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Nurse practitioner.

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Nurse Practitioners

A nurse practitioner in a family practice residency: role description and impact on continuity of the practitioner-patient relationship.

The nurse practitioner and physician's assistant are new health practitioners providing primary health care. When teamed with family physicians, these new health practitioners can extend patient services. Family physicians should be trained to work with new health practitioners effectively. Presented is a model where a nurse practitioner and family practice residents work as co-practitioners in a family practice unit. A nurse practitioner in this role can improve the continuity of the relationship between patient and provider in a family practice residency.

Comprehensive Health Care

A short-term intensive training program for pediatric nurse practitioners.

A pediatric nurse practitioner course has been described in which 30 nurse trainees spent six seeks in an intensive training program followed by six months of preceptorship with a pediatrician in their own agency. This short but intensive program had advantages of permitting the PNP student to retain her health care agency position during the intensive part of the program and of assuring her a position as a PNP once the course was completed. Evaluation of the students by written and practical examinations indicated that they had made significant gains in their knowledge and understanding of pediatrics and in their ability to evaluate and refer patients and to provide well-child care and maternal counseling.

California

The nurse practitioner: role, physician utilization, patient acceptance.

A comprehensive study of nurse practitioners was undertaken by the University of Virginia Schools of Medicine and Nursing in the summer of 1974 to evaluate nurse practitioner training programs of the University of Virginia and to determine the effectiveness and responsibilities of nurse practitioners in various practice settings. Data on nurse practitioners in a number of locations in Virginia and in the Philadelphia metropolitan area were collected and analyzed to determine the way in which the nurse practitioners' time was allocated among various duties and to evaluate nurse practitioner performance by physicians and patients. Nurse practitioners performed a wide variety of clinical and nonclinical tasks. Most physicians were satisfied with the practitioner's performance, although there was some inconsistency between physicians and nurse practitioners regarding actual duties performed. A high percentage of physicians stated they would hire a nurse practitioner to replace one who left their employ. Physicians' reasons for hiring a nurse practitioner, as well as their previous contact with such personnel, were examined. Regarding patient attitudes toward nurse practitioners, data indicated that patients were satisfied with nurse practitioners and felt comfortable being treated by them.

Attitude of Health Personnel

Overcoming barriers to the employment and utilization of the nurse practitioner.

A national longitudinal cohort study of nurse practitioners and their employers conducted during 1973--1976 provided data on barriers to the development of the nurse practitioner role in primary care. Nearly 90 per cent of the 500 primary care nurse practitioners responding and 75 per cent of the 407 employers responding reported encountering one or more barriers to the role development of the nurse practitioner in their practice setting. Nurse practitioners identified an average of 2.2 barriers and employers identified an average of 1.6 barriers each. Specific barriers identified by 20 per cent or more of the nurse practitioners and employers were legal restrictions, limitations of space and facilities, and resistance from other providers. The data and other evidence suggest that these barriers are not insurmountable and that progress is being made in overcoming these obstacles.

Attitude of Health Personnel