How do we capture the emergency nurse practitioners’ contribution to value in health service delivery?

2017 ◽  
Vol 41 (1) ◽  
pp. 89 ◽  
Author(s):  
Natasha Jennings ◽  
Matthew Lutze ◽  
Stuart Clifford ◽  
Michael Maw
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Care Delivery ◽  
Health Service Delivery ◽  
Healthcare Team ◽  
Rigorous Research ◽  
Care Outcomes ◽  
Team Evaluation

The emergency nurse practitioner is now a well established and respected member of the healthcare team. Evaluation of the role has focused on patient safety, effectiveness and quality of care outcomes. Comparisons of the role continue to focus on cost, with findings based on incomplete and almost impossible to define, recognition of contribution to service delivery by paralleled practitioners. Currently there is no clear definition as to how nurse practitioners contribute to value in health service delivery. Robust and rigorous research needs to be commissioned taking into consideration the unique hybrid nature of the emergency nurse practitioner role and focusing on the value they contribute to health care delivery.

Potential scope and impact of a transboundary model of nurse practitioners in aged care

2009 ◽  
Vol 15 (3) ◽  
pp. 232 ◽  
Author(s):  
Kasia Bail ◽  
Paul Arbon ◽  
Marlene Eggert ◽  
Anne Gardner ◽  
Sonia Hogan ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Health Service Delivery ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Providers ◽  
Care Nurse ◽  
Residential Aged Care Facilities

Aged care is a growing issue in Australia and other countries. There are significant barriers to meeting the health needs of this population. Current services have gaps between care and lack communication and integration between care providers. Research was conducted in the Australian Capital Territory to investigate the potential role of the aged care nurse practitioner in health service delivery in aged care settings. A multimethod case study design was utilised, with three student nurse practitioners (SNP) providing care to aged care clients across three sectors of health service delivery (residential aged care facilities, general medical practices and acute care). Data collection consisted of in-depth interviews and journal entries of the SNP, as well as focus groups and surveys of multidisciplinary staff and patients over the age of 65 years in the settings frequented by the SNP. The aged care SNP were found to cross professional and organisational boundaries, cross intra- as well as interorganisational boundaries and to contribute to more seamless patient care as members of a multidisciplinary aged care team. The aged care nurse practitioner role consequently has the potential to function in a networked rather than a hierarchical manner, and this could be a key element in addressing gaps in care across care locales and between disciplines.

scholarly journals Status of Compassinate,Respectful and Caring Health Service Delivery: A Scoping Review of Human Factors in Care Delivery (Preprint)

10.2196/30804 ◽  
2021 ◽  
Author(s):  
Adane Weldeab ◽  
Binyam Tilahun ◽  
Berhanu Fikadie ◽  
Dessie Abebaw ◽  
Alemayehu Teklu ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Human Factors ◽  
Scoping Review ◽  
Care Delivery ◽  
Health Service Delivery

Acute care nurse practitioner curriculum: content and development process

1995 ◽  
Vol 4 (3) ◽  
pp. 179-188 ◽  
Author(s):  
M Hravnak ◽  
SN Kobert ◽  
KG Risco ◽  
M Baldisseri ◽  
LA Hoffman ◽  
...  
Keyword(s):  
Acute Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Clinical Education ◽  
Multidisciplinary Approach ◽  
Care Delivery ◽  
Healthcare Team ◽  
Care Nurse ◽  
Acute Care Nurse Practitioner ◽  
Current Guidelines

Curriculum development for preparation of acute care nurse practitioners requires a comprehensive process. To develop a program for their preparation at a large university, the faculty examined needs of the target patient population and care delivery system; scope of acute care nurse practitioner practice; current guidelines for the education of primary care nurse practitioners; evolving guidelines for the didactic and clinical education of acute care nurse practitioners; educational requirements of governing or licensing and certifying bodies; and placement of this new role within the existing healthcare team structure. A curriculum was then developed using a collaborative, multidisciplinary approach.

scholarly journals The Hotel Study—Clinical and Health Service Effectiveness in a Cohort of Homeless or Marginally Housed Persons

2017 ◽  
Vol 62 (7) ◽  
pp. 482-492 ◽  
Author(s):  
William G. Honer ◽  
Alejandro Cervantes-Larios ◽  
Andrea A. Jones ◽  
Fidel Vila-Rodriguez ◽  
Julio S. Montaner ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Opioid Dependence ◽  
Care Delivery ◽  
Specific Treatment ◽  
Clinical Effectiveness ◽  
Health Service Delivery ◽  
Standardized Mortality Ratio ◽  
Physician Visits ◽  
Marginally Housed

Objective: The Hotel Study was initiated in Vancouver’s Downtown East Side (DTES) neighborhood to investigate multimorbidity in homeless or marginally housed people. We evaluated the clinical effectiveness of existing, illness-specific treatment strategies and assessed the effectiveness of health care delivery for multimorbid illnesses. Method: For context, we mapped the housing locations of patients presenting for 552,062 visits to the catchment hospital emergency department (2005-2013). Aggregate data on 22,519 apprehensions of mentally ill people were provided by the Vancouver Police Department (2009-2015). The primary strategy was a longitudinal cohort study of 375 people living in the DTES (2008-2015). We analysed mortality and evaluated the clinical and health service delivery effectiveness for infection with human immunodeficiency virus or hepatitis C virus, opioid dependence, and psychosis. Results: Mapping confirmed the association between poverty and greater number of emergency visits related to substance use and mental illness. The annual change in police apprehensions did not differ between the DTES and other policing districts. During 1581 person-years of cohort observation, the standardized mortality ratio was 8.43 (95% confidence interval, 6.19 to 11.50). Physician visits were common (84.3% of participants over 6 months). Clinical treatment effectiveness was highest for HIV/AIDS, intermediate for opioid dependence, and lowest for psychosis. Health service delivery mechanisms provided examples of poor access, poor treatment adherence, and little effect on multimorbid illnesses. Conclusions: Clinical effectiveness was variable, and illness-specific service delivery appeared to have little effect on multimorbidity. New models of care may need to be implemented.

Nurse Practitioner Challenges to the Orthodox Structure of Health Care Delivery: Regulation and Restraints on Trade

1985 ◽  
Vol 11 (2) ◽  
pp. 195-225
Author(s):  
Karla Kelly
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Delivery ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Allied Health ◽  
Care Delivery ◽  
The United States ◽  
Care Providers ◽  
Allied Health Care

AbstractUntil recently, physicians have been the primary health care providers in the United States. In response to the rising health care costs and public demand of the past decade, allied health care providers have challenged this orthodox structure of health care delivery. Among these allied health care providers are nurse practitioners, who have attempted to expand traditional roles of the registered nurse.This article focuses on the legal issues raised by several major obstacles to the expansion of nurse practitioner services: licensing restrictions, third party reimbursement policies, and denial of access to medical facilities and physician back-up services. The successful judicial challenges to discriminatory practices against other allied health care providers will be explored as a solution to the nurse practitioners’ dilemma.

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