Transitioning Into Hospital Based Practice
Author: Mona N. Bahouth
Publisher: Springer Publishing Company
Published: 2012-11-20
Total Pages: 338
ISBN-13: 0826157327
DOWNLOAD EBOOK →Print+CourseSmart
Author: Mona N. Bahouth
Publisher: Springer Publishing Company
Published: 2012-11-20
Total Pages: 338
ISBN-13: 0826157327
DOWNLOAD EBOOK →Print+CourseSmart
Author: Cheryl R. Duke
Publisher:
Published: 2010
Total Pages: 138
ISBN-13:
DOWNLOAD EBOOK →The purpose of this hermeneutic phenomenology (van Manen, 1990) was to gain insight into the meaning and lived experience of nurse practitioners (NP) with at least one year of work experience regarding their initial transition from new graduate to hospital-based practitioner. This study provided information regarding NP hospital-based transition experience that had not been revealed in the nursing literature. The meaning of transitioning into hospital-based practice was discovered through analysis of nurse practitioner letters and interviews in this phenomenological study. Six themes emerged from this research including: Going from expert RN to novice NP; system integration; "Don't Give Up"; Learning "On the Fly"; They Don't Understand my NP Role; and Succeeding Through Collaboration. Master's prepared, board-certified NPs in North Carolina (NC) with between one and three years of NP practice experience in a hospital setting comprised the population of interest for this study. Twelve participants were purposefully sampled from nine hospitals in NC. Individual, voice-recorded, in-depth, open-ended telephone interviews were conducted with each participant. The majority of the participants indicated a timeframe that ranged from six to 18 months regarding how long it took them to feel more comfortable in their NP role, the lack of comfort was most intense during the first nine months of practice. Participants confronted multiple obstacles and challenges as new NPs. These challenges included navigating and negotiating a new health care provider role; becoming integrated into a hospital system in what was a new role for them and sometimes for the system; learning how to function effectively as a NP while simultaneously working to re-establish themselves as proficient clinicians with a newly expanded practice scope; building key relationships; and educating physicians, hospital leaders, clinical staff, patients, and families about the NP role. This new knowledge demonstrates that although the transition to hospital-based practice for the new NP graduate is individually unique, there are important dimensions of the experience which are universal and should be considered by new NPs, employing hospitals and staff, physicians, and educators. This information can be used to help ensure an ideal transition occurs for the new hospital-based NP.
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2011-02-08
Total Pages: 700
ISBN-13: 0309208955
DOWNLOAD EBOOK →The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Author: Deborah Dillon
Publisher: McGraw Hill Professional
Published: 2020-09-22
Total Pages: 197
ISBN-13: 1260452387
DOWNLOAD EBOOK →An expert guide to the complex, yet vital transition from student to employed nursing practitioner The transition from nursing school graduate to professional nursing practitioner can be stressful and confusing. Unlike educational programs, life doesn’t provide a set syllabus. After graduation, what steps do you need to take? How do you get certified? Where should you apply for work? Successful Transition to Practice is a much-needed guide to help you navigate the path from new graduate to the certification and on-boarding process and successful employment. Successful Transition to Practice walks you through the most confusing aspects of transitioning, from studies to full-time work, including applying for licensure, what to expect in an interview, insurance needs, hospital credentialing and more. Filled with expert advice, illuminating examples, and essential information, this important resource provides a framework to help you complete the transition to nurse practitioner with confidence. The book includes valuable information on: Planning for graduation Getting board certified Applying for state Licensure How to ace a job interview Employment contracts Negotiating salaries Malpractice insurance Hospital credentialing and privileging Billing and coding Full practice authority, and more
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2012-06-15
Total Pages: 152
ISBN-13: 0309253101
