Legislative Update 2009

Department of Family Medicine, University of California, Irvine, CA, USA.
The Nurse practitioner 02/2009; 34(1):19-41. DOI: 10.1097/01.NPR.0000343752.83969.c0
Source: PubMed
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Available from: Susanne Phillips, Dec 18, 2014
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    • "Over the last 4 years , the number of APRNs has increased 29% . According to an annual survey of boards of nursing , the increase has occurred in all APRN categories ( Phillips , 2009 , 2013 ) . The number of NPs increased from 108 , 787 in 2008 to 144 , 249 in 2012—a 33% increase . "
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    ABSTRACT: Over the past 3 decades the Health Resources and Services Administration has reported on the supply of registered nurses (RNs) through the National Sample Survey of Registered Nurses (NSSRN). Data collection from the most recent, and final, NSSRN was completed in 2008; hence, there is no current data on the nationwide supply of RNs. This current project was conducted by the National Council of State Boards of Nursing and the Forum of State Nursing Workforce Centers to fill this on going need and is titled, The National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers 2013 National Workforce Survey of RNs. This article presents the highlights of the study and its results.
    Full-text · Article · Jul 2013
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    • "While these findings extend our understanding , the available research-based information is fragmented and a systematic empirical exploration of such elements has been lacking. ANP roles have been expanding rapidly in western countries such as Australia, USA, Canada and the UK due to the corresponding introduction of policies and models of healthcare delivery (Department of Health, UK 2006, Phillips 2009, Pulcini et al. 2010). In Hong Kong, in line with the international trend and responding to the changing healthcare environments, a move in healthcare delivery is currently underway to extend the services to disease prevention and to develop service models that offer sustainable quality services, prioritization of services and reduction of avoidable hospitalization (HA HK 2008, 2009). "
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    ABSTRACT: This article is a report on a study to explore the development of expanding advanced nursing practice in nurse-led clinics in Hong Kong. Nurse-led clinics serviced by advanced practice nurses, a common international practice, have been adopted in Hong Kong since 1990s. Evaluations consistently show that this practice has good clinical outcomes and contributes to containing healthcare cost. However, similar to the international literature, it remains unclear as to what the elements of good advanced nursing practice are, and which directions Hong Kong should adopt for further development of such practice. A multiple-case study design was adopted with six nurse-led clinics representing three specialties as six case studies, and including two clinics each from continence, diabetes and wound care. Each case had four embedded units of analysis. They included non-participant observation of nursing activities (9 days), nurse interviews (N = 6), doctor interviews (N = 6) and client interviews (N = 12). The data were collected in 2009. Within- and cross-case analyses were conducted. The cross-case analysis demonstrated six elements of good advanced nursing practice in nurse-led clinics, and showed a great potential to expand the practice by reshaping four categories of current boundaries, including community-hospital, wellness-illness, public-private and professional-practice boundaries. From these findings, we suggest a model to advance the scope of advanced nursing practice in nurse-led clinics. The six elements may be applied as audit criteria for evaluation of advanced nursing practice in nurse-led clinics, and the proposed model provides directions for expanding such practice in Hong Kong and beyond.
    Full-text · Article · Nov 2011 · Journal of Advanced Nursing
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    • "ACNPs are educated at Masters " level ( Rothwell 2003 ; Urquhart et al . 2004 ; Howie - Esquivel & Fontaine 2006 ; Forchuk 2009 ; McGrath & Piques 2009 ; Phillips 2009 ) . "

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