most Responsible Provider: Impact on Care for Seniors Admitted to an Ontario Hospital

Acorn¹

2015

Int J Nurs Clin Pract

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confidence: 99%

Nurse Practitioners as Most Responsible Provider: Impact on Care for Seniors Admitted to an Ontario Hospital

Acorn¹

2015

Int J Nurs Clin Pract

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“…The sleep data reported in this article were part of a larger study that investigated the health-related needs of 50 homeless women in urban Los Angeles (Shuler, 1993). The major areas explored included physiology, psychology, social support, culture, environment/occupation, and spirituality.…”

Section: Methodsmentioning

confidence: 98%

“…The major areas explored included physiology, psychology, social support, culture, environment/occupation, and spirituality. These areas were assessed using a model-based data gathering history form originally developed and tested by Shuler (1993).…”

Section: Methodsmentioning

confidence: 99%

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A Biobehavioral Framework for Examining Altered Sleep-Wake Patterns in Homeless Women

Davis¹,

Shuler²

2000

Issues in Mental Health Nursing

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The interactions among psychosocial and environmental stressors and the hypothalamus-pituitary-adrenal-ovarian-immune axes may provide a framework for examining altered sleep-wake patterns in women. Based on this biobehavioral framework, homeless women represent a subgroup of the female population who have many lifestyle factors that might make them vulnerable to sleep disturbances. This article presents a study designed to investigate the self-reported sleep patterns and lifestyle factors associated with the sleep of 50 homeless women, 18-44 years of age, residing in the downtown area of Los Angeles. Results indicated that almost half of the women slept six or less hours a day and had a day/night sleep pattern. A majority of the women reported restless sleep. Drinking beer, using cocaine, anxiety, depression, loneliness, and concerns about safety and money were factors significantly related to altered sleep patterns.

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“…Inadequacies of the traditional nursing model and the traditional medical model as the basis for NP practice have sparked a paradigm shift among some, with the emergence of the Shuler Nurse Practitioner Practice Model [20]. This model builds on the Anderson Model [21] from the late 1970s, which emphasised joint decision making in the context of a holistic approach to the person being treated.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of nurse practitioners by emergency department doctors in Australia

2010

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BackgroundThe Australian Medical Association is strongly opposed to the nurse practitioner (NP) role with concerns that NPs may become doctor substitutes without the requisite training and education that the medical role demands. Despite this, NPs have been heralded by some as a potential solution to the access block, workforce shortage and increased demand affecting emergency departments (EDs).AimsThe purpose of this study was to determine the perception of NPs by medical staff working in Australian EDs.MethodsSemi-structured telephone interviews were conducted with closed and open-ended questions. Participants were drawn from a representative stratified sample of two city, two metropolitan and two provincial hospitals of each State/Territory.ResultsA total of 95 doctors from 35 EDs participated in this study including 36 Departmental Directors; 36% of participating Directors indicated having an NP on staff. Doctors were strongly opposed to the statement that NPs could replace either nurses or other prevocational doctors; 71 interviewees commented on the role of NPs in the ED. Thematic analyses revealed polarised views held by doctors. Eight major themes were identified, the most common being that there is a lack of clarity of the NP role definition, their scope of practice and differentiation from the medical role.ConclusionAlthough ED NPs represent a highly skilled professional group their role is poorly understood by ED doctors. Opposition to the NP role is a significant barrier to the introduction of great numbers of ED NPs as a strategy to overcome the medical workforce shortage.Electronic supplementary materialThe online version of this article (doi:10.1007/s12245-010-0214-8) contains supplementary material, which is available to authorized users.

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The Shuler Nurse Practitioner Practice Model: A Theoretical Framework for Nurse Practitioner Clinicians, Educators, and Researchers, Part 1

Cited by 32 publications

References 12 publications

Nurse Practitioners as Most Responsible Provider: Impact on Care for Seniors Admitted to an Ontario Hospital

Nurse Practitioners as Most Responsible Provider: Impact on Care for Seniors Admitted to an Ontario Hospital

A Biobehavioral Framework for Examining Altered Sleep-Wake Patterns in Homeless Women

Perceptions of nurse practitioners by emergency department doctors in Australia

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