Nurse Practitioners: Nurses who are specially trained to assume an expanded role in providing medical care under the supervision of a physician.Nurses: Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health.Physician Assistants: Health professionals who practice medicine as members of a team with their supervising physicians. They deliver a broad range of medical and surgical services to diverse populations in rural and urban settings. Duties may include physical exams, diagnosis and treatment of disease, interpretation of tests, assist in surgery, and prescribe medications. (from http://www.aapa.orglabout-pas accessed 2114/2011)Nurse's Role: The expected function of a member of the nursing profession.Emergency Nursing: The specialty or practice of nursing in the care of patients admitted to the emergency department.Licensure, Nursing: The granting of a license to practice the profession of nursing.Nurse's Practice Patterns: Patterns of practice in nursing related to provision of services including diagnosis and treatment.Neonatal Nursing: The nursing specialty that deals with the care of newborn infants during the first four weeks after birth.Physician-Nurse Relations: The reciprocal interaction of physicians and nurses.Nurse-Patient Relations: Interaction between the patient and nurse.Primary Nursing: The primary responsibility of one nurse for the planning, evaluation, and care of a patient throughout the course of illness, convalescence, and recovery.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Nursing Audit: A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of nursing care.Clinical Nursing Research: Research carried out by nurses in the clinical setting and designed to provide information that will help improve patient care. Other professional staff may also participate in the research.Education, Nursing, Continuing: Educational programs designed to inform nurses of recent advances in their fields.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Physicians, Family: Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.Nurse Administrators: Nurses professionally qualified in administration.Personnel Delegation: To entrust to the care or management of another, to transfer or to assign tasks within an organizational or administrative unit or structureGeneral Practitioners: Physicians whose practice is not restricted to a specific field of MEDICINE.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Physicians: Individuals licensed to practice medicine.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Nurse Midwives: Professional nurses who have received postgraduate training in midwifery.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Institutional Practice: Professional practice as an employee or contractee of a health care institution.Nursing Process: The sum total of nursing activities which includes assessment (identifying needs), intervention (ministering to needs), and evaluation (validating the effectiveness of the help given).Nursing Staff, Hospital: Personnel who provide nursing service to patients in a hospital.Models, Nursing: Theoretical models simulating behavior or activities in nursing, including nursing care, management and economics, theory, assessment, research, and education. Some examples of these models include Orem Self-Care Model, Roy Adaptation Model, and Rogers Life Process Model.Interprofessional Relations: The reciprocal interaction of two or more professional individuals.Education, Nursing: Use for general articles concerning nursing education.EnglandProfessional Autonomy: The quality or state of being independent and self-directing, especially in making decisions, enabling professionals to exercise judgment as they see fit during the performance of their jobs.Nursing Evaluation Research: Research carried out by nurses that uses interviews, data collection, observation, surveys, etc., to evaluate nursing, health, clinical, and nursing education programs and curricula, and which also demonstrates the value of such evaluation.Professional Practice: The use of one's knowledge in a particular profession. It includes, in the case of the field of biomedicine, professional activities related to health care and the actual performance of the duties related to the provision of health care.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Pediatric Nursing: The nursing specialty concerning care of children from birth to adolescence. It includes the clinical and psychological aspects of nursing care.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Family Nurse Practitioners: Registered nurses with graduate degrees in nursing who provide care to patients of all age levels, and who focus their efforts on the health care needs of the entire family.Nursing Diagnosis: Conclusions derived from the nursing assessment that establish a health status profile for the patient and from which nursing interventions may be ordered.Geriatric Nursing: Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.Pediatric Nurse Practitioners: Registered nurses with graduate degrees in nursing who provide care to pediatric patients who are acutely or critically ill.Medically Underserved Area: A geographic location which has insufficient health resources (manpower and/or facilities) to meet the medical needs of the resident population.Job Description: Statement of the position requirements, qualifications for the position, wage range, and any special conditions expected of the employee.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Medical Staff, Hospital: Professional medical personnel approved to provide care to patients in a hospital.Education, Nursing, Graduate: Those educational activities engaged in by holders of a bachelor's degree in nursing, which are primarily designed to prepare them for entrance into a specific field of nursing, and may lead to board certification or a more advanced degree.Nurse Clinicians: Registered nurses who hold Master's degrees in nursing with an emphasis in clinical nursing and who function independently in coordinating plans for patient care.Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Ontario: A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)Great BritainPhysician's Role: The expected function of a member of the medical profession.Economics, Nursing: Economic aspects of the nursing profession.Role: The expected and characteristic pattern of behavior exhibited by an individual as a member of a particular social group.United StatesPatient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Students, Nursing: Individuals enrolled in a school of nursing or a formal educational program leading to a degree in nursing.Personnel Staffing and Scheduling: The selection, appointing, and scheduling of personnel.Comprehensive Health Care: Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Pediatric Assistants: Persons academically trained to provide medical care, under the supervision of a physician, to infants and children.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Workload: The total amount of work to be performed by an individual, a department, or other group of workers in a period of time.Health Manpower: The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.WalesSigmoidoscopes: Endoscopes for examining the interior of the sigmoid colon.Physicians, Primary Care: Providers of initial care for patients. These PHYSICIANS refer patients when appropriate for secondary or specialist care.Drug Prescriptions: Directions written for the obtaining and use of DRUGS.Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.Nursing, Practical: The practice of nursing by licensed, non-registered persons qualified to provide routine care to the sick.Professional-Patient Relations: Interactions between health personnel and patients.Time and Motion Studies: The observation and analysis of movements in a task with an emphasis on the amount of time required to perform the task.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Nursing Assessment: Evaluation of the nature and extent of nursing problems presented by a patient for the purpose of patient care planning.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.PennsylvaniaCommunication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Community Health Centers: Facilities which administer the delivery of health care services to people living in a community or neighborhood.Specialization: An occupation limited in scope to a subsection of a broader field.Ambulatory Care Facilities: Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.Outpatient Clinics, Hospital: Organized services in a hospital which provide medical care on an outpatient basis.Salaries and Fringe Benefits: The remuneration paid or benefits granted to an employee.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Consumer Satisfaction: Customer satisfaction or dissatisfaction with a benefit or service received.Reference Books: Books designed by the arrangement and treatment of their subject matter to be consulted for definite terms of information rather than to be read consecutively. Reference books include DICTIONARIES; ENCYCLOPEDIAS; ATLASES; etc. (From the ALA Glossary of Library and Information Science, 1983)Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Nursing Care: Care given to patients by nursing service personnel.Pharmacists: Those persons legally qualified by education and training to engage in the practice of pharmacy.Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.General Practice: Patient-based medical care provided across age and gender or specialty boundaries.Government Publications as Topic: Discussion of documents issued by local, regional, or national governments or by their agencies or subdivisions.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Education, Medical, Continuing: Educational programs designed to inform physicians of recent advances in their field.Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.CaliforniaRural Health: The status of health in rural populations.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Professional Role: The expected function of a member of a particular profession.Ambulatory Care Information Systems: Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of ambulatory care services and facilities.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Office Visits: Visits made by patients to health service providers' offices for diagnosis, treatment, and follow-up.Arm Injuries: General or unspecified injuries involving the arm.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Critical Care: Health care provided to a critically ill patient during a medical emergency or crisis.Physician-Patient Relations: The interactions between physician and patient.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Focus Groups: A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.Public Health Nursing: A nursing specialty concerned with promoting and protecting the health of populations, using knowledge from nursing, social, and public health sciences to develop local, regional, state, and national health policy and research. It is population-focused and community-oriented, aimed at health promotion and disease prevention through educational, diagnostic, and preventive programs.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Counseling: The giving of advice and assistance to individuals with educational or personal problems.Australia: The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Specialties, Nursing: Various branches of nursing practice limited to specialized areas.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Infant, Newborn: An infant during the first month after birth.London

