Abstract
Nurse practitioners (NPs) provide many different types of healthcare services to older adults in a variety of settings. Depending on the state, nurse practitioners may work independently, but most often collaborate as a member of the interprofessional team. Studies of NP practice have consistently shown that NPs provide high-quality care, and over the past decade, there have been a number of innovative delivery models in which nurse practitioners have played an important role. This chapter outlines the various NP roles within these delivery models that occur in both inpatient and outpatient settings.
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Notes
- 1.
American Association of Nurse Practitioners—NP Facts https://www.aanp.org/all-about-nps/what-is-an-np.
- 2.
The Consensus Model for APRN Regulations: Licensure, Accreditation, Certification, and Education at http://www.nursingworld.org/consensusmodel.
- 3.
- 4.
US Census Bureau (2016).
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NCQA accreditation programs at http://www.ncqa.org/programs/recognition/practices/patient-centered-medical-home-pcmh.
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- 10.
References
Bednash G, Mezey M, Tagliareni E. The Hartford geriatric nursing initiative experience in geriatric nursing education: looking back, looking forward. Nurs Outlook. 2011;59(4):228–35.
Wilson LD. The American Association of Colleges of Nursing’s geriatric nursing education consortium. J Gerontol Nurs. 2010;36(7):14.
Kovner CT, Mezey M, Harrington C. Who cares for older adults? Workforce implications of an aging society. Health Aff. 2002;21(5):78–89.
Laurant MG, Hermens RP, Braspenning JC, Sibbald B, Grol RP. Impact of nurse practitioners on workload of general practitioners: randomised controlled trial. BMJ. 2004;328(7445):927.
Poghosyan L, Lucero R, Rauch L, Berkowitz B. Nurse practitioner workforce: a substantial supply of primary care providers. Nurs Econ. 2012;30(5):268.
Stone R, Harahan MF. Improving the long-term care workforce serving older adults. Health Aff. 2010;29(1):109–15.
Curran MA, Black M, Depp CA, Iglewicz A, Reichstadt J, Palinkas L, Jeste DV. Perceived barriers and facilitators for an academic career in geriatrics: medical students’ perspectives. Acad Psychiatry. 2015;39(3):253–8.
Bragg E, Hansen JC. A revelation of numbers: will America’s eldercare workforce be ready to care for an aging America? Generations. 2010;34(4):11–9.
Colwill JM, Cultice JM, Kruse RL. Will generalist physician supply meet demands of an increasing and aging population? Health Aff. 2008;27(3):w232–41.
Institute of Medicine (US). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. The future of nursing: leading change, advancing health. Washington, DC: National Academies Press; 2011.
Oliver GM, Pennington L, Revelle S, Rantz M. Impact of nurse practitioners on health outcomes of medicare and medicaid patients. Nurs Outlook. 2014;62(6):440–7.
Gilman DJ, Koslov TI. Policy perspectives: competition and the regulation of advanced practice nurses. Federal Trade Commission Report. 2014.
Hain D, Fleck L. Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: Online J Issues Nurs. 2014;19(2)
Van Vleet A, Paradise J. Tapping nurse practitioners to meet rising demand for primary care. http://kff.org/medicaid/issue-brief/tapping-nurse-practitioners-to-meet-rising-demand-for-primary-care/.
Zwarenstein M, Goldman J, Reeves S. Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2009;3(3):CD000072.
Boult C, Green AF, Boult LB, Pacala JT, Snyder C, Leff B. Successful models of comprehensive care for older adults with chronic conditions: evidence for the Institute of Medicine’s “retooling for an aging America” report. J Am Geriatr Soc. 2009;57(12):2328–37.
Barkauskas VH, Pohl JM, Tanner C, Onifade TJ, Pilon B. Quality of care in nurse-managed health centers. Nurs Adm Q. 2011;35(1):34–43.
Auerbach DI, Chen PG, Friedberg MW, Reid R, Lau C, Buerhaus PI, Mehrotra A. Nurse-managed health centers and patient-centered medical homes could mitigate expected primary care physician shortage. Health Aff. 2013;32(11):1933–41.
Hansen-Turton T, Bailey DN, Torres N, Ritter A. Nurse-managed health centers. AJN: Am J Nurs. 2010;110(9):23–6.
Naylor MD, Kurtzman ET. The role of nurse practitioners in reinventing primary care. Health Aff. 2010;29(5):893–9.
