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Policy, Politics & Nursing Practice

Mary O'Neil Mundinger, Michael A Carter
The Doctor of Nursing Practice (DNP) degree was established to expand nurse practitioner education by adding new competencies. In 2004, the American Association of Colleges of Nursing released a position statement that redefined practice from only clinical care of patients to include nonclinical care. This policy position likely contributed to the rapid growth of DNP programs. Historical background on the development of the DNP is provided. An analysis was conducted of the programs reported in the American Association of Colleges of Nursing list of accredited DNP programs between 2005 and 2018 to compare whether the programs prepared graduates for advanced clinical practice or administrative or leadership...
April 3, 2019: Policy, Politics & Nursing Practice
Betty Rambur, Mary Val Palumbo, Mirsada Nurkanovic
Value-based care theoretically catalyzes the business case for telehealth. Hence, the purpose of this study was to define the proportion of a statewide nursing workforce who self-reported telehealth or telephonic nursing as their primary work setting in a U.S. state undergoing rapid transitions to value-based care. We conducted a secondary analysis of a 2017 statewide nurse relicensure survey ( n = 10,851), overall response rate 99%. The focus of the analysis was registered nurses who reported that they were currently working in Vermont or serving residents of the state ( n = 8,457)...
March 28, 2019: Policy, Politics & Nursing Practice
Ellen J Hahn, Melinda J Ickes, Amanda Wiggins, Mary Kay Rayens, Bradley J Polivka, Emily Whelan Parento
Smoke-free workplace policies encourage cessation, reduce tobacco consumption, and shift the pro-tobacco norm. However, no research exists evaluating the impact of mandated tobacco-free policies on government property. The purpose of our study was to examine short- and long-term effects of a tobacco-free policy (executive order 2014-747) implemented in November 2014, prohibiting tobacco use on state executive property. Cross-sectional online surveys were administered at two time points to a total of 27,000 employees of the executive branch of the Commonwealth of Kentucky...
March 28, 2019: Policy, Politics & Nursing Practice
Pamela B de Cordova, Jeannette Rogowski, Kathryn A Riman, Matthew D McHugh
Public reporting is a tactic that hospitals and other health care facilities use to provide data such as outcomes to clinicians, patients, and payers. Although inadequate registered nurse (RN) staffing has been linked to poor patient outcomes, only eight states in the United States publicly report staffing ratios-five mandated by legislation and the other three electively. We examine nurse staffing trends after the New Jersey (NJ) legislature and governor enacted P.L.1971, c.136 (C.26:2 H-13) on January 24, 2005, mandating that all health care facilities compile, post, and report staffing information...
March 28, 2019: Policy, Politics & Nursing Practice
Frances Hughes, Monique J Morrow
No abstract text is available yet for this article.
March 8, 2019: Policy, Politics & Nursing Practice
Eileen M Condon
Early home visiting is a vital health promotion strategy that is widely associated with positive outcomes for vulnerable families. To expand access to these services, the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program was established under the Affordable Care Act, and over $2 billion have been distributed from the Health Resources and Services Administration to states, territories, and tribal entities to support funding for early home visiting programs serving pregnant women and families with young children (birth to 5 years of age)...
February 21, 2019: Policy, Politics & Nursing Practice
BoRam Kim, Teri Aronowitz
There has been a 72% increase in the Asian American population from approximately 12 million in 2000 to 21 million in 2015. By 2050, there will be 33.4 million Asian Americans living in the United States, making this population the most rapidly growing ethnic group in the country. There is a myth that Asian Americans are a model conservative minority group in terms of sexual behavior and safe sexual practices and are not at risk of sexually transmitted infections including HIV. However, they are the only ethnic group in the United States that had a continuous increase in HIV infection rates from 4...
February 16, 2019: Policy, Politics & Nursing Practice
Grant R Martsolf, Teresa H Thomas
Twenty-first century America is marked by deep and seemingly incommensurable divisions in terms of public policy solutions to our most intractable issues. Health policy challenges are not immune to these deep divisions, as the debate during and since the passage of the Affordable Care Act illustrates. Positions on key public policy issues are driven by largely implicit and unarticulated philosophical presuppositions that guide individuals' notions of the nature of government, individuals' moral obligations to each other, how society assesses quality of life, and what it means to be a community...
January 2, 2019: Policy, Politics & Nursing Practice
Kenneth C Wiley, Hendel J Villamizar
Government policy, at all levels, should reflect current scientific evidence to curb the spread of multidrug-resistant organisms (MDROs) and to promote healthier lives for citizens and the global community. The World Health Organization estimates that approximately 63,000 Americans die annually of infections from MDROs. Annual spending in the United States used to combat MDRO infections surpassed $35 billion in 2015. This article is a review of U.S. policy regarding MDROs and focuses on several means with which nurses can implement antibiotic stewardship within their practices to stall the creation and global spread of antibiotic-resistant organisms...
December 12, 2018: Policy, Politics & Nursing Practice
Allison A Norful, Siqin Ye, Mieke Van der-Biezen, Lusine Poghosyan
Current demand for primary care services will soon exceed the primary care provider (PCP) workforce capacity. As patient panel sizes increase, it has become difficult for a single PCP to deliver all recommended care. As a result, provider comanagement of the same patient has emerged in practice. Provider comanagement is defined as two or more PCPs sharing care management responsibilities for the same patient. While physician-physician comanagement of patients has been widely investigated, there is little evidence about nurse practitioner (NP)-physician comanagement...