Time for a change? The process of lengthening booking intervals in general practice. (1/500)

Longer booking intervals between appointments in general practice are generally seen as 'a good thing', and have a strong 'evidence base' to support them. Changing to longer booking intervals is regarded as a pipe dream by many general practitioners (GPs). This paper reports the process and outcomes of a change to longer booking intervals in one practice, identifies the key elements of the change, and examines lessons learned for the practice, to help other practices to do similarly. The most important factor in bringing about change was the influence of facilitation by outside parties; first, by management consultants who identified solutions to the practice's problems, and secondly, by recruitment to a research study. Other outside influences were an awareness of the success of other practices in changing to 10-minute booking intervals, and the increasing 'evidence base' to support such change. Internal influences on the process were a desire to change as a result a perception that the practice was under-performing, and the stress associated with this. As a result of the change, the number of doctor consultations fell and the number of nurse consultations rose, fewer patients reconsulted, and marginal improvements were reported on doctor and patient satisfaction. Other practices may benefit from such change; the use of management consultants as facilitators may instigate such change.  (+info)

Randomized controlled trial of teaching practice nurses to carry out structured assessments of patients receiving depot antipsychotic injections. (2/500)

BACKGROUND: A third of patients with schizophrenia are out of contact with secondary services. Many of these patients receive maintenance medication as depot antipsychotics from practice nurses, most of whom have negligible training in mental health. AIM: To examine the impact of a structured assessment on the process of care and clinical status of schizophrenia patients by practice nurses who received a one-day training course. METHOD: All identified patients were randomly allocated to structured assessments and outcome, measured by the number of assessments and the changes in care recorded in primary care notes. A comprehensive assessment of clinical and social functioning and level of unmet need in intervention and control patients was carried out after one year by an independent researcher. RESULTS: A high rate of consultation and clinical need in this patient group was demonstrated. Practice nurses were more diligent in carrying out assessments than general practitioners (GPs), but there was no impact on treatment patterns or clinical outcome. CONCLUSIONS: Structured assessments by practice nurses are feasible with this patient group, but training, targeted at both nurses and GPs, is needed if this intervention is to translate into health gain.  (+info)

Attitudes toward cost-containment features of managed care: differences among patient subgroups. (3/500)

OBJECTIVE: To analyze the extent to which personal characteristics and circumstances affect attitudes toward cost-containment aspects of managed care. STUDY DESIGN: A national probability sample component of the 1994 Robert Wood Johnson Foundation National Access to Care Survey. METHODS: Telephone and in-person survey follow-up of 3480 persons who completed the 1993 National Health Interview Survey. Findings on respondents' attitudes toward three principal cost-saving features of managed care are reported. These features are choosing physicians from insurance company lists (LIST), accessing specialists through referrals only (SPECIALIST), and seeing a nurse sometimes instead of a physician (NURSE). Data were categorized and analyzed by different population subgroups. RESULTS: Respondents were divided almost equally in terms of how much they minded healthcare features of managed care, with approximately one third minding a lot, one third minding a little, and one third minding not at all. However, slightly more people minded LIST (42%) and NURSE (39%) features a lot. The respondent subgroups with the lowest proportion "minding a lot" were the uninsured poor and those already in managed care. Those groups minding the most were the elderly, those in fee-for-service plans, persons in poor health, and those with ischemic heart disease. CONCLUSIONS: Acceptance of managed care cost-containment features varies by consumer characteristics. Those who have the most to gain financially by cost-containment features and the least to lose in terms of their access to care mind the managed care features the least. Persons who object most strongly are those who are not financially constrained and who are in poor health.  (+info)

Randomized trial of nurse-assisted strategies for smoking cessation in primary care. (4/500)

BACKGROUND: Brief advice to stop smoking from general practitioners (GPs) has been repeatedly shown to increase smoking cessation by a small, but measurable amount. Some studies have suggested that adding more intensive interventions to brief advice may increase its effectiveness, but it is unclear whether this is true in general practice. AIMS: To determine whether brief advice from a doctor together with counselling and follow-up from a trained practice nurse is more effective than brief advice alone in helping people to stop smoking. METHODS: The design was a randomized controlled trial. Four hundred and ninety-seven general practice patients aged older than 18 years and smoking at least one cigarette per day in six general practices in Oxfordshire, Berkshire, and Buckinghamshire were randomized to one of two interventions: brief verbal or written advice from a GP plus extended counselling and follow-up from a trained practice nurse; brief advice from a GP alone. The primary outcome was sustained abstinence from smoking at three and 12 months. A secondary outcome was forward movement in the stages of change cycle. RESULTS: The proportion showing sustained abstinence was 3.6% in the extended counselling group, and 4.4% in the brief advice group (difference = -0.8%; 95% confidence interval = -4.3% to 2.6%). Seventy-four (30%) of those randomized to extended counselling actually took up this offer. No significant progression in stages of change was detected between the two groups. CONCLUSIONS: In unselected general practice patients who smoke, brief advice from a GP combined with intensive intervention and follow-up by a practice nurse is no more effective than brief advice alone.  (+info)