Pohl JM, Vonderheid SC, Barkauskas VH, Nagelkerk J. The safety net: academic nurse-managed centers’ role. Pol Polit Nurs Pract. 2004;5(2):84–94.
Scudder L. Nurse-led medical homes: current status and future plans May 27, 2011. Accessed at http://www.medscape.com/viewarticle/743197_2.
Counsell SR, Callahan CM, Buttar AB, Clark DO, Frank KI. Geriatric resources for assessment and care of elders (GRACE): a new model of primary care for low-income seniors. J Am Geriatr Soc. 2006;54(7):1136–41.
Boult C, Wieland GD. Comprehensive primary care for older patients with multiple chronic conditions: “Nobody rushes you through”. JAMA. 2010;304(17):1936–43.
Bielaszka-DuVernay C. The ‘GRACE’ model: in-home assessments lead to better care for dual eligibles. Health Aff. 2011;30(3):431–4.
Kodner DL, Kyriacou CK. Fully integrated care for frail elderly: two American models. Int J Integr Care. 2000;1:e08.
Mukamel DB, Peterson DR, Temkin-Greener HE, Delavan R, Gross D, Kunitz SJ, Williams TF. Program characteristics and enrollees’ outcomes in the program of all-inclusive care for the elderly (PACE). Milbank Q. 2007;85(3):499–531.
Callahan CM, Boustani MA, Unverzagt FW, Austrom MG, Damush TM, Perkins AJ, Fultz BA, Hui SL, Counsell SR, Hendrie HC. Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial. JAMA. 2006;295(18):2148–57.
Gilbody S, Bower P, Fletcher J, Richards D, Sutton AJ. Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Arch Intern Med. 2006;166(21):2314–21.
Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822–8.
Ouslander JG, Lamb G, Tappen R, Herndon L, Diaz S, Roos BA, Grabowski DC, Bonner A. Interventions to reduce hospitalizations from nursing homes: evaluation of the INTERACT II collaborative quality improvement project. J Am Geriatr Soc. 2011;59(4):745–53.
Naylor MD. Transitional care: a critical dimension of the home healthcare quality agenda. J Healthc Qual. 2006;28(1):48–54.
Naylor MD. Transitional care of older adults. Annu Rev Nurs Res. 2002;20(1):127–47.
Naylor MD, Kurtzman ET, Pauly MV. Transitions of elders between long-term care and hospitals. Policy Polit Nurs Pract. 2009;10(3):187–94.
Bixby MB, Naylor MD. The transitional care model (TCM): hospital discharge screening criteria for high risk older adults. Medsurg Nurs. 2010;19(1):62–4.
McCauley KM, Bixby MB, Naylor MD. Advanced practice nurse strategies to improve outcomes and reduce cost in elders with heart failure. Dis Manag. 2006;9(5):302–10.
Bakerjian D. Care of nursing home residents by advanced practice nurses: a review of the literature. Res Gerontol Nurs. 2008;1(3):177–85.
Stanik-Hutt J, Newhouse RP, White KM, Johantgen M, Bass EB, Zangaro G, Wilson R, Fountain L, Steinwachs DM, Heindel L, Weiner JP. The quality and effectiveness of care provided by nurse practitioners. J Nurse Pract. 2013;9(8):492–500.
Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ. 2002;324(7341):819–23.
Newhouse RP, Stanik-Hutt J, White KM, Johantgen M, Bass EB, Zangaro G, Wilson RF, Fountain L, Steinwachs DM, Heindel L, Weiner JP. Advanced practice nurse outcomes 1990–2008: a systematic review. Nurs Econ. 2011;29(5):230.
Bakerjian D, Harrington C. Factors associated with the use of advanced practice nurses/physician assistants in a fee-for-service nursing home practice: a comparison with primary care physicians. Res Gerontol Nurs. 2012;5(3):163–73.
Golden AG, Tewary S, Dang S, Roos BA. Care management’s challenges and opportunities to reduce the rapid rehospitalization of frail community-dwelling older adults. Gerontologist. 2010;50(4):451–8:gnq015
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Bakerjian, D. (2018). Nurse Practitioners and Primary Care for Older Adults. In: Wasserman, M., Riopelle, J. (eds) Primary Care for Older Adults. Springer, Cham. https://doi.org/10.1007/978-3-319-61329-1_12
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