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Mattheus, D., Shannon, M., Gandhi, K., & Lim, E. (2018).

Oral Health Knowledge and

Practices of Pediatric and Family Nurse Practitioners. Journal of Pediatric Health Care.

The aim of the Article

This article empirically assesses the critical relationship between the activities of NPs

related to oral health education and their current oral health practices and knowledge. The

researchers notably conducted online survey-based research on NPs and other nurses. The results

obtained suggested that undertaking oral health courses by NPs is critically essential as it

significantly enhances their comfort in performing various procedures related to oral care. The

authors' primary aim with this article seems to convince readers the importance of oral health

courses and training for NPS based on current scientific evidence as it equips them with some of

the latest oral health best practices and guidelines beyond their regular academic education. This

enables registered nurses including Family nurse practitioners to improve the health outcomes of

their patients.

Strengths, Weaknesses & Overall Opinion

The authors have based their assertions and arguments on empirical evidence from a

qualitative survey. This has significantly enhanced the validity of their findings. However, the

study findings are not easily generalizable as the survey was only done on a relatively few

numbers of respondents. My general opinion on the article is that despite the problem of its

generalizability, the findings of the study are reasonably consistent with current best practices by

registered nurses and that registered nurses have to undertake more courses and training to be

more effective in administering their services.

Erickson V; Prescriptive practices of nurse practitioners for acute otitis media (AOM). Program and
abstracts of National Organization of Nurse Practitioner Faculties 26th Annual Meeting; April 13‐ 16,
2000; Washington, DC. Session MR6.

Summary: This study evaluated children with acute otitis media or middle ear infection in three practice
sites over a 2‐year period. Data collected regarding the prescribing patterns of all nurse practitioners,
paediatric nurse practitioners and family nurse practitioners revealed that family nurse practitioners
prescribed lower‐cost antibiotics 98% of the time, compared with paediatric nurse practitioners, who
prescribed lower‐cost antibiotics 88% of the time. Summary analysis of the data, when compared to the
physicians in Bermanʹs study, revealed that nurse practitioners prescribe high‐ cost antibiotics less often
than do physicians.

A conceptual framework for evaluating the nurse practitioner role in acute care

The conceptualization and enactment of the ACNP role varies across settings,
potentially leading to variability in outcome achievement. A conceptual framework for
evaluating the ACNP role is proposed. The framework is an adaptation of the Nursing
Role Effectiveness Model which was developed to facilitate the identification and
investigation of nursing‐sensitive outcomes. The framework represents the complex
system of interrelated factors that are present in the ACNP practice situation and that
affect role effectiveness. It includes three components: (i) structure — encompassing
patient, ACNP and organizational variables; (ii) process — consisting of the ACNP role
components (clinician, educator, researcher and administrator) and the ways in which
the role is enacted; and (iii) outcomes — including patient‐ and cost‐related outcomes.
The framework proposes specific relationships among the structure, process and
outcomes components. Empirical support for the framework propositions is provided,
based on a review of pertinent literature. Implications for future ACNP impact studies
are discussed.

Draye, M., Acker, M., & Zimmer, P. (2006). The practice doctorate in nursing: approaches to

transform nurse practitioner education and practice. Nursing Outlook, 54(3), 123-129.

Mary Ann Draye, an Assistant Professor, Director of the Family Nurse Practitioner

Program, at the University of Washington School of Nursing, Michele Ackeris, a Senior

Lecturer, Director of the Pediatric Nurse Practitioner Program at the University of

Washington School of Nursing, Phyllis Arn Zimmer, a Lecturer, Family Nurse

Practitioner Program at the University of Washington School of. All 3 authors of this
scholarly journal article touches on how turmoil in the healthcare system present renewed

challenges to the nursing profession as whole. The authors argue that these challenges

may be good for the healthcare system in which gives the opportunity to increase

nursing’s capacity to provide leadership toward improving the health status of the nation

through the innovation practice doctorate. The authors also provide suggestions on how

the AACN can go by implementing this innovation, for example, curricula need to be

carefully crafted, and that education and practice play hand-in-hand in identifying the

practice doctorate as the way to accomplish these goals.

The importance of this article is relevant to my research due to the fact that it discusses

the positive aspects of the proposal. The controversy that surrounds this discussion may

be a start in the right direction by serving as a means for researchers and expertise to

brainstorm ideas on the proper ways to implement this innovation if-in-fact the AACN

makes a decision to do so.

6. Ford, J. (2009). NP hospitalists. ADVANCE for Nurse Practitioners. Accessed on 8/17/2009 at: nurse-
practitioners.advanceweb.com/Editorial/Content/PrintFriendly.aspx?CC=1939. *This is an editorial
where Ford discusses the future of acute care NPs as hospitalists. She also discussed the role of primary
care NPs in non-hospitalist roles as part of a subspecialty team. One interviewed source from University
of Rochester Medical Center stated they did use some non-ACNPs as hospitalists but preferentially hired
ACNPs. There is a report of a study at Henry Ford Health System in Detroit that found that NPs provided
care equal to that of nephrologists in reducing hypertension in chronic kidney disease. Seattle Children’s
Hospital uses both pediatric and family NPs as a part of specialized teams. References are not cited.