Trained nurses can obtain satisfactory bone marrow aspirates and trephine biopsies. (5/500)

AIMS: To assess the feasibility of training nurse practitioners to perform bone marrow aspiration and trephine biopsy, and to compare the quality of these samples with those obtained by medical staff. METHODS: A retrospective audit was undertaken of nurse practitioner and medical staff performance in bone marrow procedures in a busy haematology day unit. RESULTS: Nurse practitioners fared favourably in comparison with medical staff in performing bone marrow trephine biopsies, with mean biopsy lengths of 11 mm and 10.7 mm respectively. However, only 78% of the smears obtained by the nurses were judged technically satisfactory, compared with 91% prepared by doctors. This discrepancy was thought to be due largely to the quality of slide spreading. CONCLUSIONS: With motivated staff and a structured educational and training programme it is possible for nurse practitioners to perform the techniques of bone marrow aspiration and biopsy, and obtain specimens of satisfactory quality, thus improving efficiency of the haematology day unit and increasing quality of patient care.  (+info)

Anxiety amongst women with mild dyskaryosis: costs of an educational intervention. (6/500)

BACKGROUND: A randomized controlled trial in primary care investigated whether a structured educational intervention had an impact on the psychological morbidity associated with a 6-month period of surveillance for mild dyskaryosis. In the context of high levels of sustained distress, and few differences in terms of objective measures of anxiety, the intervention led to a greater proportion of women who were comfortable with a 6-month interval before their next smear test. OBJECTIVE. The aim of this paper is to evaluate the implications to general practices and the NHS, in terms of both costs and numbers of patient contacts, of a change from current policy to one of actively inviting all women with mild dyskaryosis to consult the practice nurse for the intervention. METHODS: We conducted a pragmatic, cluster-randomized controlled trial, comparing the intervention with standard care. The setting was general practices in Avon and South Glamorgan, UK. The subjects were women under surveillance following their first ever mildly dyskaryotic cervical smear result. The main outcome measures were as follows. Costs were reported according to randomization group, from the viewpoint of general practices and the NHS. The main elements which were costed were those attributable to production of the package and training in its use, and the costs of consultations subsequent to the woman receiving her smear test result. In addition, since in practice the intervention might be applied in different circumstances to those prevailing in the trial, a sensitivity analysis was performed to assess the costs of the educational package as realistically as possible. RESULTS: Almost twice as many women in the intervention group compared with the control group visited their practice to discuss their result. From the perspective of the practices, a change from current policy to the intervention policy led to potential (negligible) savings of around pound sterling 3.50 per partner per year. From the NHS perspective, the intervention would lead to slightly increased costs of between pound sterling 1000 and pound sterling 2500 per year for an area performing 60000 tests per year. CONCLUSIONS: It is both feasible and acceptable for practice nurses to deliver the educational package. Moreover, from the perspective of a practice, the policy is effectively cost-neutral. The main implication for general practices is the change in the pattern of care provided: fewer women consulted their GP about their smear result and many more, following active encouragement, consulted the practice nurse.  (+info)

Problem Knowledge Couplers: reengineering evidence-based medicine through interdisciplinary development, decision support, and research. (7/500)

The rapid growth of medical knowledge is creating a demand for new ways of providing information in support of evidence-based medical practice. Problem Knowledge Couplers are a clinical decision support software tool that offer a new approach to this growing problem. Couplers are developed through a collaboration among clinicians, informaticians, and librarians. They recognize that functionality must be predicated upon combining unique patient information, gleaned through relevant structured question sets, with the appropriate knowledge found in the world's peer-reviewed medical literature. Two pilot studies indicate that couplers can meet the gold standards of decision making within both a primary care and a specialty practice. Issues remain about how to best integrate Problem Knowledge Couplers into clinical practice and whether large-scale outcomes research will support the findings of pilot studies. However, Problem Knowledge Couplers represent a promising approach that might portend a new model for health care delivery in the next millennium.  (+info)

Nurse-mediated serum cholesterol reduction and health locus of control--a device for targeting health promotion? (8/500)

