- Email: [email protected]
Celebrating the Acute Care Nurse Practitioner
“ACNP seeks to ensure a solid policy and regulatory foundation for nurse practitioner practice which promotes affordable, high quality healthcare for all.”
From the President
The American College of Nurse Practitioners 225 Reinekers Lane, Suite 525 Alexandria, VA 22314 Tel: 703-740-2529 Fax: 703-740-2533 Email: [email protected] Web site: www.ACNPweb.org
Celebrating the Acute Care Nurse Practitioner
Board of Directors and Staff Contacts President Jill Olmstead, MSN, NP-C President Elect Kenneth Miller, PhD, RN, CFNP, FAAN Treasurer Mary Eng Huntsinger, RN, MSN, CNS, ACNP-BC Secretary Joan Zaccardi, DrNP, APRN, BC Immediate Past-President Janet Selway, DNSc, CRNP-A/P Director for Education Donald Gardenier, DNP, FNP-BC Director for Health Policy Susan Apold, PhD, RN, ANP-BC Director for Communications Ruth Busch, MSN, RN, ARNP, BC (FNP, CNS) Director for Membership Cynthia J. Edwards-Tuttle, MSN, FNP, BC Director for National Affiliates Theresa Wadas, PhD(c), ACNP-BC, FNP-BC, CCRN Director for State Affiliates Alison Mitchell, RN, MSN, ACNP-C
ACNP Staff David E. Hebert, CEO Debra Swan, Director, Marketing & Meetings Nick Rumberger, Communications and Membership Coordinator Tim Wagner, Manager, Administrative Services
ACNP National Affiliate Organizations AACN ANCC GAPNA NNCC NONPF NPWH
American Association of Critical-Care Nurses American Nurses Credentialing Center Gerontological Advanced Practice Nurses Association National Nursing Clinics Consortium National Organization of Nurse Practitioner Faculties National Association of Nurse Practitioners in Women’s Health NPACE Nurse Practitioner Associates for Continuing Education NSO Nurses Service Organization
ACNP State Affiliate Organizations Alabama Advanced Practice Council Alaska Nurse Practitioner Association Arizona Nurse Practitioner Council Advanced Practice Council of the Arkansas Nurses Association California Association for Nurse Practitioners Colorado Society of Advanced Practice Nurses Connecticut Advanced Practice Registered Nurse Society Advanced Practice Nurse Council of Delaware Nurse Practitioner Association of the District of Columbia Florida Nurses Association Advanced Practice Council Nurse Practitioner Council of Coastal Georgia Iowa Nurse Practitioner Society Kentucky Coalition of Nurse Practitioners/Nurse Midwives Louisiana Association of Nurse Practitioners Maine Nurse Practitioner Association Nurse Practitioner Association of Maryland Massachusetts Coalition of Nurse Practitioners Michigan Council of Nurse Practitioners Association of Southeast Minnesota Nurse Practitioners Mississippi Nurses Association, NP Special Interest Group Nebraska Nurse Practitioners New Hampshire Nurse Practitioners Association Forum of Nurses in Advanced Practice of New Jersey State Nurses Association New Mexico Nurse Practitioner Council The Nurse Practitioner Association New York State North Carolina Nurses Association Council of NPs North Dakota Nurse Practitioners Association Ohio Association of Advanced Practice Nurses Oregon Coalition of Nurse Practitioners Pennsylvania Coalition of Nurse Practitioners Nurse Practitioner Association of South Dakota Tennessee Nurses Association Council of Advanced Practice Nurses Texas Nurse Practitioners Vermont Nurse Practitioner Association Virginia Council of Nurse Practitioners ARNPs United of Washington State Wisconsin Nurses Association, Advanced Practice Nurses Forum
ne of the roles which has emerged for the advanced practice nurse is the acute care nurse practitioner (NP). We celebrate that role in this issue of JNP. It is hard to believe that the first national certification was provided in 1996. It was a mere 16 years ago that the NP was credentialed by a national certification to provide care in an acute care setting. The transformation of the NP role has been evident as more and more NPs cross over into many acute settings. Studies have shown that the NP working in an acute care setting can improve patient outcomes, reduce length of stay, and improve patient satisfaction. The article “Advanced Practice Nurse Outcomes, A Systematic Review”1 identified additional studies where NPs and MDs provided comparable care in critically ill adults requiring endotracheal intubation or tracheotomy and mechanical ventilation for respiratory failure. The care provided in the acute setting