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• W1979376992 abstract "The outpatient Nurse Practitioner (NP) role in this large Bone Marrow Transplant (BMT) Program is very recent. At first, one single NP demonstrated the efficacy of the role by decreasing the overwhelming workload of the collaborating physician. The department quickly recognized the positive impact of the NP role and over the next two years five additional NPs with varying degrees of BMT and NP experience were hired. Soon role confusion and conflict arose between NPs and RN Nurse Coordinators (NC) whose primary focus is to move the patient towards the transplant process, coordinate treatments and triage phone calls. It is inherent in these two roles that some overlap of duties exist. However it became clear that within the management and departmental structure the NP and NC role needed to be more clearly separated and defined. Using the Medical Center's and University's Scope of Practice Statement, a proposal for NP leadership development was conceptualized and implemented. The proposal was distributed to management and collaborating physicians. Specifically three areas were addressed: 1) identification and dclarification of the NP role in the BMT outpatient setting; 2) planning for professional growth in disease management and leadership according to each individual NP's needs; 3) implementation of various evidence based national BMT standards of care practices and involvement in BMT nursing and departmental research. Implementation of this model began in May 2007 with the NPs agreeing on the following goals: a) assigning a group leader on a rotational basis to be responsible for scheduling NP time-off clinic coverage; delegating interdepartmental and hospital meeting attendance; b) assisting in equitable distribution of annual conference participation, overseeing the participation in departmental (non-industry sponsored) CME educational and outreach talks given by NP members; c) scheduling educational and journal club meetings for NPs, Ncs and treatment room RNs; d) proposing research, following up on ongoing research processes; facilitating the development of BMT specific standards of practice; encouraging and assisting publishing efforts; e)addressing NP practice and role conflict issues. This NP leadership model will be reassessed for its effectiveness in meeting its goals on an annual basis. It will provide valuable insight into the many clinical, managerial and research contributions NPs make within this Bone Marrow transplant department." @default.
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• W1979376992 date "2008-02-01" @default.
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• W1979376992 title "447: Nurse Practitioner Leadership Development – a Model Designed to Develop Leadership Skills and Enhance the Efficacy of the Nurse Practitioner Role at a University Affiliated Medical Center Bone Marrow Transplant Department" @default.
• W1979376992 doi "https://doi.org/10.1016/j.bbmt.2007.12.457" @default.
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