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  1. Article ; Online: Advanced practice nurses globally: Responding to health challenges, improving outcomes.

    Poghosyan, Lusine / Maier, Claudia Bettina

    International journal of nursing studies

    2022  Volume 132, Page(s) 104262

    MeSH term(s) Advanced Practice Nursing ; Humans ; Nurse's Role ; Nurses
    Language English
    Publishing date 2022-04-26
    Publishing country England
    Document type Editorial
    ZDB-ID 80148-3
    ISSN 1873-491X ; 0020-7489
    ISSN (online) 1873-491X
    ISSN 0020-7489
    DOI 10.1016/j.ijnurstu.2022.104262
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  2. Article ; Online: Nurse Practitioner Integration: Insights Into the Next Generation of Policy and Research.

    Porat-Dahlerbruch, Joshua / Poghosyan, Lusine / Ellen, Moriah

    International journal of health policy and management

    2023  Volume 12, Page(s) 7411

    MeSH term(s) Humans ; Policy ; Nurse Practitioners
    Language English
    Publishing date 2023-06-06
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2724317-5
    ISSN 2322-5939 ; 2322-5939
    ISSN (online) 2322-5939
    ISSN 2322-5939
    DOI 10.34172/ijhpm.2023.7411
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  3. Article ; Online: Response to Drs. McCurren and Trautman.

    Martsolf, Grant R / Porat-Dahlerbruch, Joshua / Poghosyan, Lusine

    Nursing outlook

    2023  Volume 72, Issue 1, Page(s) 102101

    Language English
    Publishing date 2023-12-07
    Publishing country United States
    Document type Letter
    ZDB-ID 300568-9
    ISSN 1528-3968 ; 0029-6554
    ISSN (online) 1528-3968
    ISSN 0029-6554
    DOI 10.1016/j.outlook.2023.102101
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  4. Article: Exploring the relationships between resilience, burnout, work engagement, and intention to leave among nurses in the context of the COVID-19 pandemic: a cross-sectional study.

    Nantsupawat, Apiradee / Kutney-Lee, Ann / Abhicharttibutra, Kulwadee / Wichaikhum, Orn-Anong / Poghosyan, Lusine

    BMC nursing

    2024  Volume 23, Issue 1, Page(s) 290

    Abstract: Background: Nurses have faced significant personal and professional stressors during the COVID-19 pandemic that have contributed to increased rates of burnout, intention to leave, and poorer work engagement. Resilience has been identified as a critical ... ...

    Abstract Background: Nurses have faced significant personal and professional stressors during the COVID-19 pandemic that have contributed to increased rates of burnout, intention to leave, and poorer work engagement. Resilience has been identified as a critical factor influencing job outcomes; however, the dynamics of this association have not yet been investigated within the context of the Thai workforce. The study objective was to determine the associations between resilience and job outcomes, including burnout, intention to leave, and work engagement among nurses working in Thailand during the COVID-19 pandemic.
    Methods: This cross-sectional study gathered data from a sample of 394 registered nurses employed across 12 hospitals. The research instruments comprised the Connor-Davidson Resilience Scale (CD-RISC), the Maslach Burnout Inventory-Health Services Survey (MBI-HSS), a questionnaire assessing the intention to leave the job, and the Utrecht Work Engagement Scale (UWES). To determine the associations among the measured variables, multivariate logistic regression analyses were conducted.
    Results: One-third of nurses experienced emotional exhaustion and depersonalization, and about half experienced reduced personal accomplishment; one-tenth of nurses intended to leave their job. Nurses who exhibited higher levels of resilience were found to have a significantly reduced likelihood of experiencing high emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment. Conversely, these nurses were more likely to report higher levels of work engagement than their less resilience.
    Conclusion: The COVID-19 pandemic offers important lessons learned about promoting the well-being of the nursing workforce and protecting against adverse job outcomes. While we identified resilience as a significant predictor of several nurse outcomes, other work environment factors should be considered. Government and hospital administrations should allocate resources for individual and organizational-level interventions to promote resilience among frontline nurses so that hospitals will be better prepared for the next public health emergency and patient and nurse outcomes can be optimized.
    Language English
    Publishing date 2024-04-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 2091496-9
    ISSN 1472-6955
    ISSN 1472-6955
    DOI 10.1186/s12912-024-01958-1
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  5. Article ; Online: Primary Care Organizational Support for Nurse Practitioner Practice and Emotional Health Care Delivery.

    Turi, Eleanor / Schlak, Amelia / Trexler, Jamie / Courtwright, Suzanne / Flandrick, Kathleen / Liu, Jianfang / Poghosyan, Lusine

    Journal of patient safety

    2024  

    Abstract: Objectives: Nurse practitioners (NPs) are key to delivery of primary care services. However, poor organizational support for independent NP practice, such as lack of access to clinic resources, may lead to prioritizing patient physical health over ... ...

