In this column, Dr Reid Ponte interviews Monica O'Reilly-Jacob, PhD, FNP-BC, Assistant Professor of Nursing, Connell School of Nursing, Chestnut Hill, MA. Dr O'Reilly-Jacob addresses her personal and professional commitment to timely and cost-effective healthcare provided by nurse practitioners working at their full scope of practice.
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Background: Older adults from specific racial and ethnic minoritized groups experience disproportionately higher asthma prevalence, morbidity, and mortality. They also often use emergency departments (EDs) to manage their asthma. High-quality primary care can improve asthma control and prevent ED use.
View Article and Find Full Text PDFThe quality of home-based primary care delivered by nurse practitioners: A national Medicare claims analysis.
J Am Geriatr Soc
December 2024
Columbia University School of Nursing, New York, New York, USA.
Background: As the US population ages, there is an increasing demand for home-based primary care (HBPC) by those with Alzheimer's/dementia, multiple chronic conditions, severe physical limitations, or those facing end-of life. Nurse practitioners (NPs) are increasingly providing HBPC, yet little is known about their quality of care in this unique setting.
Methods: This observational study uses Medicare claims data from 2018 to assess the quality of care for high-intensity HBPC users (5 or more visits/year) based on provider type (NP-only, physician (MD)-only, or both NP and MDs).
Continued restrictions on nurse practitioners: A qualitative study of the early implementation of full practice authority in Massachusetts.
Nurs Outlook
October 2024
College of Nursing and Professional Disciplines, University of North Dakota, Grand Forks, ND.
Background: In January 2021, the Commonwealth of Massachusetts granted nurse practitioners (NPs) full practice authority (FPA). Little is known about how care delivery changed after FPA legislation.
Purpose: To understand the NP perception of early implementation of FPA in Massachusetts.
Implementation of Full Practice Authority for Nurse Practitioners in Massachusetts: Impact of Organizational Climate on Practice Change.
J Nurs Adm
July 2024
Author Affiliations: Clinical Associate Professor (Dr Zwilling), University of North Dakota College of Nursing & Professional Disciplines, Grand Forks; and Assistant Professor (Dr O'Reilly-Jacob), Boston College Connell School of Nursing, Chestnut Hill, Massachusetts.
Objective: The aim of this study was to examine the relationship between nurse practitioner (NP) organizational climate and the implementation of full practice authority (FPA) for NPs.
Background: In 2021, Massachusetts passed FPA for NPs. Most NPs did not experience changes to their practice.
Nurse practitioners' degrees and associations with time use, functional autonomy, and job outcomes.
Nurs Outlook
August 2024
School of Nursing, Columbia University, New York, NY.
Background: Doctorate of Nursing Practice preparation is recommended for entry to nurse practitioner (NP) practice but there are few comparative studies, and their designs conflate educational pathways.
Purpose: To investigate time use, functional autonomy, and job outcomes among NPs without a doctorate, NPs whose initial NP preparation and doctorate were separated by 2 or more years, and NPs whose NP preparation and doctorate were concurrent.
Method: We selected all NPs from the 2018 National Sample Survey of Registered Nurses, except those whose doctorates focused on research.
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