DOWNLOAD EBOOK →The U.S. population of older adults is predicted to grow rapidly as "baby boomers" (those born between 1946 and 1964) begin to reach 65 years of age. Simultaneously, advancements in medical care and improved awareness of healthy lifestyles have led to longer life expectancies. The Census Bureau projects that the population of Americans 65 years of age and older will rise from approximately 40 million in 2010 to 55 million in 2020, a 36 percent increase. Furthermore, older adults are choosing to live independently in the community setting rather than residing in an institutional environment. Furthermore, the types of services needed by this population are shifting due to changes in their health issues. Older adults have historically been viewed as underweight and frail; however, over the past decade there has been an increase in the number of obese older persons. Obesity in older adults is not only associated with medical comorbidities such as diabetes; it is also a major risk factor for functional decline and homebound status. The baby boomers have a greater prevalence of obesity than any of their historic counterparts, and projections forecast an aging population with even greater chronic disease burden and disability. In light of the increasing numbers of older adults choosing to live independently rather than in nursing homes, and the important role nutrition can play in healthy aging, the Institute of Medicine (IOM) convened a public workshop to illuminate issues related to community-based delivery of nutrition services for older adults and to identify nutrition interventions and model programs. Nutrition and Healthy Aging in the Community summarizes the presentations and discussions prepared from the workshop transcript and slides. This report examines nutrition-related issues of concern experienced by older adults in the community including nutrition screening, food insecurity, sarcopenic obesity, dietary patterns for older adults, and economic issues. This report explores transitional care as individuals move from acute, subacute, or chronic care settings to the community, and provides models of transitional care in the community. This report also provides examples of successful intervention models in the community setting, and covers the discussion of research gaps in knowledge about nutrition interventions and services for older adults in the community.
Author: Albert C. Hergenroeder
Publisher: Springer
Published: 2018-05-03
Total Pages: 394
ISBN-13: 3319728687
DOWNLOAD EBOOK →This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.
Author: Kerm Henriksen
Publisher:
Published: 2005
Total Pages: 526
ISBN-13:
DOWNLOAD EBOOK →v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Author: Andrea M. Kline
Publisher: Lippincott Williams & Wilkins
Published: 2015-08-10
Total Pages: 1293
ISBN-13: 1496308581
DOWNLOAD EBOOK →Lippincott Certification Review: Pediatric Acute Care Nurse Practitioner is the ideal companion while preparing for the Acute Care CPNP® exam administered by the Pediatric Nursing Certification Review Board, or for anyone who seeks to perform at a higher level of practice for children who are acutely, chronically, and critically ill. Organized in a simple, bulleted format, this invaluable resource includes multiple choice self-assessment questions with rationales at the end of every chapter, plus two self-assessment exams with rationales – totaling more than 750 questions. Content focuses on the diagnosis and management of pediatric acute care problems typically treated in the emergency department or an inpatient setting.
Author: Amresh Shrivastava
Publisher: Springer Nature
Published: 2020-02-05
Total Pages: 351
ISBN-13: 3030198472
DOWNLOAD EBOOK →This book analyzes schizophrenia management in the context of recent clinical therapeutic advances that have transformed the measurements and outcomes landscape. Unlike any other resource, this volume carefully develops the social and clinical guidelines that affect the life of the patient and defines its role in schizophrenia treatment outcomes. The text begins by determining the concepts, development, neuroscience, and guidelines for positive outcomes before analyzing the gaps in the literature. The text addresses medical concerns in relation to outcomes in schizophrenic patients, including substance use, impact from antipsychotic medications, and medical comorbidities. The text also covers external determinants that may inhibit positive outcomes, including cultural factors, stigma, and environmental issues. Written by experts in schizophrenia care, this book compiles sound research, current clinical trends, and modern measurement markers into a well-organized compendium that delivers this data into a practical guide for measuring treatment outcomes in patients suffering from the disease. Schizophrenia Treatment Outcomes is the ultimate guide for psychiatrists, psychologists, nurses, social workers, and all medical practitioners interested in improving outcomes for schizophrenia patients.
