Acute Care Nurse Practitioner

Background In 2002, a report indicated that tobacco-related curricular content in educational programs for acute care nurse practitioners was insufficient. To provide healthcare professionals with the necessary knowledge and skills to intervene with patients who smoke tobacco, the Summer Institute for Tobacco Control Practices in Nursing Education was implemented at Georgetown University in Washington, DC. Objective To evaluate the impact of a train-the-trainer program in which the Rx for Change: Clinician-Assisted Tobacco Cessation curriculum was used among faculty members of acute care nurse practitioner programs. Methods Thirty faculty members participated in the 2-day train-the-trainer program. Surveys were administered at baseline and 12 months after training to examine perceived effectiveness for teaching tobacco content, the value of using an evidence-based national guideline, and the number of hours of tobacco content integrated in curricula. Results The percentage of faculty members who devoted at least 3 hours to tobacco education increased from 22.2% to 74.1% (P<.001). Perceived effectiveness in teaching tobacco cessation also increased (P < .001), as did mean scores for the perceived value of using an evidence-based national guideline (P<.001). Conclusions Use of the Rx for Change train-the-trainer program can enhance the level of tobacco education provided in acute care nurse practitioner programs. Widespread adoption of an evidence-based tobacco education in nursing curricula is recommended to help decrease tobacco-related morbidity and mortality.

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Outcomes of Care Managed by an Acute Care Nurse Practitioner/Attending Physician Team in a Subacute Medical Intensive Care Unit

American Journal of Critical Care ◽

10.4037/ajcc2005.14.2.121 ◽

2005 ◽

Vol 14 (2) ◽

pp. 121-130 ◽

Cited By ~ 68

Author(s):

Leslie A. Hoffman ◽

Frederick J. Tasota ◽

Thomas G. Zullo ◽

Carmella Scharfenberg ◽

Michael P. Donahoe

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Acute Care ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

Medical Intensive Care Unit ◽

Care Nurse ◽

Medical Intensive Care ◽

Acute Care Nurse Practitioner ◽

Attending Physician

• Background Many academic medical centers employ nurse practitioners as substitutes to provide care normally supplied by house staff.• Objective To compare outcomes in a subacute medical intensive care unit of patients managed by a team consisting of either an acute care nurse practitioner and an attending physician or an attending physician and critical care/pulmonary fellows.• Methods During a 31-month period, in 7-month blocks of time, 526 consecutive patients admitted to the unit for more than 24 hours were managed by one or the other of the teams. Patients managed by the 2 teams were compared for a variety of outcomes.• Results Patients managed by the 2 teams did not differ significantly for any workload, demographic, or medical condition variable. The patients also did not differ in readmission to the high acuity unit (P = .25) or subacute unit (P = .44) within 72 hours of discharge or in mortality with (P = .25) or without (P = .89) treatment limitations. Among patients who had multiple weaning trials, patients managed by the 2 teams did not differ in length of stay in the subacute unit (P = .42), duration of mechanical ventilation (P = .18), weaning status at time of discharge from the unit (P = .80), or disposition (P = .28). Acute Physiology Scores were significantly different over time (P = .046). Patients managed by the fellows had more reintubations (P=.02).• Conclusions In a subacute intensive care unit, management by the 2 teams produced equivalent outcomes.

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Primary and Acute Care Nurse Practitioner Networking: The Case for a Cup of Coffee

AACN Advanced Critical Care ◽

10.4037/aacnacc2020611 ◽

2020 ◽

Vol 31 (1) ◽

pp. 75-79

Author(s):

Catherine G. Ling ◽

Jesus Casida

Keyword(s):

Acute Care ◽

Nurse Practitioner ◽

Care Nurse ◽

Acute Care Nurse Practitioner

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Implementation of the Acute Care Nurse Practitioner Role

AACN Advanced Critical Care ◽

10.4037/15597768-1994-3022 ◽

1994 ◽

Vol 5 (3) ◽

pp. 404-407

Author(s):

Lynn A. Kelso ◽

Lori M. Massaro

Keyword(s):

Acute Care ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

Medical Center ◽

Care Nurse ◽

University Of Pittsburgh ◽

Acute Care Nurse Practitioner ◽

The University ◽

Pittsburgh Medical ◽

Practitioner Role

In this article, the experiences of two new acute care nurse practitioners working at the University of Pittsburgh Medical Center arc described. Included are the experiences they encountered in initiating the role and some of the responsibilities they assumed.

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