Medicine and Health Sciences Commons^™

Defining "Independent Practice" For Nurse Practitioners In The State Of Texas: Envisioning A Workable Model, Hines Ann Tracy

Nursing Theses and Dissertations

Health care reform, an aging population, and a decreasing primary care physician workforce has resulted in questioning of primary health care delivery in the United States. Nurse practitioners are being viewed as the possible answer to primary health care provider deficiencies. This advanced practice role, initially developed in the 1960s, has been shown to be an effective, cost efficient alternative to the medical model of health care delivery. Nurse practitioners' licensure and practice are regulated by each individual state resulting in state-to-state variances in the role. This inconsistency leads to further questions regarding the nurse practitioner role and practice independence. …

Intraprofessional Nursing Communication And Collaboration: Apn-Rn-Patient Bedside Rounding, Rita M. Herm-Barabasz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Executive Summary

Leading advisory agencies have long advocated that health care must be safe and effective (Institute of Medicine [IOM], 2001). In order for health care to be safe and effective, good communication and collaboration are essential. Research has found that in health care, poor communication and teamwork failures are the major contributors to adverse events (Cornell, Townsend-Gervis, Vardaman, & Yates, 2014; The Joint Commission, 2011; O’Leary, 2012). Such communication-related adverse events can cause avoidable injury, loss of life, and financial devastation. In light of advanced practice nurses’ (APN) increasing contribution in care management, and in order to ensure delivery …

Utilization Of Clinical Practice Guidelines: Barriers And Facilitators, Melanie R. Keiffer

Nursing and Health Professions Faculty Research and Publications

Key points

• Clinical practice guidelines are tools used to assist health care professionals in clinical decision making with the ultimate goal of improving patient care.

• Promoting the implementation of clinical practice guidelines at the point of care delivery is a hurdle to translating scientific findings into practice.

• As access to electronic evidence sources increase, the amount of evidence available to clinicians for clinical decision support is overwhelming.

• Increased adoption of electronic health records and clinical decision support tools will move clinical practice guidelines more rapidly to the patient encounter.