Varying intensities of nurse-mediated health education advice were administered to subjects over a three-month period. Mean serum total cholesterol was calculated for each group at the outset and completion of the study. A multidimensional health locus of control (MHLC) scales questionnaire was self-completed by subjects at the outset. A highly significant association between internality and reduction in serum total cholesterol in the high-intensity intervention group was observed. The completion of a MHLC scale questionnaire may assist health professionals in identifying which subjects may most benefit from high-intensity health education advice when raised serum total cholesterol is prevalent.  (+info)

  • As the industry's leading locum tenens staffing firm, Staff Care is proud to place a growing number of temporary nurse practitioners (NPs) nationwide. (staffcare.com)
  • Nurse practitioners (NPs) are advanced practice nurses with training in both the nursing model and medical model of care. (hss.edu)
  • Allyssa Harris is a certified women's health nurse practitioner and her research focuses on adolescent sexual risk behaviors, media influences, urban health, and health care disparities. (bc.edu)
  • You will develop skills in research and applied data analysis as well as a deeper understanding of health and social care settings and the role of an advanced nurse practitioner. (city.ac.uk)
  • Why Earn an Adult Gerontology Primary Care Nurse Practitioner Certificate? (adelphi.edu)
  • As the general population ages, there is an exponential demand for greater numbers of nurse practitioners to meet the primary care needs of adults. (adelphi.edu)
  • Develop into a comprehensive care practitioner who provides continuous care to adults across a broad patient spectrum in various settings and during any transition. (adelphi.edu)
  • The University of Maryland Medical Center is seeking a pediatric nurse practitioner (PNP) with a desire to join the pediatric intensive care nurse practitioner team as supplemental staff. (nurse.com)
  • With a nursing background, NPs are trained to focus on the care of the whole patient and his or her family. (staffcare.com)
  • Other findings in the report in 'The nurse practitioner will see you now' evidently indicate that nurse practitioners offer above 80 percent of the care a physician offers. (essaysexperts.com)
  • Furthermore, the addition of a nurse practitioner to the health care team improves communication and overall patient care. (ucsf.edu)
  • A minimum of two years adult acute care nursing experience in the hospital setting is required prior to applying to the program. (ucsf.edu)
  • Graduates are eligible to apply for national certification through the American Association of Critical-Care Nurses ( AACN ) or the American Nurses Credentialing Center ( ANCC ). (ucsf.edu)
  • The curriculum includes the same courses as the AG ACNP track, plus additional course work in oncology nursing, genomics and older adult care. (ucsf.edu)
  • All applicants must have a minimum of two years adult acute care nursing experience prior to applying. (ucsf.edu)
  • Work closely with other members of the member's care team including their PCP, specialists, and other Devoted team members including pharmacy, clinical nursing, and social work as well as interfacing with family members and caregivers in order to coordinate care for the member and deliver a collaborative care plan. (lever.co)
  • A strong desire to continue practicing clinical nursing and perform house calls as well as virtual visits - you believe in the mission of bringing care to where the patient lives. (lever.co)
  • Nephrology nurse practitioners direct patient care and evaluate effectiveness of care provided to people with renal diseases. (nursingexplorer.com)
  • Nephrology nurse practitioners are employed by hospitals, Chronic Kidney Disease clinics, primary care practices, and dialysis centers. (nursingexplorer.com)
  • Nephrology nurse practitioners conduct comprehensive physical assessments and formulate plans of care. (nursingexplorer.com)
  • Certified Nephrology Nurse - Nurse Practitioners collaborate with medical doctors, nurses, social workers and many other members of the health care team in order to ensure excellent quality care and proper utilization of resources. (nursingexplorer.com)
  • What primary health-care services are Australian consumers willing to accept from nurse practitioners? (edu.au)
  • Nurses are becoming increasingly important as providers of primary health care in Australia. (edu.au)
  • Although international evidence suggests that nurse practitioners would be appropriate and acceptable providers of care at the first point of contact, such as primary health care, there is little Australian evidence about what care consumers are willing to accept from nurse practitioners. (edu.au)
  • This position represents an amazing opportunity for a caring nurse practitioner (APRN) to help build and staff our growing home based / telehealth medical group called Devoted Medical Group (DMG). (lever.co)
