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This brief focuses on the opportunity to more fully tap the potential of nurse practitioners to increase access to primary care.", "blogTitle": "", "websiteType": "", "date": "January, 2015", "DOI": "", "citationKey": "", "url": "http://kff.org/medicaid/issue-brief/tapping-nurse-practitioners-to-meet-rising-demand-for-primary-care/", "accessDate": "2016-04-04T20:31:47Z", "ISSN": "", "shortTitle": "", "language": "", "rights": "", "extra": "", "tags": [], "collections": [ "9NDMF5QJ" ], "relations": {}, "dateAdded": "2016-04-29T00:14:36Z", "dateModified": "2016-05-01T17:23:13Z" } }, { "key": "975KAVRZ", "version": 14, "library": { "type": "group", "id": 520626, "name": "460 Stuff", "links": { "alternate": { "href": "https://www.zotero.org/groups/460_stuff", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/520626/items/975KAVRZ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/460_stuff/items/975KAVRZ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/520626/items/VNP9DNQU", "type": "application/json" } }, "meta": { "createdByUser": { "id": 2656406, "username": "Kei-Lwun", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/kei-lwun", "type": "text/html" } } } }, "data": { "key": "975KAVRZ", "version": 14, "parentItem": "VNP9DNQU", "itemType": "attachment", "linkMode": "imported_url", "title": "Snapshot", "accessDate": "2016-05-01T17:20:00Z", "url": "http://ijnss.journalhosting.ucalgary.ca/index.php/ijnss/article/view/51", "note": "", "contentType": "text/html", "charset": "utf-8", "filename": "51.html", "md5": "bea1077eceb9942538c645f6a2901565", "mtime": 1462123200613, "tags": [], "relations": {}, "dateAdded": "2016-05-01T17:20:00Z", "dateModified": "2016-05-01T17:20:00Z" } }, { "key": "6E96XF39", "version": 14, "library": { "type": "group", "id": 520626, "name": "460 Stuff", "links": { "alternate": { "href": "https://www.zotero.org/groups/460_stuff", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/520626/items/6E96XF39", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/460_stuff/items/6E96XF39", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/520626/items/VNP9DNQU", "type": "application/json" } }, "meta": { "createdByUser": { "id": 2656406, "username": "Kei-Lwun", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/kei-lwun", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "6E96XF39", "version": 14, "parentItem": "VNP9DNQU", "itemType": "attachment", "linkMode": "imported_url", "title": "Full Text PDF", "accessDate": "2016-05-01T17:19:56Z", "url": "http://ijnss.journalhosting.ucalgary.ca/index.php/ijnss/article/download/51/pdf", "note": "", "contentType": "application/pdf", "charset": "", "filename": "Duncan and Sheppard - 2015 - Barriers to Nurse Practitioner Full Practice Autho.pdf", "md5": "0a387190838af9d5195148554c1cfd30", "mtime": 1462123198578, "tags": [], "relations": {}, "dateAdded": "2016-05-01T17:19:56Z", "dateModified": "2016-05-01T17:19:58Z" } }, { "key": "VNP9DNQU", "version": 13, "library": { "type": "group", "id": 520626, "name": "460 Stuff", "links": { "alternate": { "href": "https://www.zotero.org/groups/460_stuff", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/520626/items/VNP9DNQU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/460_stuff/items/VNP9DNQU", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2656406, "username": "Kei-Lwun", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/kei-lwun", "type": "text/html" } } }, "creatorSummary": "Duncan and Sheppard", "parsedDate": "2015-10-19", "numChildren": 2 }, "data": { "key": "VNP9DNQU", "version": 13, "itemType": "journalArticle", "title": "Barriers to Nurse Practitioner Full Practice Authority (FPA): State of the Science", "creators": [ { "creatorType": "author", "firstName": "Cameron G.", "lastName": "Duncan" }, { "creatorType": "author", "firstName": "Kate G.", "lastName": "Sheppard" } ], "abstractNote": "Purpose: To explore the various barriers to full practice authority (FPA) of nurse practitioners (NP) in the United States, and to identify the specific legislative barriers to FPA.Background: FPA for NPs is cited as a way to reduce the provider shortage in the U.S, increasing access to healthcare. However, the majority of states across the country restrict the NP ability to provide primary care. As of 2015, only 21 states offer NP’s full practice authority.Data Sources: A comprehensive literature search was conducted using data bases by PubMed, and MeSH, EBM Search, CINAHL, and Google Scholar. Thirty articles were chosen for synthesis.Results: Several barriers impede the ability of NPs to practice autonomously including lack of formal business or marketing education, reduced reimbursement rates, and lack of recognition from public and other health professionals about their preparation. The most common barrier is restrictive legislation halting NP practice at the level of their full knowledge and preparation. No articles were found identifying specific barriers to implementing FPA legislation.Implications: There is a gap in the literature identifying specific barriers to implementing successful legislation to remedy this problem. Understanding how NPs, NP organizations, legislators, and policy-makers are working to overcome these barriers and attain full practice authority in their respective states will help other states in their efforts to obtain similar legislation.", "publicationTitle": "International Journal of Nursing Student Scholarship", "publisher": "", "place": "", "date": "2015/10/19", "volume": "2", "issue": "0", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "http://ijnss.journalhosting.ucalgary.ca/index.php/ijnss/article/view/51", "accessDate": "2016-05-01T17:19:56Z", "PMID": "", "PMCID": "", "ISSN": "2291-6679", "archive": "", "archiveLocation": "", "shortTitle": "Barriers