The Experts below are selected from a list of 26631 Experts worldwide ranked by ideXlab platform
Claire Capewell - One of the best experts on this subject based on the ideXlab platform.
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P100 Short of doctors? could a physician’s assistant or advanced nurse Practitioner be the answer? A project investigating the role of a Mid-Level Practitioner on a Hospice Inpatient Unit
BMJ Supportive & Palliative Care, 2013Co-Authors: Alison Parr, Claire CapewellAbstract:Introduction and Aims During a period of reduced medical staffing, the Hospice appointed an experienced Hospice Sister in the novel role of a Mid-Level Practitioner on the inpatient unit. The role entailed working alongside the medical team, assisting with clinical reviews and designated tasks previously undertaken by doctors. A 6 month project piloted the role and made recommendations about future options. Methods A literature review gathered information on Physician Assistants (PA) and Advanced Nurse Practitioners (ANP). 20 staff were surveyed to ascertain views about the role. The experiences of 3 ANPs working in different settings/specialties were explored to further understand the potential variety and development of such roles within multidisciplinary teams. Results We describe and compare different aspects of the roles of PAs and ANPs: the historical context, training, roles, revalidation and salaries. The key findings of the staff survey are highlighted. The majority of respondents felt the role was of ‘great value’ to the team, to patients and to families. Improvements were perceived in prioritisation of medical time, continuity of care, psychological and spiritual care of families and carers, communication between medical and nursing/AHP teams and flexibility of roles more widely within the team. 90% of staff surveyed thought it would be ’extremely useful’ to have the role continue. Discussion and conclusion In our experience, a Senior Sister working as a dependent Practitioner alongside the medical team has worked well. However, in order to optimise the potential for this role, additional training is required. ANPs appear to provide the best option overall for a mid level Practitioner in a Hospice setting. The main advantages over a PA are: ability to prescribe, availability of accredited training, autonomy of the role and familiarity of staff and patients with the title and role in other contexts.
Vari Drennan - One of the best experts on this subject based on the ideXlab platform.
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Introducing physician associates to hospital patients: Development and feasibility testing of a patient experience‐based intervention
Health expectations : an international journal of public participation in health care and health policy, 2020Co-Authors: Francesca Taylor, Jonathan Ogidi, Rakhee Chauhan, Zeena Ladva, Sally Brearley, Vari DrennanAbstract:Background Physician associates (PAs) are one of many new Mid-Level health Practitioner roles being introduced worldwide. They are a recent innovation in English hospitals. Patient confusion with novel Mid-Level Practitioner titles and roles is well documented, alongside evidence of a positive association between patients' ability to identify Practitioners and patient satisfaction. No prior research developed an intervention to introduce PAs or any other new Practitioner role to hospital patients. Objective To develop, with patient and public involvement and engagement (PPIE), an intervention for introducing the PA role to hospital patients, and to test feasibility. Methods Intervention development was underpinned by an experience-based co-design approach. Workshop participants generated ideas for introducing PAs, subsequently explored in semi-structured interviews with hospital patients (n = 13). Interview findings were used by participants in a second workshop to design the intervention. Feasibility of the intervention was assessed in relation to its acceptability and efficacy using semi-structured interviews with hospital patients (n = 20) and PAs (n = 3). Results The intervention developed was a patient information leaflet. It was considered feasible to use in the hospital setting, helpful to patients in understanding the PA role and acceptable to both patients and PAs. The intervention was also appreciated by patients for providing reassurance of care and support. Conclusions An experience-based co-design approach enabled development of an intervention tailored to patients' experiential preferences. Positive evidence of feasibility and utility is encouraging, supporting future larger-scale testing. Patient and public contribution PPIE representatives were involved in the study design, intervention development and data interpretation.
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Physician Associate and General Practitioner Consultations: A Comparative Observational Video Study
PloS one, 2016Co-Authors: Simon De Lusignan, Andrew Mcgovern, Mohammad Aumran Tahir, Simon Hassan, Simon Jones, Mary Halter, Louise Joly, Vari DrennanAbstract:BACKGROUND: Physician associates, known internationally as physician assistants, are a Mid-Level Practitioner, well established in the United States of America but new to the United Kingdom. A small number work in primary care under the supervision of general Practitioners, where they most commonly see patients requesting same day appointments for new problems. As an adjunct to larger study, we investigated the quality of the patient consultation of physician associates in comparison to that of general Practitioners. METHOD: We conducted a comparative observational study using video recordings of consultations by volunteer physician associates and general Practitioners with consenting patients in single surgery sessions. Recordings were assessed by experienced general Practitioners, blinded to the type of the consulting Practitioner, using the Leicester Assessment Package. Assessors were asked to comment on the safety of the recorded consultations and to attempt to identify the type of Practitioner. Ratings were compared across Practitioner type, alongside the number of presenting complaints discussed in each consultation and the number of these which were acute, minor, or regarding a chronic condition. RESULTS: We assessed 62 consultations (41 general Practitioner and 21 physician associates) from five general Practitioners and four physician associates. All consultations were assessed as safe; but general Practitioners were rated higher than PAs in all elements of consultation. The general Practitioners were more likely than physician associates to see people with multiple presenting complaints (p
Alison Parr - One of the best experts on this subject based on the ideXlab platform.