  • This focus option is intended for experienced oncology RNs who want to expand their knowledge and skills into the advanced practice nursing realm. (ucsf.edu)
  • Cancer Immunotherapy: What Do Non-Oncology Nurse Practitioners Need to Know? (npsymposium.com)
  • In November 2010, Medicare provider rights and Pharmaceutical Benefits Scheme rights for nurse practitioners, working in private practice and in collaboration with a medical practitioner, were introduced in Australia. (edu.au)
  • Applicants should contact the Nephrology Nursing Certification Commission before enrolling in continuing education programs to ensure that the continuing education provider is approved and credits will be granted. (nursingexplorer.com)
  • Nurse practitioners have been providing care to all coronavirus disease 2019 (COVID-19) patients from testing and triage, to emergency medicine, to inpatient medical wards, and ICUs. (healthleadersmedia.com)
  • Nurses admitted to the program may be awarded up to 50 quarter credits for meeting competencies required to achieve the nursing license through either a diploma program or an associate degree program. (waldenu.edu)
  • When I called Linda Pellico, associate professor at the Yale School of Nursing and director of the Graduate Entry Prespecialty in Nursing program, she didn't mince words. (slate.com)
  • Admission decision will be rendered from APSU's School of Nursing Graduate Admissions Committee. (apsu.edu)
  • Eleanor Wade Custer School of Nursing 's programs are challenging, but the rewards of completing your degree and entering this critical profession are many. (su.edu)
  • Ida Moffett School of Nursing offers an Emergency Nurse Practitioner certificate for licensed family nurse practitioners (FNP) who already have a graduate nursing degree. (samford.edu)
  • The Hunter-Bellevue School of Nursing offers a 42-credit program to prepare Gerontological/Adult Nurse Practitioners, leading to a Master of Science degree. (cuny.edu)
  • These nurses practiced in neonatal intensive care units within tertiary care hospitals in collaboration with pediatricians and neonatologists . (wikipedia.org)
  • An extended role could improve patient care and enhance nursing career pathways in rheumatology. (nih.gov)
  • Nurse practitioners in a number of states, including Connecticut, Nevada, and West Virginia, are currently pushing for legislation for the right to practice independently and improve access to care. (slate.com)
  • I like getting to know the patients in an ongoing care setting," says Janice, who worked as a critical care nurse and a pulmonary researcher before becoming a nurse practitioner. (nursingworld.org)
  • Click here to see how MSF has provided resources for nurses working in long-term care facilities, including video training resources . (doctorswithoutborders.org)
  • Position responsibilities include but not limited to: provide care of the Cardiothoracic Surgery patients in the SICU, PCU and clinic setting under the supervision of the attending surgeon, elicit detailed patient histories and complete physical examinations, formulating diagnostic impression and ordering of appropriate laboratory testing, independently assess patients to identify actual and potential care needs, assist with the education of hospital nursing staff concerning the care of Cardiothoracic Surgery patient. (weau.com)
  • The CNS uses specifically developed clinical expertise (e.g., in geriatrics or cardiovascular disease) to guide and mentor nursing staff in improving patient care. (encyclopedia.com)
  • Oregon now has more than 179 DATA-waivered nurse practitioners providing this care. (tennessean.com)
  • Nurse practitioners (NPs) are advanced practice nurses with training in both the nursing model and medical model of care. (hss.edu)
  • A Nurse Practitioner can provide the same care as a physician. (wellness.com)
  • Three-quarters of nurse practitioners reported that lack of timely coronavirus testing is the most daunting barrier to providing effective COVID-19 care. (healthleadersmedia.com)
  • Gerontological Nurse Practitioners are employed in clinics, doctor's offices, long-term care facilities, and hospitals. (testprepreview.com)
  • Analyzes current data, information, and knowledge from humanities and sciences that contribute to the science of advanced practice nursing to address access to, cost of, quality, and safety of care. (brockport.edu)
  • As many newborns require special care due to ailments, abnormalities and disorders they are born with, these nurses are especially trained to look after them and make sure they get back on their feet. (excite.com)
  • In addition to this you will be required to gain a certification in certified in Neonatal Intensive Care Nursing or Neonatal Resuscitation. (excite.com)
  • One model, for instance, helped improve patient care by teaming geriatricians in an academic medical center setting with nurse practitioners to co-manage care. (redorbit.com)