to Nurse Practitioner Full Practice Authority (FPA)", "language": "en", "libraryCatalog": "ijnss.journalhosting.ucalgary.ca", "callNumber": "", "rights": "Copyright (c) 2015 Cameron G Duncan, Kate G Sheppard", "extra": "", "tags": [ { "tag": "Full practice authority", "type": 1 }, { "tag": "Primary care", "type": 1 }, { "tag": "autonomous practice", "type": 1 }, { "tag": "barriers", "type": 1 }, { "tag": "health policy", "type": 1 }, { "tag": "independent practice", "type": 1 }, { "tag": "leadership", "type": 1 }, { "tag": "legislation", "type": 1 }, { "tag": "nurse practitioner", "type": 1 }, { "tag": "scope of practice", "type": 1 } ], "collections": [ "ZEN6VRRZ" ], "relations": {}, "dateAdded": "2016-05-01T17:19:56Z", "dateModified": "2016-05-01T17:19:56Z" } }, { "key": "P9TJPJWU", "version": 12, "library": { "type": "group", "id": 520626, "name": "460 Stuff", "links": { "alternate": { "href": "https://www.zotero.org/groups/460_stuff", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/520626/items/P9TJPJWU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/460_stuff/items/P9TJPJWU", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/520626/items/4PF7I3UU", "type": "application/json" } }, "meta": { "createdByUser": { "id": 2607661, "username": "mtiacharoen", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/mtiacharoen", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "P9TJPJWU", "version": 12, "parentItem": "4PF7I3UU", "itemType": "attachment", "linkMode": "imported_url", "title": "PubMed Central Full Text PDF", "accessDate": "2016-04-30T02:04:19Z", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517887/pdf/11606_2008_Article_573.pdf", "note": "", "contentType": "application/pdf", "charset": "", "filename": "Zandieh et al. - 2008 - Challenges to EHR Implementation in Electronic- Ve.pdf", "md5": "617829e1e3a1122374cfe311cf890078", "mtime": 1461981860610, "tags": [], "relations": {}, "dateAdded": "2016-04-30T02:04:19Z", "dateModified": "2016-04-30T02:04:21Z" } }, { "key": "4PF7I3UU", "version": 11, "library": { "type": "group", "id": 520626, "name": "460 Stuff", "links": { "alternate": { "href": "https://www.zotero.org/groups/460_stuff", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/520626/items/4PF7I3UU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/460_stuff/items/4PF7I3UU", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2607661, "username": "mtiacharoen", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/mtiacharoen", "type": "text/html" } } }, "creatorSummary": "Zandieh et al.", "parsedDate": "2008-06", "numChildren": 2 }, "data": { "key": "4PF7I3UU", "version": 11, "itemType": "journalArticle", "title": "Challenges to EHR Implementation in Electronic- Versus Paper-based Office Practices", "creators": [ { "creatorType": "author", "firstName": "Stephanie O.", "lastName": "Zandieh" }, { "creatorType": "author", "firstName": "Kahyun", "lastName": "Yoon-Flannery" }, { "creatorType": "author", "firstName": "Gilad J.", "lastName": "Kuperman" }, { "creatorType": "author", "firstName": "Daniel J.", "lastName": "Langsam" }, { "creatorType": "author", "firstName": "Daniel", "lastName": "Hyman" }, { "creatorType": "author", "firstName": "Rainu", "lastName": "Kaushal" } ], "abstractNote": "Background\nChallenges in implementing electronic health records (EHRs) have received some attention, but less is known about the process of transitioning from legacy EHRs to newer systems.\n\nObjective\nTo determine how ambulatory leaders differentiate implementation approaches between practices that are currently paper-based and those with a legacy EHR system (EHR-based).\n\nDesign\nQualitative study.\n\nParticipants\nEleven practice managers and 12 medical directors all part of an academic ambulatory care network of a large teaching hospital in New York City in January to May of 2006.\n\nApproach\nQualitative approach comparing and contrasting perceived benefits and challenges in implementing an ambulatory EHR between practice leaders from paper- and EHR-based practices. Content analysis was performed using grounded theory and ATLAS.ti 5.0.\n\nResults\nWe found that paper-based leaders prioritized the following: sufficient workstations and printers, a physician information technology (IT) champion at the practice, workflow education to ensure a successful transition to a paperless medical practice, and a high existing comfort level of practitioners and support staff with IT. In contrast, EHR-based leaders prioritized: improved technical training and ongoing technical support, sufficient protection of patient privacy, and open recognition of physician resistance, especially for those who were loyal to a legacy EHR. Unlike paper-based practices, EHR-based leadership believed that comfort level with IT and adjustments to workflow changes would not be difficult challenges to overcome.\n\nConclusions\nLeadership at paper- and EHR-based practices in 1 academic network has different priorities for implementing a new EHR. Ambulatory practices upgrading their legacy EHR have unique challenges.", "publicationTitle": "Journal of General Internal Medicine", "publisher": "", "place": "", "date": "2008-6", "volume": "23", "issue": "6", "section": "", "partNumber": "", "partTitle": "", "pages": "755-761", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Gen Intern Med", "DOI": "10.1007/s11606-008-0573-5", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517887/", "accessDate": "2016-04-30T02:04:19Z", "PMID": "", "PMCID": "", "ISSN": "0884-8734", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "PubMed Central", "callNumber": "", "rights": "", "extra": "PMID: 18369679\nPMCID: PMC2517887", "tags": [], "collections": [ "9NDMF5QJ" ], "relations": {}, "dateAdded": "2016-04-30T02:04:19Z", "dateModified": "2016-04-30T02:04:19Z" } } ]