The Experts below are selected from a list of 32385 Experts worldwide ranked by ideXlab platform
Grant R. Martsolf - One of the best experts on this subject based on the ideXlab platform.
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Practice Patterns, Work Environments, and Job Outcomes of Rural and Urban Primary Care Nurse Practitioners:
Medical care research and review : MCRR, 2020Co-Authors: Hayley D. Germack, Jordan M. Harrison, Lusine Poghosyan, Grant R. MartsolfAbstract:As nurse practitioners (NPs) are increasingly relied on to deliver primary care in rural communities, it is critical to understand the contexts in which they work and whether they are characterized by work environments and infrastructures that facilitate the provision of high-quality patient care. This study compares urban and rural NPs using data from a survey of 1,244 primary care NPs in Arizona, California, New Jersey, Pennsylvania, Texas, and Washington. While rural and urban NPs have a number of similarities in terms of demographic characteristics, Practice patterns, and job outcomes, they also have noteworthy differences. Rural NPs report higher levels of independent Practice, fewer structural capabilities that facilitate quality care, and poorer relationships with physicians. Health care organizations in rural communities may need to invest in work environments and infrastructures that facilitate high-quality care and Autonomous Practice for NPs.
Betsy Blackmer - One of the best experts on this subject based on the ideXlab platform.
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The First Year of Practice: An Investigation of the Professional Learning and Development of Promising Novice Physical Therapists
Physical therapy, 2010Co-Authors: Lisa Black, Gail M. Jensen, Elizabeth Mostrom, Jan Perkins, Pamela D. Ritzline, Lorna M. Hayward, Betsy BlackmerAbstract:Background. The goal in studying expertise is not merely to describe ways in which experts excel but also to understand how experts develop in order to better facilitate the development of novices. The study of novice progression helps us to understand what successful versus unsuccessful learning looks like. This understanding is critical, as Autonomous Practice places increased demands for advanced clinical judgments and the ability to assume professional responsibilities. Objectives. The purpose of this study was to explore the experiences, learning, and development of promising novice therapists throughout their first year of Practice in the United States.
Kerri Louise Miedema - One of the best experts on this subject based on the ideXlab platform.
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A Rural Scope of Practice for Pharmacists
International Journal of Integrated Care, 2018Co-Authors: Kerri Louise MiedemaAbstract:Introduction : Too few medical graduates opt to become general practitioners or family physicians, particularly in rural areas. Predicted to worsen in the next decade as current practitioners retire, to meet health needs it will be essential to make the best use of all available health professionals. Building on existing collaboration and with better use of technology, community pharmacists have the skills and knowledge to provide expanded services. A ‘rural’ scope of Practice for pharmacists, allowing more Autonomous Practice, could improve health provision and pharmacist retention in rural areas. Objective : To show how pharmacists could better meet the health needs of rural New Zealanders by providing accessible, safe and affordable care in line with New Zealand’s health strategies. Targeted population : Policy makers, health providers or funders, pharmacists and other health professionals practising in rural or provincial areas. Exemplified by the author’s experience as a community pharmacist in Greymouth, a provincial town on the West Coast of New Zealand’s South Island. Highlights : There is a high reliance on locums due to the shortage of medical practitioners in rural areas. A lack of continuity of care has been associated with increased hospital admissions. Community pharmacists are highly accessible with a quarter of New Zealand’s population visiting a pharmacy every month. Comparisons are drawn with changes in scopes of Practice for New Zealand health professionals and developments in expanded pharmacist services in other jurisdictions; the United Kingdom and Canada. There is potential for pharmacists to work more collaboratively with better integration, using technology to build on existing collegial relationships. A role between the current ‘pharmacist’ and ‘pharmacist prescriber’ scopes of Practice would allow more Autonomous Practice by pharmacists in rural or hard to staff areas. Using existing linkages with university rural outposts could give pharmacists additional training and a transferable qualification while improving health care provision. Various solutions are offered, to improve services available from rural pharmacists, including creating a vocational scope in rural pharmacy. A ‘rural’ scope of Practice, not available to urban pharmacists, fits with New Zealand’s current health policy framework which encourages team work and top of scope Practice. Transferability : Rural scopes of Practice apply in some medical and nursing fields. Expanded scopes of Practice for pharmacists have been successful in other jurisdictions. Rural scopes of Practice could be applied to pharmacists and other allied health professionals practising in rural or high needs areas. Conclusions : Experience elsewhere shows pharmacists can use their skills to do more for patient care. Where offered, these services are safe, effective and well received by patients while improving pharmacist job satisfaction. They reduce presentations to medical Practices or emergency departments, leading to better use of resources. By providing a richer professional environment, a rural scope of Practice for pharmacists could incentivise relocation to areas difficult to staff.
Sandra L Abrams - One of the best experts on this subject based on the ideXlab platform.
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Historical perspectives of autonomy within the medical profession: considerations for 21st century physical therapy Practice.
The Journal of orthopaedic and sports physical therapy, 2005Co-Authors: Michael P Johnson, Sandra L AbramsAbstract:As a part of the American Physical Therapy Association's (APTA) vision statement, by the year 2020, physical therapists "will hold all privileges of Autonomous Practice." This vision statement and the ideals held within it are elemental to the direction of our continued growth as a profession. Many members and nonmembers, however, appear confused and perhaps even intimidated by the concept of Autonomous Practice. This paper will review and discuss the processes used by other health care professions to gain autonomy within the US health care system. In particular, the processes used by physicians, which were extremely effective and have been used as a template by many other health professions, including physical therapy. Further discussion will focus on the physical therapy profession, emphasizing the parallels with medicine and considering many issues relevant to the goal of Autonomous Practice. By understanding the past and considering the present, readers will develop an appreciation of (1) the foundation for Autonomous Practice in health care, (2) the vision of the APTA and why the profession is well positioned to achieve this vision, and (3) the factors we need to consider to hold (and maintain) all privileges of Autonomous Practice.
Isabelle Raiche - One of the best experts on this subject based on the ideXlab platform.
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the educational role of autonomy in medical training a scoping review
Journal of Surgical Research, 2019Co-Authors: Molly Allen, Nada Gawad, Lily Park, Isabelle RaicheAbstract:Abstract Background Recent limits imposed on autonomy have raised concern regarding the quality of medical training. The impact of autonomy on medical education has not been comprehensively reviewed. A scoping review was performed to understand the significance of Autonomous Practice in medical training. Methods The MEDLINE and Embase databases were searched for all studies on the role of autonomy in medical training. Articles were included that referenced the medical profession or trainees, and “autonomy,” “independence,” or “supervision”. Data were qualitatively synthesized and analyzed. Results The search yielded 3649 articles of which 189 were included. Fourteen studies specifically investigated the role of autonomy: 10 surveys on resident perception, and four studies comparing the effect of supervision on learning outcomes. The remaining 175 publications described participant (88) or author (87) opinions regarding the benefits of autonomy as an educational strategy. One quarter (48) of the publications specifically pertained to surgical disciplines, of which one specifically investigated the role of autonomy. Common themes associated autonomy with increased confidence, readiness for independent Practice, the development of clinical decision-making skills, and professional identity. Conclusions The current literature primarily represents the opinions of medical educators and trainees. A better understanding of the role of autonomy could inform the development of strategies to compensate for the gap left by the current context of decreased autonomy in medical training.
