加拿大开业护士概况及启示

在加拿大的初级诊疗和慢病管理等方面,开业护士的服务质量、安全性、患者满意度及成本效益均体现出了优势。该文通过对加拿大开业护士的历史发展、工作内容、认证及培养和作用评价等方面进行概述,分析了我国社区护理人员可以借鉴的内容,为我国开业护士的培养提供一定参考。     

国外开业护士的管理及启示

该文通过对国外开业护士的发展进行介绍,同时对开业护士的职责、资质要求、培训课程及处方权限等方 面进行综述,以期对国内开业护士的发展提供借鉴。     

正在起步的中国开业护士

开业护士（Nurse Practitioner）是高级临床护理注册护士(advanced practice registered nurse,APRN)中的一个角色,美国护士协会关于APRN的定义是这样描述的：APRN是获得高等教育并分别具有儿科、麻醉科、老年科、新生儿或精神科等领域专长的注册护士。它包括开业护士、临床护理专家、持证护理助产士、持证注册护士麻醉师。开业护士是承担高级临床护理角色的执业护士,并根据法律规定在一定范围内具有诊断、处方、转治建议的权限。主要在初级卫生保健场所或急症医院。结合我国现有的医疗护理现状,笔者认为开业护士的培养能从根本上缓解公民看病难、候诊时间长等热点问题,因此本文旨在介绍国外开业护士的发展,以此探讨开业护士在中国的开展提供依据。     

开业护士执业和处方权现状及启示

从开业护士的发展历程、执业地点和领域、执业模式和权限及其执业的效果评价入手,对开业护士的执业和处方权现状进行回顾,以期为中国加强基层医疗服务队伍建设、增强基层医疗卫生服务能力提供启示和借鉴。     

湖南省眼科开业护士认知及意愿现状调查

目的:分析湖南省眼科护士对眼科开业护士（ONP）的认知及意愿现状,为ONP在我国的角色发展提供思路。方法:采用便利抽样法,于2020年5月1—30日选取湖南省眼科在职护士作为研究对象,利用自行设计的ONP认知及意愿问卷进行横断面调查。问卷内容包括一般人口学资料、ONP相关认知和意愿维度。本研究共发放问卷592份,回收有...     

美国骨科开业护士与我国骨科专科护士的发展现状及启示

美国骨科开业护士发展较早、培养体系成熟,该文从美国骨科开业护士的起源与发展、准入条件与认证考核、实践范畴、培养模式、继续教育等方面分析,结合国内骨科专科护士现状,对骨科专科护士工作和培养进行综述,为国内培养应用型骨科专科护理人才提供借鉴。     

开业护士角色在中国的发展

护理在我国是一门正在发展中的新兴专业,开业护士(Nurse Practioner,NP)[1]角色的作用将决定中国临床护理的未来.     

美国开业护士的核心能力研究现状及启示

美国开业护士(NP)是具有硕士或博士学位的护士或具备执业资格的注册护士,能进行全面的患者评估,具备提出诊断、鉴别诊断、命令、执行、监督、解释诊断和实验室检查的能力。美国NP当前已有50年的发展历史,形成了清晰的核心能力框架,并在核心能力培养、发展和评价等方面都有较为深入的探索,而我国尚无对NP清晰的角色定义,也无统一的培养范式及相关岗位设置,且专业型护理研究生(MNS)仅为教育层面的概念,使MNS具备核心能力,胜任高级护理实践工作,仍需广泛探索。本文通过对美国NP核心能力框架、学位教育培养NP核心能力、继续教育发展NP核心能力和分层晋级计划评价NP核心能力进行综述,旨在为我国MNS能力培养及执业提供借鉴。     

Atopic dermatitis: an overview for the nurse practitioner

PURPOSE: To provide the primary care provider (PCP) with a review of the clinical presentation, aggravating factors, and basic options for treatment of atopic dermatitis (AD). DATA SOURCES: Selected scientific literature and clinical experiences of the author. CONCLUSIONS: AD is a common, chronic skin condition that is frequently seen in both children and adults. Although AD can be challenging to treat, a number of therapeutic options exist to help alleviate the pruritus and rash that accompany the disorder. IMPLICATIONS FOR PRACTICE: The PCP can manage AD in most patients by prescribing avoidance measures, good skin care, antihistamines, and conservative topical medications. Patients with more severe disease may require aggressive therapies such as phototherapy, balneo-phototherapy, or systemic agents.     

