Article
Health Care Sciences & Services
Ulrike Muench, Christopher Whaley, Janet Coffman, Joanne Spetz
Summary: Expanding scope-of-practice regulations for nurse practitioners to practice and prescribe without physician supervision is associated with improved medication adherence, particularly for patients taking anti-diabetic medications and RASA. This suggests that policies allowing NPs to maximize their skills can benefit patients by increasing access to healthcare services and prescriptions.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Nursing
Lucy McWilliams, Martha Paisi, Sandy Middleton, Jill Shawe, Anna Thornton, Matthew Larkin, Joanne Taylor, Jane Currie
Summary: The scope of practice of nurse-led services for people experiencing homelessness was investigated, and its influence on access to healthcare was examined. The findings suggest that nurse-led care facilitated access to healthcare through building trust and supporting clients to access services. Key factors in enabling this include autonomy in nursing practice, organizational support, and education.
JOURNAL OF ADVANCED NURSING
(2022)
Article
Nursing
Redwan Bin Abdul Baten, George L. Wehby
Summary: The study found that the interaction between Medicaid expansions and SOP laws is significant, with states that have full SOP laws experiencing greater improvements in certain access measures.
Article
Medicine, General & Internal
Johnny Huynh, Sahil A. Alim, David C. Chan, David M. Studdert
Summary: Comparing the rates of inappropriate prescribing between nurse practitioners and primary care physicians, it was found that they were virtually identical. Although nurse practitioners were overrepresented among clinicians with the highest and lowest rates of inappropriate prescribing, discrepancies in rates tended to be larger across states rather than between these practitioners within states.
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Mark Katz Meiselbach, Coleman Drake, Brendan Saloner, Jane M. Zhu, Bradley D. Stein, Daniel Polsky
Summary: Medicaid managed care insurers play an important role in ensuring access to buprenorphine for treating opioid use disorder. However, there is variation in access to in-network primary care providers who can prescribe buprenorphine among Medicaid managed care enrollees. Despite higher overdose death rates in some states, most enrollees live in areas with a shortage of these providers. Increasing the network participation rate of prescribers can improve the likelihood of enrollees seeing a prescriber. Policies such as matching patients with buprenorphine prescribers and requiring a minimum number of prescribers in networks can improve access within Medicaid managed care.
Article
Nursing
Lusine Poghosyan, Joyce Pulcini, Garrett K. Chan, Lynne Dunphy, Grant R. Martsolf, Karen Greco, Barbara A. Todd, Sandra C. Brown, Margaret Fitzgerald, Amy L. McMenamin, P. Ann Solari-Twadell
Summary: This manuscript summarizes the benefits of permanently removing state-level scope of practice barriers for nurse practitioners (NPs) and provides recommendations for policy, practice, and research. NP full scope of practice improves access and quality of care, leads to better patient outcomes, and has the potential to reduce healthcare cost.
Article
Nursing
Grant R. Martsolf, Amy Komadino, Hayley Germack, Jordan Harrison, Lusine Poghosyan
Summary: The study found that DNP-prepared nursing professionals may have slight advantages in NP-Physician Relationships, clinical hours, and practice leadership, but these differences are not significant. As DNP programs and DNP-prepared NPs continue to increase, further research on the impact of DNP preparation on the NP workforce is crucial.
Article
Economics
Laura Barrie Smith
Summary: This study found that while relaxing SOP laws may lead to NPs practicing more autonomously, it does not affect patient allocation or the provision of low-value services. This suggests that allowing NPs to practice without physician oversight could potentially reduce healthcare spending without negatively impacting patients.
Article
Geriatrics & Gerontology
Zainab Toteh Osakwe, Bian Liu, Claire K. K. Ankuda, Christine S. S. Ritchie, Bruce Leff, Katherine A. A. Ornstein
Summary: The study examined the association between scope-of-practice regulations and nurse practitioners (NPs) delivering home-based primary care (HBPC) in the U.S. The findings showed that states with restricted or reduced scope-of-practice laws had higher rates of NP-HBPC per 1000 FFS Medicare beneficiaries compared to states with full scope-of-practice.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Nursing
Kelly Gonzales, Teresa Barry Hultquist, LeAnn Holmes, Amelia Stoltman, Kathryn Fiandt
Summary: This article describes the experiences and perceived needs of new primary care nurse practitioners (NPs) during their transition to practice. The survey of new Nebraska NPs revealed increased confidence and perceived preparedness after 3 months of practice, as well as challenges and helpful supportive services during the transition. The findings support the development of a formal training program.
JNP- THE JOURNAL FOR NURSE PRACTITIONERS
(2022)
Article
Nursing
Jordan M. Harrison, Hayley D. Germack, Lusine Poghosyan, Thomas D'Aunno, Grant R. Martsolf
Summary: This paper reports the methods of the largest survey of primary care NPs to date, highlighting challenges faced with sampling frame and data collection. Suggestions are made for future research to avoid these issues and enhance large scale survey data collection from NPs.
Article
Education, Scientific Disciplines
Kenneth Botelho, James Myers
Summary: This manuscript explores a groundbreaking solution by introducing a clinical doctorate program tailored to PAs and NPs, aiming to equip them with the knowledge and skills to assume leadership roles in primary care, addressing the impending crisis in primary care physician shortages.
Article
Geriatrics & Gerontology
Yin Li, Jeannie P. Cimiotti, Katherine A. Evans, Carolyn K. Clevenger
Summary: This study examined the workforce of nurse practitioners specializing in geriatrics. The findings showed minimal growth in diversity compared to 2016, fewer practitioners in suburban or rural areas, and restrictions on clinical education due to the ongoing pandemic. These findings highlight the need for the development of an adequate workforce of clinicians specialized in geriatrics.
Article
Nursing
Miki Goodwin, Marianne Fingerhood, Eric Slade, Patricia Davidson
Summary: This study emphasizes the importance of post graduation training for advanced practice nurses and suggests the establishment of corresponding programs to enhance clinical practice and reduce early professional burnout. It also highlights the significance of advanced practice nurse fellowships.
Article
Medicine, General & Internal
Lisa S. Rotenstein, Nate Apathy, Susan Edgman-Levitan, Bruce Landon
Summary: This study characterizes the differences between physicians and advanced practice practitioners (APPs) in terms of appointment scheduling, visit types, and electronic health record (EHR) use. The findings reveal significant variations in these aspects across different specialties.