encompasses not only caring for acute patients’ health and performing procedures but improving communication with the family during the stress of the hospitalization. The NP is an integral team member of the multidisciplinary, hospital-based staff taking part in this process. The role is likely to grow, with supplementing the everchanging residency hour requirements and assisting hospital to improve their report cards and achieve core measures. The Institute of Medicine’s report “The Future of Nursing: Leading Change, Advancing Health”2 has recommended that NPs be utilized to their highest level of education and competency. We must continue to support emerging roles and models of care for the NP to practice in the acute care setting. We must continue to be innovative and explore new opportunities. We must implement new models of nonhierchial team-based care and institute outcomes measures at the onset to collect data that illustrate performance. We celebrate the acute care role and look forward to the great opportunities on the horizon! “Creativity is thinking up new things. Innovation is doing new things.” Theodore Levitt (American economist)
O
References 1. Newhouse R, Bass EB, Steinwachs DM, et al. 1990-2008: Advanced practice nurse outcomes, a systematic review. Nurs Econ. 2011;29(5). https://www.nursingeconomics .net/ce/2013/article 3001021.pdf. Accessed March 12, 2012. 2. Institute of Medicine. The future of nursing: leading change, advancing health. http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-AdvancingHealth.aspx. Accessed March 12, 2012. Bibliography Kleinpell R. Acute care nurse practitioner practice: results of a 5-year longitudinal study. Am J Crit Care. 2005;14:211-219. http://ajcc.aacnjournals.org/content/ 14/3/211.full.pdf +html. Accessed March 12, 2012. Winne M, Cashavelly B, Annese C, et al. Implementation of 2 nurse practitioner inpatient models. J Nurs Admin. 2012;42(2):110-116.
Jill Olmstead, MSN, NP-C ACNP President 2012
ACNP Group Affiliates Nurse Practitioner Group of Spokane Northern Advanced Practice Nurses Network (Michigan) Illinois Society for Advanced Practice Nursing
www.npjournal.org
1555-4155/121/$ see front matter © 2012 American College of Nurse Practitioners doi:10.1016/j.nurpra.2012.03.012
The Journal for Nurse Practitioners - JNP
349
From the President
The American College of Nurse Practitioners 225 Reinekers Lane, Suite 525 Alexandria, VA 22314 Tel: 703-740-2529 Fax: 703-740-2533 Email: [email protected] Web site: www.ACNPweb.org
Celebrating the Acute Care Nurse Practitioner
Board of Directors and Staff Contacts President Jill Olmstead, MSN, NP-C President Elect Kenneth Miller, PhD, RN, CFNP, FAAN Treasurer Mary Eng Huntsinger, RN, MSN, CNS, ACNP-BC Secretary Joan Zaccardi, DrNP, APRN, BC Immediate Past-President Janet Selway, DNSc, CRNP-A/P Director for Education Donald Gardenier, DNP, FNP-BC Director for Health Policy Susan Apold, PhD, RN, ANP-BC Director for Communications Ruth Busch, MSN, RN, ARNP, BC (FNP, CNS) Director for Membership Cynthia J. Edwards-Tuttle, MSN, FNP, BC Director for National Affiliates Theresa Wadas, PhD(c), ACNP-BC, FNP-BC, CCRN Director for State Affiliates Alison Mitchell, RN, MSN, ACNP-C
ACNP Staff David E. Hebert, CEO Debra Swan, Director, Marketing & Meetings Nick Rumberger, Communications and Membership Coordinator Tim Wagner, Manager, Administrative Services
ACNP National Affiliate Organizations AACN ANCC GAPNA NNCC NONPF NPWH
American Association of Critical-Care Nurses American Nurses Credentialing Center Gerontological Advanced Practice Nurses Association National Nursing Clinics Consortium National Organization of Nurse Practitioner Faculties National Association of Nurse Practitioners in Women’s Health NPACE Nurse Practitioner Associates for Continuing Education NSO Nurses Service Organization