    Abstract Objectives: Nurse practitioners (NPs) are key to delivery of primary care services. However, poor organizational support for independent NP practice, such as lack of access to clinic resources, may lead to prioritizing patient physical health over emotional health. We investigated the relationship between organizational support for independent NP practice and emotional health care delivery.
    Methods: This was a secondary analysis of cross-sectional survey data collected from 397 NPs in 2017. We measured organizational support for independent NP practice using the independent practice and support subscale of the NP Primary Care Organizational Climate Questionnaire. Emotional health care delivery was measured by asking NPs how frequently they addressed emotional concerns of patients. We utilized multilevel mixed effects linear regression models, adjusting for NP and practice covariates.
    Results: Controlling for NP age, gender, marital status, race, and ethnicity, along with practice setting and size, as the independent practice and support score increased, NPs reported addressing emotional concerns of patients more frequently (beta = 0.34, 95% confidence interval = 0.02-0.66, P = 0.04). This indicates that as organizations provided more support for independent NP practice, NPs were able to more frequently address emotional concerns of patients.
    Conclusions: Organizational support for independent NP practice is associated with addressing emotional concerns of patients. To support NP practice, primary care organizations should ensure that NPs manage patients independently and have access to ancillary staff and support for care management.
    Language English
    Publishing date 2024-05-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2394324-5
    ISSN 1549-8425 ; 1549-8417
    ISSN (online) 1549-8425
    ISSN 1549-8417
    DOI 10.1097/PTS.0000000000001241
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  6. Article ; Online: A Systematic Review of Outcomes Related to Nurse Practitioner-Delivered Primary Care for Multiple Chronic Conditions.

    McMenamin, Amy / Turi, Eleanor / Schlak, Amelia / Poghosyan, Lusine

    Medical care research and review : MCRR

    2023  Volume 80, Issue 6, Page(s) 563–581

    Abstract: Multiple chronic conditions (MCCs) are more common and costly than any individual health condition in the United States. The growing workforce of nurse practitioners (NPs) plays an active role in providing primary care to this patient population. This ... ...

    Abstract Multiple chronic conditions (MCCs) are more common and costly than any individual health condition in the United States. The growing workforce of nurse practitioners (NPs) plays an active role in providing primary care to this patient population. This study identifies the effect of NP primary care models, compared with models without NP involvement, on cost, quality, and service utilization by patients with MCCs. We conducted a literature search of six databases and performed critical appraisal. Fifteen studies met inclusion criteria (years: 2003-2021). Overall, most studies showed reduced or similar costs, equivalent or better quality, and similar or lower rates of emergency department use and hospitalization associated with NP primary care models for patients with MCCs, compared with models without NP involvement. No studies found them associated with worse outcomes. Thus, NP primary care models, compared with models without NP involvement, have similar or positive impacts on MCC patient outcomes.
    MeSH term(s) Humans ; United States ; Multiple Chronic Conditions ; Hospitalization ; Nurse Practitioners ; Emergency Service, Hospital ; Primary Health Care
    Language English
    Publishing date 2023-07-12
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1232314-7
    ISSN 1552-6801 ; 1077-5587
    ISSN (online) 1552-6801
    ISSN 1077-5587
    DOI 10.1177/10775587231186720
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  7. Article ; Online: The Impact of the New York Nurse Practitioner Modernization Act on the Employment of Nurse Practitioners in Primary Care.

    Martsolf, Grant R / Kandrack, Ryan / Ferrara, Stephen A / Poghosyan, Lusine

    Inquiry : a journal of medical care organization, provision and financing

    2023  Volume 60, Page(s) 469580231171333

    Abstract: Expanding scope of practice (SOP) for nurse practitioners (NPs) may increase NP employment in primary care practices which can help meet the growing demand in primary care. We examined the impact of enacting less restrictive NP practice restrictions-NP ... ...

    Abstract Expanding scope of practice (SOP) for nurse practitioners (NPs) may increase NP employment in primary care practices which can help meet the growing demand in primary care. We examined the impact of enacting less restrictive NP practice restrictions-NP Modernization Act-in New York State (NYS) on the overall employment of primary care NPs and specifically in underserved areas. We used longitudinal data from the SK&A outpatient database (2012-2018) to identify primary care practices in NYS and in the comparison states (Pennsylvania [PA] and New Jersey [NJ]). Using a difference-in-differences design with an event study specification, we compared changes in (1) the presence and (2) total counts of NPs in primary care practices in NYS and neighboring comparison states (ie, PA and NJ) before and after the policy change. The NP Modernization Act was associated with a 1.3 percentage point lower probability of a practice employing at least one NP on average across each of the 3 post-periods (95% CI: -.024, -.002). NP Modernization Act was associated with 0.065 fewer NPs on average across the post-period (95% CI: -.119, -.011). Results were similar in underserved areas. NP employment in primary care practices in NYS was lower after the NP Modernization Act than would have been expected based counterfactual of comparison states. The negative relationship may be explained by gains in provider efficiency which leads to reduced NP hiring in primary care. More research is needed to understand the relationship between SOP regulations, NP supply, and access to care.
    MeSH term(s) Humans ; United States ; New York ; Primary Health Care ; Employment ; Nurse Practitioners
    Language English
    Publishing date 2023-05-04
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 42153-4
    ISSN 1945-7243 ; 0046-9580
    ISSN (online) 1945-7243
    ISSN 0046-9580
    DOI 10.1177/00469580231171333
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  8. Article ; Online: The Multilevel Reliability and Interrater Agreement of the Nurse Practitioner Primary Care Organizational Climate Questionnaire.