December 5, 2018: Policy, Politics & Nursing Practice
Desireé Mullis Clement
The state of Georgia faces challenges in providing access to care, largely due to rural hospital closures and physician shortages. Although nurse practitioners (NPs) could help address Georgia's urgent health care needs, the state remains restrictive with respect to NP scope of practice (SOP). This study examined factors that influence Georgia legislators' decision-making on NP SOP. In June 2016, after the January through March legislative session, a questionnaire was e-mailed to 49 state legislators on the Committees on Health and Human Services in Georgia's House of Representatives and Senate...
December 4, 2018: Policy, Politics & Nursing Practice
Louise P Hoyle, Emma Smith, Catherine Mahoney, Richard G Kyle
Violence and aggression toward nurses are global concerns. Despite repeated research on causal factors and widespread zero tolerance campaigns, rates of violence and aggression have not declined. Violence and aggression toward nurses can negatively affect their health and ultimately patient care. Media reporting of violence and aggression toward nurses might shape people's perceptions of the profession, perhaps impeding nurse recruitment and retention efforts in the face of global nursing shortages. The purpose of this study was to determine how print media in Scotland depicted reports of violence and aggression toward nurses...
October 18, 2018: Policy, Politics & Nursing Practice
Roberta Heale, Simone Dahrouge, Sharon Johnston, Joan E Tranmer
Nurse practitioners (NPs) in Ontario work in a number of settings, including physician-led, interprofessional Family Health Teams (FHTs). However, many aspects of NP practice within the FHTs are unknown. Our study aimed to describe the characteristics of NP practice in FHTs and the relationships between NPs and physicians within this model. This cross-sectional descriptive study analyzed NP service and diagnostic code data collected for every NP patient encounter from 2012 to 2015. Encounter data were linked to health administrative data housed at the Institute for Clinical Evaluative Sciences to allow for comparison with physician service and diagnostic codes...
August 15, 2018: Policy, Politics & Nursing Practice
Elissa Ladd, Madrean Schober
Nurses around the world are increasingly prescribing and managing pharmaceutical agents. Prescribing by nurses is currently based on varying nursing roles, depending on national and regional norms and practices. Prescribing occurs within the advance practice, advanced level, and task-sharing roles, depending on the country. It is evolving both within and outside of traditional regulatory frameworks. Therefore, the purpose of this article is to describe the nurse prescribing globally among various nursing roles that support and facilitate the practice...
February 2018: Policy, Politics & Nursing Practice
Ashley Weber, Tondi M Harrison, Deborah Steward, Susan Ludington-Hoe
Prematurity is the largest contributor to perinatal morbidity and mortality. Preterm infants and their families are a significant vulnerable population burdened with limited resources, numerous health risks, and poor health outcomes. The social determinants of health greatly shape the economic and psychosocial resources that families possess to promote optimal outcomes for their preterm infants. The purposes of this article are to analyze the resource availability, relative risks, and health outcomes of preterm infants and their families and to discuss why universal paid family leave could be one potential public policy that would promote optimal outcomes for this infant population...
February 2018: Policy, Politics & Nursing Practice
Patrick O'Byrne, Jean Daniel Jacob, Lauren Orser
The provision of HIV medications to HIV-negative persons after exposure to HIV is known as postexposure prophylaxis (PEP). Because this prevention strategy is primarily only available in emergency rooms, we piloted a nurse-led community-based PEP program in Ottawa from September 2013 through August 2015. As part of evaluating this program, we conducted qualitative interviews with persons who initiated PEP. Twelve men who had engaged in condomless anal sex with other males participated. Thematic analysis of the interview transcripts highlighted that PEP was considered unmentionable because the participants' saw it as proof of past behavior that was perceived negatively...
February 2018: Policy, Politics & Nursing Practice
Marie Ghazal, Betty Rambur
Free clinics have been a source of health care for uninsured and low-income Americans for half a century and serve some of the nation's most vulnerable within their home community. Despite parallels to nursing's significant involvement in the formation of free public clinics and commitment to care for all, there is paucity of nursing literature about free clinics. This article details the history of U.S. free clinics and the intersections among free clinics and value-based care, health reform, and tax reform, including the Patient Protection and Affordable Care Act of 2010 and the Tax Cuts and Jobs Act of 2017...
February 2018: Policy, Politics & Nursing Practice
(no author information available yet)
No abstract text is available yet for this article.
November 2017: Policy, Politics & Nursing Practice
Sally S Cohen
No abstract text is available yet for this article.
November 2017: Policy, Politics & Nursing Practice
(no author information available yet)
Kovner, C. T., Brewer, C. S., Fatehi, F., Jun, J. (2014). What does nurse turnover rate mean and what is the rate. Policy, Politics, & Nursing Practice, 15(3-4), 64-71. doi: 10.1177/1527154414547953 The authors wish to make a correction to the above referenced article. Table 4 provides very misleading data, because all the settings and hospital only rates were calculated differently and therefore the rows should not be compared. [Table: see text] The first row (now Table 4a ) includes RN jobs only in any setting...
November 2017: Policy, Politics & Nursing Practice
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