(Download) "Nurse Practitioner Role Implementation in Ontario Public Health Units (Quantitative RESEARCH)" by Canadian Journal of Public Health * Book PDF Kindle ePub Free
eBook details
- Title: Nurse Practitioner Role Implementation in Ontario Public Health Units (Quantitative RESEARCH)
- Author : Canadian Journal of Public Health
- Release Date : January 01, 2010
- Genre: Law,Books,Professional & Technical,
- Pages : * pages
- Size : 274 KB
Description
About six percent of nurse practitioners (NPs) practicing in primary health care settings in Ontario work in public health units (PHUs). (1) NPs are "registered nurses with additional educational preparation and experience who possess and demonstrate the competencies to autonomously diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform specific procedures within their legislated scope of practice" (p.4). (2) Primary health care nurse practitioners (NP-PHCs), also known as Family NPs, typically work in the community in settings such as community health centres, family health teams, long-term care and public health (3) and their main focus is health promotion, preventive care, diagnosis and treatment of acute minor illnesses and injuries, and monitoring and management of stable chronic diseases. Horrocks and colleagues conducted a systematic review in which they identified 11 randomized trials and 23 observational studies evaluating NPs and concluded that they are safe, effective primary health care practitioners. (4) Several funding initiatives assisted some PHUs to introduce NPs. The NP Cervical Cancer Pilot Project (2000-2003) initiated by the Ontario Ministry of Health and Long-Term Care (MoHLTC) enabled five PHUs to each hire an NP to conduct cervical screening. (5) Initially funded for five years (2001-2006), Health Canada's Early Child Development Program Prenatal-Postnatal NP Initiative (PPNP), which was administered through the Ontario Ministry of Children and Youth Services, awarded funds for an NP to each of ten PHUs. These NPs provided prenatal and postnatal health care to pregnant women and young children. (6,7) As well, PHUs applied for several MoHLTC funding opportunities for NPs to address the shortage of primary health care services in communities. These funding opportunities consisted of the Nurse Practitioner Demonstration Project, the Primary Health Care Transition Fund, and the Underserviced Area Program. (8) The PHU is a unique and recent practice setting for NPs; it is important to identify the factors associated with the successful implementation of the NP role.