A majority of states require collaborative prescribing agreements between advanced practice nurses and physicians, Unfortunately, there is limited research describing the collaboration that occurs between the clinicia...
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A majority of states require collaborative prescribing agreements between advanced practice nurses and physicians, Unfortunately, there is limited research describing the collaboration that occurs between the clinicians who have such prescribing agreements. This exploratory study identifies the characteristics, activities, and outcomes of collaboration between psychiatricmental health clinical nurse specialists (CNSs) with prescribing agreements and their collaborating psychiatrists. Surveys were sent to all the 73 prescribing psychiatric-mental health CNSs identified by the Minnesota Board of Nursing in I998 and their primary collaborating psychiatrists, Forty-nine CNSs and 32 psychiatrists returned the surveys with 31 matched collaborating dyads identified. Overall satisfaction with the collaborative relationship was high, CNSs ((x) over bar = 4.34/5) and psychiatrists ((x) over bar = 4.46/5), Good communication, trust, shared goals for patient outcomes, shared professional values, and respect for clinical competency were identified as important characteristics for effective collaboration, CNSs identified increased professional growth and job satisfaction as professional benefits, while psychiatrists reported shared workload responsibilities. Fewer than half of the CNSs and psychiatrists perceived professional liability as a professional constraint. Psychiatricmental health CNSs and psychiatrists agreed that the continuity of patient care and efficient access to mental health care were patient benefits. The statistically significant differences between the CNSs' and psychiatrists' responses were related to the number of years they had been in practice, the number of years the CNS had been a prescriber, and the length of time the CNS and psychiatrist had worked together within a collaborative prescribing agreement. Copyright (C) 2000 by W.B. Saunders Company.
Most people who are ignorant or misinformed about midwifery are also misinformed about birth, the needs of pregnant women, and problems related to the care provided to most pregnant women in this country. An understan...
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Most people who are ignorant or misinformed about midwifery are also misinformed about birth, the needs of pregnant women, and problems related to the care provided to most pregnant women in this country. An understanding of these issues is the conceptual substrate that makes it possible to understand and value midwifery. Although midwives need to educate people about midwives and midwifery, it is also necessary for them to educate people about the nature of childbirth, the needs of pregnant women in general, and appropriate (and inappropriate) maternity care. Midwives are experts in these subjects, but they have to go beyond talking about midwifery-beyond talking about themselves. To maximize their effectiveness, midwives should work in partnership with individuals and organizations that support the midwifery model of care-regardless of the professional background of the person who practices this model. Midwives can advance public education by collaborating with organizations, such as the Maternity Center Association (MCA), which supports family-centered maternity care, based on the midwifery model. MCA's current public education activities are described and two new MCA brochures are presented. information that supports midwifery care may be particularly effective when it is presented by an organization with broader objectives. (C) 1999 by the American College of Nurse-Midwives.
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