    Liu, Jianfang / Ghaffari, Affan / Martsolf, Grant R / Poghosyan, Lusine

    Journal of nursing measurement

    2023  Volume 31, Issue 3, Page(s) 448–457

    Abstract: Background and Purpose: ...

    Abstract Background and Purpose:
    MeSH term(s) Humans ; Cross-Sectional Studies ; Reproducibility of Results ; Primary Health Care ; Surveys and Questionnaires ; Nurse Practitioners
    Language English
    Publishing date 2023-08-09
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1180408-7
    ISSN 1945-7049 ; 1061-3749
    ISSN (online) 1945-7049
    ISSN 1061-3749
    DOI 10.1891/JNM-2021-0082
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    Zs.A 3722: Show issues Location:
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  9. Article ; Online: A qualitative study exploring nursing home care environments where nurse practitioners work.

    Alexander, Gregory L / Kueakomoldej, Supakorn / Congdon, Christina / Poghosyan, Lusine

    Geriatric nursing (New York, N.Y.)

    2023  Volume 50, Page(s) 44–51

    Abstract: Research is needed to support the growing nurse practitioner workforce to assure higher quality care for older adults in nursing homes. Nursing homes with optimal care environments that support nurse practitioner roles, increased visibility, independence, ...

    Abstract Research is needed to support the growing nurse practitioner workforce to assure higher quality care for older adults in nursing homes. Nursing homes with optimal care environments that support nurse practitioner roles, increased visibility, independence, and relationships are better positioned to support care of older adults. This study reports findings of thirteen qualitative interviews with nurse practitioners to explore facets of nursing home care environments and adapt a tool to measure care environments. Our team incorporated deductive and inductive coding to identify three major emerging themes impacting care environments: 1) nurse practitioner practice in nursing homes, 2) overall goals of practice, 3) workplace challenges. Themes were derived from seven overarching categories and 33 codes describing aspects of NH care environment important to nurse practitioners. Some of the most highly important survey items measured nurse practitioner and physician relationships. Less important items measured relationships between nurse practitioners and administration.
    MeSH term(s) Humans ; Aged ; Qualitative Research ; Physicians ; Quality of Health Care ; Nurse Practitioners ; Nursing Homes
    Language English
    Publishing date 2023-01-13
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 632559-2
    ISSN 1528-3984 ; 0197-4572
    ISSN (online) 1528-3984
    ISSN 0197-4572
    DOI 10.1016/j.gerinurse.2022.12.020
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  10. Article ; Online: Primary care provider confidence in addressing opioid use disorder: A concept analysis.

    Turi, Eleanor R / McMenamin, Amy / Wolk, Courtney Benjamin / Poghosyan, Lusine

    Research in nursing & health

    2023  Volume 46, Issue 2, Page(s) 263–273

    Abstract: Primary care providers (PCPs) are well-positioned to provide care for opioid use disorder (OUD), yet very few address OUD regularly. One contributing factor may be PCPs' lack of confidence in their ability to effectively treat OUD. Evidence demonstrates ... ...

    Abstract Primary care providers (PCPs) are well-positioned to provide care for opioid use disorder (OUD), yet very few address OUD regularly. One contributing factor may be PCPs' lack of confidence in their ability to effectively treat OUD. Evidence demonstrates that clinician confidence in home care and hospital settings is associated with improved care delivery and patient outcomes. However, a conceptual definition of PCP confidence in addressing OUD has yet to be established. The aim of this concept analysis is to enhance conceptual understanding of PCP confidence in addressing OUD and inform future measurement strategies. Following Walker and Avant's method of concept analysis, PubMed, PsycINFO, and Google Scholar were searched in October 2021. Manuscripts were included if they referenced confidence in relation to PCPs who provide care to adult patients with OUD. Studies conducted outside the US and not published in English were excluded. The search resulted in 18 studies which were synthesized to conceptualize PCP confidence in addressing OUD. Defining attributes include self-efficacy, experience, and readiness to address OUD. These attributes may be influenced by organizational culture, training, support, and resources. Consequences of PCP confidence addressing OUD may include improved patient outcomes, improved delivery of and access to OUD care, and PCP attitude changes. This concept analysis-which grounds the concept of PCP confidence in addressing OUD in the theoretical and empirical literature-lays the framework for future measurement of the concept. This represents a critical first step towards developing strategies to enhance PCP confidence in addressing OUD.
    MeSH term(s) Adult ; Humans ; Opioid-Related Disorders/therapy ; Delivery of Health Care ; Hospitals ; Primary Health Care
    Language English
    Publishing date 2023-01-07
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 424453-9
    ISSN 1098-240X ; 0160-6891
    ISSN (online) 1098-240X
    ISSN 0160-6891
    DOI 10.1002/nur.22294
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