Author: Maria Lofgren
Publisher: Sigma Theta Tau
Published: 2023-12-14
Total Pages: 396
ISBN-13: 1646480945
DOWNLOAD EBOOK →“This is a must-read for all healthcare organizational leaders where advanced practice registered nurses (APRNs) and physician assistants (PAs) are a part of the healthcare team. Being able to understand how to best support and utilize this workforce is crucial in the success of any healthcare delivery system. The authors of this book have brilliantly laid out a blueprint to build a strong and engaged APRN/PA staff.” –Risa Zimmerman, MBA, MPAS, PA-C, DFAAPA Director, Office of Advanced Practice Nebraska Medicine “Within these pages lies a treasure trove of evidence-based tools, templates, pitfalls to avoid, and more for anyone who is interested in advanced practice in healthcare. Maria Lofgren and the Iowa team, with learnings from 15+ years creating a sustainable APP model, have given a huge gift to healthcare delivery globally. I’m especially excited about the thoughtful reflections on staying attuned to relationships between providers as well as the figures and sidebars that highlight policy implications and provide specific examples for implementation.” –Ann Williamson, PhD, RN, NEA-BC Former Chief Nurse and Healthcare Executive “With the rapid expansion of advanced practice providers (APPs) nationwide, new APP leaders seek guidance and insight on building a program of fully optimized providers. Lofgren et al. have accomplished this task, providing a complete and comprehensive road map for C-suites and APP leaders to follow, creating the pillars of supporting practice from student to expert for healthcare organizations.” –Bonnie Proulx, DNP, APRN, PNP-BC, FAAN Senior Vice President Physician Enterprise Kaufman Hall Healthcare Management and Consulting Advanced practice providers (APPs) are a quickly growing part of the healthcare workforce, helping to bridge the gap between the demand for physicians and nurses and keeping healthcare costs lower while maintaining a high quality of care. As hospitals, clinics, and healthcare organizations integrate APRNs and PAs into their clinical operations, healthcare leaders need direction on operationalizing these APPs into practice. Advanced Practice Providers: An Operational Guide for Workforce Integration provides a blueprint for organizations—academic, hospital, and clinic-based —as well as academic programs teaching APRNS and PAs to assimilate the uniqueness of the APP group into existing infrastructures, effectively using resources within organizations to help advance healthcare toward higher quality care, patient safety goals, and team care initiatives. TABLE OF CONTENTS Chapter 1: Comparison of Medicine and Nursing Infrastructures and the Growing APP Workforce Chapter 2: Understanding the Organizational Blueprint Chapter 3: Establishing an Infrastructure Chapter 4: APRN and PA Scope of Practice Chapter 5: Establishing an APP Workforce Chapter 6: APP Onboarding Chapter 7: Operationalizing Telehealth Chapter 8: APRN and PA Students Chapter 9: APP Business Pro Forma Chapter 10: Credentialing and Privileging Chapter 11: Organizational Compliance Chapter 12: Professional Development Chapter 13: Mentoring Chapter 14: Metrics That Matter Chapter 15: Team-Based Care Chapter 16: Patient Access Center Chapter 17: Organizational Initiatives Chapter 18: Looking to the Future Appendices ABOUT THE AUTHORS Maria Lofgren, DNP, ARNP, NNP-BC, CPNP, FAANP, is a Clinical Associate Professor and Director of Faculty Practice at the University of Iowa College of Nursing and the Director of Advanced Practice Providers at University of Iowa Health Care. Christine Gust, MBA, PHR, SHRM-CP, is Human Resources Generalist at University of Iowa Health Care, Carver College of Medicine, Office of Advanced Practice Providers. Her work has led to aligning HR strategies to advanced practice provider organizational objectives, policies, programs, and initiatives. Douglas Van Daele, MD, FACS, is a Professor in the Department of Otolaryngology, Head and Neck Surgery at the University of Iowa Carver College of Medicine and is affiliated with the Iowa City Veterans Affairs Health Care System.