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Advanced Practice (advanced + practice)
Terms modified by Advanced Practice Selected AbstractsNational Council of State Board of Nursing Versus Advanced PracticePERSPECTIVES IN PSYCHIATRIC CARE, Issue 3 2006Tricia Hunter RN No abstract is available for this article. [source] Determinants in the development of advanced nursing practice: a case study of primary-care settings in Hong KongHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2005Sheila Twinn BA PGCEA PhD RN RHV Abstract Different factors have been shown to influence the development of models of advanced nursing practice (ANP) in primary-care settings. Although ANP is being developed in hospitals in Hong Kong, China, it remains undeveloped in primary care and little is known about the factors determining the development of such a model. The aims of the present study were to investigate the contribution of different models of nursing practice to the care provided in primary-care settings in Hong Kong, and to examine the determinants influencing the development of a model of ANP in such settings. A multiple case study design was selected using both qualitative and quantitative methods of data collection. Sampling methods reflected the population groups and stage of the case study. Sampling included a total population of 41 nurses from whom a secondary volunteer sample was drawn for face-to-face interviews. In each case study, a convenience sample of 70 patients were recruited, from whom 10 were selected purposively for a semi-structured telephone interview. An opportunistic sample of healthcare professionals was also selected. The within-case and cross-case analysis demonstrated four major determinants influencing the development of ANP: (1) current models of nursing practice; (2) the use of skills mix; (3) the perceived contribution of ANP to patient care; and (4) patients' expectations of care. The level of autonomy of individual nurses was considered particularly important. These determinants were used to develop a model of ANP for a primary-care setting. In conclusion, although the findings highlight the complexity determining the development and implementation of ANP in primary care, the proposed model suggests that definitions of advanced practice are appropriate to a range of practice models and cultural settings. However, the findings highlight the importance of assessing the effectiveness of such models in terms of cost and long-term patient outcomes. [source] Scoping practice issues in the Australian mental health nursing workforceINTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 3 2000Michael Clinton ABSTRACT This is the third of four articles on the scoping study of the Australian mental health nursing workforce conducted on behalf of the Australian and New Zealand College of Mental Health Nurses (ANZCMHN) for the Australian Health Ministers Advisory Council (AHMAC) National Working Group on Mental Health (NWGMH). Its purpose is to focus on factors that significantly affect mental health nursing practice. The issues of advanced practice, regulation of nursing, accreditation, credentialling and demarcation with other disciplines are addressed. [source] The Development of Advanced Nursing Practice GloballyJOURNAL OF NURSING SCHOLARSHIP, Issue 3 2008Barbara Sheer Purpose: To examine the development of advanced nursing practice globally. Methods: Data were collected from documentary resources available in the International Nurse Practitioners/Advanced Practice Nurse Network (INP/APNN) of the International Council of Nurses. The areas examined were guided by the "key informant survey on advanced nursing practice self-administered questionnaire." Two core members of the INP/APNN who have rich experience in global advanced nursing development analyzed the data. A total of 14 countries and three regions from five continents were included in the analyses. The development of advanced nursing practice in these areas is facilitated by a need for better access to care in a cost-containment era and the enhancement of nursing education to postgraduate level. The mechanism for regulation of practice is in place in some countries. Conclusions: Confirms the development of advanced practice in nursing is a global trend. Clinical Relevance: APNs can improve global health with points to enhanced education in nursing and regulation of advanced practice. [source] Caring for relatives in intensive care , an exemplar of advanced practiceNURSING IN CRITICAL CARE, Issue 1 2007Dip N, Ruth Endacott PhD [source] Prescriptive Authority for Nurses: The Canadian PerspectivePERSPECTIVES IN PSYCHIATRIC CARE, Issue 1 2009Cheryl Forchuk RN PURPOSE.,This study aims to describe the role of prescriptive authority for nurses within Canada. CONCLUSIONS.,Prescriptive authority for Canadian nurses is linked to the development of advanced practice nursing generally and nurse practitioners specifically. Recent legislative changes allow nurse practitioners to function more independently regardless of the availability of medical practitioners. The smaller population results in less legislative variety for specific nurse practitioner specialty areas. Facilitators and barriers to implementing effective prescriptive authority remain as challenges and mirror findings from other literature. PRACTICE IMPLICATIONS.,Role clarity, strength in nursing focus, and support from administrators and legislation are required for prescriptive authority to be fully enacted. [source] Strategies Used by Advanced Practice Psychiatric Nurses in Treating Adults With DepressionPERSPECTIVES IN PSYCHIATRIC CARE, Issue 4 2008Evelyn Parrish APPN PURPOSE.,Strategies used by psychiatric advanced practice registered nurses (APRNs) in treating clients with depression are described to explore their effectiveness. DESIGN AND METHODS.,Ten APRNs participated in semistructured individual interviews for this qualitative descriptive study. The use of either a symptom severity scale or symptom reduction checklist was used to measure the effectiveness of the strategies used. FINDINGS.,APRNs identified a biopsychosocial approach as the primary component of their treatment of clients with depression. Other strategies identified include psychopharmacology, cognitive-behavioral therapy, and partnering with the client. PRACTICE IMPLICATIONS.,Treatment of depression can be enhanced with the incorporation of the biopsychosocial strategies along with standard treatment modalities. [source] Description of an advanced practice nursing consultative model to reduce restrictive siderail use in nursing homes,,RESEARCH IN NURSING & HEALTH, Issue 2 2007Laura M. Wagner Abstract Researchers have demonstrated that the use of physical restraints in nursing homes can be reduced, particularly where advanced practice nurses (APNs) are utilized. We examined the link between APN practice, siderail reduction, and the costs of siderail alternatives in 273 residents in four Philadelphia nursing homes. The majority of participants were cognitively and physically impaired with multiple co-morbidities. APNs recommended a total of 1,275 siderail-alternative interventions aimed at reducing fall risk. The median cost of siderail alternatives to prevent falls per resident was $135. Residents with a fall history experienced a significantly higher cost of recommendation compared to non-fallers. Findings suggest that an APN consultation model can effectively be implemented through comprehensive, individualized assessment without incurring substantial costs to the nursing home. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30: 131,140, 2007 [source] | ||||||||||