Anabolic steroids: implications for the nurse practitioner

Anabolic steroids are being used by athletes in a wide variety of sports in efforts to enhance their athletic performances. Steroid abuse is complex to evaluate due to the highly emotional subject matter and the limitations in researching anabolic steroids. This article has been written to heighten the practitioner's awareness of the problem of "sports doping" with anabolic steroids. It will provide practical information on possible consequences of steroid use and outline essential information to obtain through the history, physical exam and laboratory studies. Intervention strategies based on the three levels of prevention are described. With awareness of the problem of sports doping and knowledge of how to deal with it in primary care, the nurse practitioner can enhance the health care provided to aspiring athletes, athletes and retired athletes.     

美国开业护士的执业现状与管理体系

美国是最早开展开业护士(nurse practitioner,NP)培养的国家,经验表明,NP的培养和执业可提高卫生服务的可及性,也是实现护理人员分层次管理的有效途径之一。该文通过综述美国NP的执业现状,显示NP能够以比医生更低的总成本提供优质的医疗保健服务。通过总结以NP教育、项目认证、资格证书和执照管理为核心的美国NP管理体系,为建立健全我国NP的培养认证体系和执业规范提供借鉴。     

An overview of herbal medications with implications for the school nurse.

Americans are increasingly using herbs and herbal preparations to treat a wide array of conditions ranging from colds to depression. Children and parents are ingesting herbs in greater quantities, as reflected by increased herb sales and telephone calls to poison information centers. Herbal preparations are being used for the management of insomnia, anxiety, and attention deficit hyperactivity disorders. This trend introduces interesting opportunities and dilemmas for the school nurse. This article provides an overview of the seven most common medicinal herbs (garlic, ginkgo, ginseng, Echinacea, chamomile, valerian, and feverfew). It provides a guide to choosing herbal supplements, a framework for developing school-based herbal policies, and a discussion of the issues faced by school nurses.     

Tertiary nurse practitioner reimbursement: An in-depth look at neonatal nurse practitioner billing

This report reviews the history of nurse practitioner reimbursement legislation specifically as it pertains to neonatal nurse practitioners (NNPs) in the tertiary care setting (inpatient/acute care). Barriers to reimbursement are reviewed, along with ways in which NNPs can continue to demonstrate their worth to the public and to health insurance providers. Specific steps are discussed on how hospital and health care providers are reimbursed for services rendered; obtaining a billing provider number is the initial step of establishing a billing service. Each state varies on how provider numbers are obtained and who is eligible to receive these numbers. Care must be taken to ensure that duplicate billing by different providers is avoided. The state's Medicaid Provider Manual is often helpful in determining which services are covered and which guidelines accompany each billable code. As tertiary care and/or follow-up providers, it is our responsibility to educate ourselves about the nurse practitioner reimbursement laws currently in effect and educate our legislators about our critical role in providing care to the sick inpatient population. Copyright © 2001 by W.B. Saunders Company     

An economic analysis of the nurse practitioner role

Today's rapidly changing health care environment directly affects nurse practitioners. NPs will be practicing in increasingly competitive situations and with mounting pressures for cost-effective services. Ignoring the issues in the health care marketplace can threaten NP survival. This article will analyze the changes in the health care system, relate the economic effects of these changes to nursing practice, and apply a homeostatic model of interprofessional competitive behavior. As NPs gain perspective on the dynamics of competition and the influence of economics, they will be better able to successfully position themselves in the health care marketplace.     

Developing national guidelines for nurse practitioner education: an overview of the product and the process.

In 1988, the National Organization of Nurse Practitioner Faculties appointed an ad hoc education committee (AHEC) to review existing nurse practitioner (NP) education curricula and to formulate national guidelines. An overview of the new NP guidelines are presented along with the philosophy, content, objectives, and competencies that are viewed as the foundation for NP education today. The guidelines are presented within the structure outlined in Brykczynski's (1985) research about NP practice. Thus, as a "product" of the Advanced Nursing Practice: Nurse Practitioner Curriculum Guidelines (NPCG), a new NP graduate for the 1990s could be described as one who demonstrates beginning competencies in primary health care theory and research within the five domains of practice identified by Brykczynski.