ACNP State Affiliate Organizations Alabama Advanced Practice Council Alaska Nurse Practitioner Association Arizona Nurse Practitioner Council Advanced Practice Council of the Arkansas Nurses Association California Association for Nurse Practitioners Colorado Society of Advanced Practice Nurses Connecticut Advanced Practice Registered Nurse Society Advanced Practice Nurse Council of Delaware Nurse Practitioner Association of the District of Columbia Florida Nurses Association Advanced Practice Council Nurse Practitioner Council of Coastal Georgia Iowa Nurse Practitioner Society Kentucky Coalition of Nurse Practitioners/Nurse Midwives Louisiana Association of Nurse Practitioners Maine Nurse Practitioner Association Nurse Practitioner Association of Maryland Massachusetts Coalition of Nurse Practitioners Michigan Council of Nurse Practitioners Association of Southeast Minnesota Nurse Practitioners Mississippi Nurses Association, NP Special Interest Group Nebraska Nurse Practitioners New Hampshire Nurse Practitioners Association Forum of Nurses in Advanced Practice of New Jersey State Nurses Association New Mexico Nurse Practitioner Council The Nurse Practitioner Association New York State North Carolina Nurses Association Council of NPs North Dakota Nurse Practitioners Association Ohio Association of Advanced Practice Nurses Oregon Coalition of Nurse Practitioners Pennsylvania Coalition of Nurse Practitioners Nurse Practitioner Association of South Dakota Tennessee Nurses Association Council of Advanced Practice Nurses Texas Nurse Practitioners Vermont Nurse Practitioner Association Virginia Council of Nurse Practitioners ARNPs United of Washington State Wisconsin Nurses Association, Advanced Practice Nurses Forum
ne of the roles which has emerged for the advanced practice nurse is the acute care nurse practitioner (NP). We celebrate that role in this issue of JNP. It is hard to believe that the first national certification was provided in 1996. It was a mere 16 years ago that the NP was credentialed by a national certification to provide care in an acute care setting. The transformation of the NP role has been evident as more and more NPs cross over into many acute settings. Studies have shown that the NP working in an acute care setting can improve patient outcomes, reduce length of stay, and improve patient satisfaction. The article “Advanced Practice Nurse Outcomes, A Systematic Review”1 identified additional studies where NPs and MDs provided comparable care in critically ill adults requiring endotracheal intubation or tracheotomy and mechanical ventilation for respiratory failure. The care provided in the acute setting encompasses not only caring for acute patients’ health and performing procedures but improving communication with the family during the stress of the hospitalization. The NP is an integral team member of the multidisciplinary, hospital-based staff taking part in this process. The role is likely to grow, with supplementing the everchanging residency hour requirements and assisting hospital to improve their report cards and achieve core measures. The Institute of Medicine’s report “The Future of Nursing: Leading Change, Advancing Health”2 has recommended that NPs be utilized to their highest level of education and competency. We must continue to support emerging roles and models of care for the NP to practice in the acute care setting. We must continue to be innovative and explore new opportunities. We must implement new models of nonhierchial team-based care and institute outcomes measures at the onset to collect data that illustrate performance. We celebrate the acute care role and look forward to the great opportunities on the horizon! “Creativity is thinking up new things. Innovation is doing new things.” Theodore Levitt (American economist)
O
References 1. Newhouse R, Bass EB, Steinwachs DM, et al. 1990-2008: Advanced practice nurse outcomes, a systematic review. Nurs Econ. 2011;29(5). https://www.nursingeconomics .net/ce/2013/article 3001021.pdf. Accessed March 12, 2012. 2. Institute of Medicine. The future of nursing: leading change, advancing health. http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-AdvancingHealth.aspx. Accessed March 12, 2012. Bibliography Kleinpell R. Acute care nurse practitioner practice: results of a 5-year longitudinal study. Am J Crit Care. 2005;14:211-219. http://ajcc.aacnjournals.org/content/ 14/3/211.full.pdf +html. Accessed March 12, 2012. Winne M, Cashavelly B, Annese C, et al. Implementation of 2 nurse practitioner inpatient models. J Nurs Admin. 2012;42(2):110-116.
Jill Olmstead, MSN, NP-C ACNP President 2012
ACNP Group Affiliates Nurse Practitioner Group of Spokane Northern Advanced Practice Nurses Network (Michigan) Illinois Society for Advanced Practice Nursing
www.npjournal.org
1555-4155/121/$ see front matter © 2012 American College of Nurse Practitioners doi:10.1016/j.nurpra.2012.03.012
The Journal for Nurse Practitioners - JNP
349