An Exploratory Study to Shape a Disaster Nurse Practitioner Scope of Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/308420
Category:
Abstract
Type:
Presentation
Title:
An Exploratory Study to Shape a Disaster Nurse Practitioner Scope of Practice
Author(s):
Dunniway, Frances Eleanor
Lead Author STTI Affiliation:
Iota Sigma
Author Details:
Frances Eleanor Dunniway, DNP, RN, MSN, fdunniway@calbaptist.edu
Abstract:

Session presented on: Sunday, November 17, 2013

The impact and devastation from national disasters pose imminent risk to large populations. If trained in disaster response and following evidence-based practices, the Nurse Practitioner (NP) could work in any setting or surrounding and be prepared to adapt, utilizing their full educational and health care training. Currently individual state regulations guide the practice of an NP and there are no written guidelines during disasters to manage the various clinical conditions across state boundaries. Using a Delphi technique, this exploratory first round study investigated the multidisciplinary understanding about the Disaster NP role.

Key findings included: 1. Across all four groups of respondents, there was confusion about the disaster NP role, indicating a need for role clarity.

2. Among NP respondents, there was a good level of agreement that their practice was limited in a disaster compared to everyday practice, identifying no scope of practice and lack of role knowledge as causes. 3. Among the types of training to help understand the disaster NP role, the most highly valued was simulation with groups in field training and the least was individual training titled responder e-learn.  4. Among the four groups the most valued statements regarding services delivered were the NPs ability to perform urgent services with competence and skill, NPs ability to recognize need to triage to higher level of care and NPs acknowledging emergent skill limitations. Nationally during deployments, Disaster NPs may be limited by the absence of a guide that would serve to communicate the advanced practice abilities. Having one defined scope of practice would establish boundaries for practice, which reduces the legal risk to NPs, eliminate role confusion for other health care providers, and improve victim access to care.

Keywords:
Disaster roles; Nurse Practitioner
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAn Exploratory Study to Shape a Disaster Nurse Practitioner Scope of Practiceen_GB
dc.contributor.authorDunniway, Frances Eleanoren_GB
dc.contributor.departmentIota Sigmaen_GB
dc.author.detailsFrances Eleanor Dunniway, DNP, RN, MSN, fdunniway@calbaptist.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308420-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p>The impact and devastation from national disasters pose imminent risk to large populations. If trained in disaster response and following evidence-based practices, the Nurse Practitioner (NP) could work in any setting or surrounding and be prepared to adapt, utilizing their full educational and health care training. Currently individual state regulations guide the practice of an NP and there are no written guidelines during disasters to manage the various clinical conditions across state boundaries. Using a Delphi technique, this exploratory first round study investigated the multidisciplinary understanding about the Disaster NP role. <p>Key findings included: 1. Across all four groups of respondents, there was confusion about the disaster NP role, indicating a need for role clarity. <p>2. Among NP respondents, there was a good level of agreement that their practice was limited in a disaster compared to everyday practice, identifying no scope of practice and lack of role knowledge as causes. 3. Among the types of training to help understand the disaster NP role, the most highly valued was simulation with groups in field training and the least was individual training titled responder e-learn.  4. Among the four groups the most valued statements regarding services delivered were the NPs ability to perform urgent services with competence and skill, NPs ability to recognize need to triage to higher level of care and NPs acknowledging emergent skill limitations. Nationally during deployments, Disaster NPs may be limited by the absence of a guide that would serve to communicate the advanced practice abilities. Having one defined scope of practice would establish boundaries for practice, which reduces the legal risk to NPs, eliminate role confusion for other health care providers, and improve victim access to care.en_GB
dc.subjectDisaster rolesen_GB
dc.subjectNurse Practitioneren_GB
dc.date.available2013-12-19T17:31:05Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:31:05Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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