Journal article
The role of the dually certified primary care/psychiatric mental health nurse practitioner in treating high-needs/high-cost patients
Journal of the American Association of Nurse Practitioners, Vol.35(11), pp.751-758
11/2023
DOI: 10.1097/JXX.0000000000000931
PMID: 37678243
Abstract
Abstract National nursing organizations have called for nurses to provide leadership in care solutions for high-cost/high-needs vulnerable populations. In response to this call, important modifications are emerging in Doctor of Nursing Practice programs, including an increasing number of nurses pursuing dual certification in primary care and psychiatric mental health or primary care nurse practitioners returning for a postgraduate certificate in psychiatric mental health. This innovative role warrants examination, particularly because it relates to high-needs/high-cost patients such as those with serious mental illness (SMI). This article highlights two aspects of the role of the primary care/psychiatric mental health nurse practitioner (PC/PMHNP): one, to provide a vision of the PC/PMHNP as a unique solution for optimal care of vulnerable patients and two, to demonstrate potential contributions of the PC/PMHNP to the larger health care system. A case exemplar is used to illustrate role contributions of the PC/PMHNP in a high-needs/high-cost patient with SMI and complex co-occurring physical illness. Three capacities of the PC/PMHNP are discussed: depth and breath, expert engagement and rapport building, and full patient-centered care and flexibility. The case exemplar emphasizes the PC/PMHNP value through transitions across care settings and where gaps in service frequently occur. The impact of the PC/PMHNP on improved patient outcomes, patient and provider satisfaction, and cost savings are explored.
Details
- Title: Subtitle
- The role of the dually certified primary care/psychiatric mental health nurse practitioner in treating high-needs/high-cost patients
- Creators
- Teresa (Tess) Judge-Ellis - University of IowaAnne Gentil-Archer - University of IowaAndrea Achenbach - University of IowaHannah Drehner - University of IowaKassiani Kelleher - University of Iowa College of Nursing, Iowa City, IAKathleen Buckwalter - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of the American Association of Nurse Practitioners, Vol.35(11), pp.751-758
- DOI
- 10.1097/JXX.0000000000000931
- PMID
- 37678243
- ISSN
- 2327-6924
- eISSN
- 2327-6924
- Language
- English
- Electronic publication date
- 09/06/2023
- Date published
- 11/2023
- Academic Unit
- Health Management and Policy; Nursing
- Record Identifier
- 9984464481802771
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