  • They say nurse practitioners who choose not to do a residency (the vast majority of the 23,000 who graduate each year do not) are already well qualified to provide good patient care. (scpr.org)
  • As many communities, especially rural ones, struggle to attract medical providers, it's increasingly likely that patients will see a nurse practitioner rather than a medical doctor when they need care. (scpr.org)
  • Research has shown that nurse practitioners generally provide care that's comparable to that of doctors in terms of quality, safety and effectiveness. (scpr.org)
  • Under the supervision of the physician/substitute physician, as approved by the PA Bureau of Professional and Occupational Affairs, the Nurse Practitioner is responsible for providing patient care in a supportive and therapeutic environment. (careerbuilder.com)
  • The Nurse Practitioner coordinates with the physician and cooperates with other departments as required to provide for total patient care and would need to be available for both week days and weekend coverage. (careerbuilder.com)
  • A Royal College of Nursing accredited course, offering advanced level practice for nurse practitioners who provide direct care to patients, clients and service users. (city.ac.uk)
  • The role of the nurse practitioner is uniquely positioned to provide patient-centered care to remove power imbalances and create an environment to support and empower Indigenous people. (vch.ca)
  • Physician assistants and nurse practictioners are important members of a person's care team at Memorial Sloan Kettering. (mskcc.org)
  • Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. (aftercollege.com)
  • Nurse' is a general term covering many types of medical care responsibilities. (verywell.com)
  • Authored by two highly experienced nurse practitioners on the frontlines of patient care, this volume uses the most up-to-date information available in order to function as a clinically focused tool for safe opioid prescribing. (silverplatter.com)
  • As far as I know, I am still (unfortunately) the only specialist palliative care nurse practitioner employed by an aged care provider in Australia. (caresearch.com.au)
  • Our subscription package is aimed at qualified nurses to help support CPD and improve the quality and delivery of care given to patients. (nursingtimes.net)
  • 15. Describe the role of the advanced practice nurse in the acute care setting. (molloy.edu)
  • What's more, patients seeing nurse practitioners were also found to have higher levels of satisfaction with their care. (slate.com)
  • However, the nurse who was taking care of me had a magical way of making us feel safe and at ease. (mskcc.org)
  • Memorial Sloan Kettering has pioneered a new ICU model in which nurse practitioners and physician assistants (PAs) work in partnership with critical care physicians, coordinating every aspect of multidisciplinary care - from consulting with various medical specialties to organizing respiratory therapy and support services for patients and their caregivers. (mskcc.org)
  • After weeks in the hospital, Johnson stabilized, but owing to the nature of Parkinson's, a disease in which, once you lose ground, it is difficult if not impossible to regain it, she now requires more care and Livy was forced to move her into a nearby nursing home. (houstonpress.com)
  • Nurse practitioners are advanced practice registered nurses who provide care to patients throughout the lifespan, from premature newborns to the elderly. (explorehealthcareers.org)
  • You'll discover how to evaluate the professional, ethical and legal context of the specialist practitioner role, as well as evaluate sources of information to support the assessment and management of long term conditions, the provision of inter-professional palliative care and effective and efficient case management. (prospects.ac.uk)
  • Some nurse practitioners may work independently in clinics or hospitals without doctor supervision. (medlineplus.gov)
  • There is a Nurse Practitioner working at each of these clinics serving the Indigenous population. (vch.ca)
  • However, we feel that there may be scope for government-funded triage clinics led by nurse practitioners to reduce waiting times for spine consultations. (medindia.net)
  • Lagging behind are the other 32 states (this map lays it out), in which nurse practitioners are supervised to varying degrees by physicians, the scope of their practice restricted by laws that vary from state to state . (slate.com)
  • These hours exceed the minimum recommended hours from the American Association of Colleges of Nursing (AACN) due to the scope of practice of an FNP. (brockport.edu)
  • Delegate Barry Bennett, M.D., of Idaho Falls, Idaho, stressed that the study should focus on independent nurse practitioners, but he agreed that a study is needed. (aafp.org)
  • We're in competition nose-to-nose with independent nurse practitioners," said delegate John Cullen, M.D., of Valdez, Alaska. (aafp.org)