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P100 Short of doctors? could a physician’s assistant or advanced nurse Practitioner be the answer? A project investigating the role of a Mid-Level Practitioner on a Hospice Inpatient Unit
BMJ Supportive & Palliative Care, 2013Co-Authors: Alison Parr, Claire CapewellAbstract:Introduction and Aims During a period of reduced medical staffing, the Hospice appointed an experienced Hospice Sister in the novel role of a Mid-Level Practitioner on the inpatient unit. The role entailed working alongside the medical team, assisting with clinical reviews and designated tasks previously undertaken by doctors. A 6 month project piloted the role and made recommendations about future options. Methods A literature review gathered information on Physician Assistants (PA) and Advanced Nurse Practitioners (ANP). 20 staff were surveyed to ascertain views about the role. The experiences of 3 ANPs working in different settings/specialties were explored to further understand the potential variety and development of such roles within multidisciplinary teams. Results We describe and compare different aspects of the roles of PAs and ANPs: the historical context, training, roles, revalidation and salaries. The key findings of the staff survey are highlighted. The majority of respondents felt the role was of ‘great value’ to the team, to patients and to families. Improvements were perceived in prioritisation of medical time, continuity of care, psychological and spiritual care of families and carers, communication between medical and nursing/AHP teams and flexibility of roles more widely within the team. 90% of staff surveyed thought it would be ’extremely useful’ to have the role continue. Discussion and conclusion In our experience, a Senior Sister working as a dependent Practitioner alongside the medical team has worked well. However, in order to optimise the potential for this role, additional training is required. ANPs appear to provide the best option overall for a mid level Practitioner in a Hospice setting. The main advantages over a PA are: ability to prescribe, availability of accredited training, autonomy of the role and familiarity of staff and patients with the title and role in other contexts.
Donna Perry - One of the best experts on this subject based on the ideXlab platform.
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A comprehensive approach to facilitating the recovery of cardiac surgery patients.
The Journal of cardiovascular nursing, 1998Co-Authors: Amy L. Corsetti, Donna PerryAbstract:This article describes the cardiac surgery program at Baystate Medical Center. It emphasizes the importance of planning for the discharge process, early extubation, and structured activity guidelines and their effect on patient outcomes. The unique roles of the staff nurse, Mid-Level Practitioner, and the clinical resource coordinator in facilitating the case management process are addressed.
Simon De Lusignan - One of the best experts on this subject based on the ideXlab platform.
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Physician Associate and General Practitioner Consultations: A Comparative Observational Video Study
PloS one, 2016Co-Authors: Simon De Lusignan, Andrew Mcgovern, Mohammad Aumran Tahir, Simon Hassan, Simon Jones, Mary Halter, Louise Joly, Vari DrennanAbstract:BACKGROUND: Physician associates, known internationally as physician assistants, are a Mid-Level Practitioner, well established in the United States of America but new to the United Kingdom. A small number work in primary care under the supervision of general Practitioners, where they most commonly see patients requesting same day appointments for new problems. As an adjunct to larger study, we investigated the quality of the patient consultation of physician associates in comparison to that of general Practitioners. METHOD: We conducted a comparative observational study using video recordings of consultations by volunteer physician associates and general Practitioners with consenting patients in single surgery sessions. Recordings were assessed by experienced general Practitioners, blinded to the type of the consulting Practitioner, using the Leicester Assessment Package. Assessors were asked to comment on the safety of the recorded consultations and to attempt to identify the type of Practitioner. Ratings were compared across Practitioner type, alongside the number of presenting complaints discussed in each consultation and the number of these which were acute, minor, or regarding a chronic condition. RESULTS: We assessed 62 consultations (41 general Practitioner and 21 physician associates) from five general Practitioners and four physician associates. All consultations were assessed as safe; but general Practitioners were rated higher than PAs in all elements of consultation. The general Practitioners were more likely than physician associates to see people with multiple presenting complaints (p