Lusine Poghosyan1, Donald R Boyd2, Sean P Clarke3. 1. Columbia University School of Nursing, New York, NY. Electronic address: lp2475@columbia.edu. 2. Columbia University School of Nursing, New York, NY. 3. Connell School of Nursing, Boston College, Chestnut Hill, MA.
Abstract
BACKGROUND: Nurse practitioners (NPs), if utilized to their optimal potential, could play a key role in meeting the growing demand for primary care. PURPOSE: The purpose of this study was to propose a comprehensive model for maximizing NP contributions to primary care which includes the factors affecting NP care and patient outcomes and explains their interrelated impact. METHOD: We synthesized the results of the published literature to develop a model, which emphasizes NP scope of practice regulations, institutional policies, NP practice environment, and NP workforce outcomes as determinants of NP care and patient outcomes. DISCUSSION: Our model provides a framework to help explain how variations in scope of practice regulations at the state-level and institutional policies within organizations directly and indirectly influence the practice environment of NPs, NP workforce outcomes, and patient care and outcomes. CONCLUSION: Aligning policy change, organizational innovations, and future research are critical to NP optimal utilization and patient care and outcomes.
BACKGROUND: Nurse practitioners (NPs), if utilized to their optimal potential, could play a key role in meeting the growing demand for primary care. PURPOSE: The purpose of this study was to propose a comprehensive model for maximizing NP contributions to primary care which includes the factors affecting NP care and patient outcomes and explains their interrelated impact. METHOD: We synthesized the results of the published literature to develop a model, which emphasizes NP scope of practice regulations, institutional policies, NP practice environment, and NP workforce outcomes as determinants of NP care and patient outcomes. DISCUSSION: Our model provides a framework to help explain how variations in scope of practice regulations at the state-level and institutional policies within organizations directly and indirectly influence the practice environment of NPs, NP workforce outcomes, and patient care and outcomes. CONCLUSION: Aligning policy change, organizational innovations, and future research are critical to NP optimal utilization and patient care and outcomes.
Authors: Krzysztof Laudanski; Ann Marie Huffenberger; Michael J Scott; Justin Wain; Danyal Ghani; C William Hanson Journal: BMC Health Serv Res Date: 2022-07-02 Impact factor: 2.908
Authors: Vicente Gea-Caballero; José Ramón Martínez-Riera; Pedro García-Martínez; Jorge Casaña-Mohedo; Isabel Antón-Solanas; María Virtudes Verdeguer-Gómez; Iván Santolaya-Arnedo; Raúl Juárez-Vela Journal: Int J Environ Res Public Health Date: 2021-01-07 Impact factor: 3.390