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The acute care nurse practitioner in collaborative practice

L Buchanan

    Journal of the American Academy of Nurse Practitioners
    |January 1, 1996
    PubMed
    Summary
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    This study evaluated an alternative medical service using certified nurse practitioners to address physician shortages. The collaborative model demonstrated a new approach to patient care delivery within a hierarchical healthcare system.

    Area of Science:

    • Healthcare Management
    • Nursing Practice
    • Medical Education

    Background:

    • Traditional nurse-physician relationships are largely hierarchical, with physicians holding primary decision-making authority.
    • Nurses and other healthcare providers often support the medical plan of care and physician productivity.
    • Medical centers rely on house staff (interns, residents) for collaborative care delivery with attending physicians.

    Purpose of the Study:

    • To describe the development and evaluation of an alternative medical service.
    • To assess a collaborative practice model utilizing nurse practitioners.
    • To explore the role of nurse practitioners in patient care delivery.

    Main Methods:

    • An alternative service was developed and evaluated at a medical center experiencing internal medicine house staff shortages.

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  • Master prepared, certified nurse practitioners provided care for selected medical patients on a nonteaching service.
  • Physicians consulted with nurse practitioners but retained final decision-making authority for patient admission.

    • Main Results:

    • The study evaluated an alternative service model for patient care.
    • The collaborative practice model involved nurse practitioners and physicians.
    • The role of nurse practitioners in this model was examined.

    Conclusions:

    • The implementation of an alternative service utilizing nurse practitioners can address healthcare workforce challenges.
    • Collaborative practice models offer a framework for improving nurse-physician relationships and care delivery.
    • Guidelines for developing collaborative practice relationships between nursing staff, nurse practitioners, and physicians are suggested.