Journal article
Hiring and Credentialing of Nurse Practitioners as Hospitalists: A National Workforce Analysis
Journal of nursing regulation, Vol.11(3), pp.33-43
10/01/2020
DOI: 10.1016/S2155-8256(20)30132-0
Abstract
Introduction: The majority of hospitals in the United States employ hospitalists who provide clinical care to hospitalized patients; however, gaps in hiring, credentialing, and privileging nurse practitioners (NPs) as hospitalists caring for adult patients exist. Purpose: To evaluate factors influencing hiring and credentialing of NPs as hospitalists working with adult patients. Methods: A 26-item mixed-mode survey was distributed to a sample of members of the Society of Hospital Medicine (SHM), National Association Medical Staff Services (NAMSS), and chief nurse officers (CNOs) with Magnet recognition (n = 1,902) with 592 (31%) responding. Respondents rated factors used in evaluating NPs as hospitalists. Mean comparisons analyzed differences based on respondent role in hiring or credentialing and characteristics including state practice authority. Results: Overall, respondents viewed adult NPs (ANPs) as more favorable hires for hospitalists than acute care NPs (ACNPs). However, CNOs rated certification as an ACNP (p<.05) and ANP (p=.01) significantly more important than did the respondents who credential hospitalists. There were no significant differences between groups regarding experiential factors. Credentialers rated regulatory factors low in decision-making processes. Credentialers in restricted practice authority states were more likely to value the family NP certification for the hospitalist role, contrary to national guidelines and recommendations. Conclusions: Little familiarity with regulatory and legal factors could impact hiring and practice of NP hospitalists. Although preference for ACNP certification was expressed, this certification lacked preference beyond ANP certification. The Consensus Model, which focuses on appropriate licensing, accreditation, certification, and education of advanced practice registered nurses, should be further aligned with practice while engaging those who hire and credential as partners.
Details
- Title: Subtitle
- Hiring and Credentialing of Nurse Practitioners as Hospitalists: A National Workforce Analysis
- Creators
- Tracy A. Klein - Washington State UniversityLouise Kaplan - Washington State UniversityJulie Stanik-Hutt - University of IowaJoseph Cote - Washington State UniversityOlivia Brooks - Washington State University
- Resource Type
- Journal article
- Publication Details
- Journal of nursing regulation, Vol.11(3), pp.33-43
- Publisher
- Elsevier
- DOI
- 10.1016/S2155-8256(20)30132-0
- ISSN
- 2155-8256
- eISSN
- 2155-8264
- Number of pages
- 11
- Grant note
- National Association Medical Staff Services Society of Hospital Medicine Center for Regulatory Excellence (CRE) grant from NCSBN
- Language
- English
- Date published
- 10/01/2020
- Academic Unit
- Nursing
- Record Identifier
- 9984370747202771
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