Skip to main content

Team-Based Care: Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants

  • Chapter
  • First Online:
Post-Acute and Long-Term Care Medicine

Part of the book series: Current Clinical Practice ((CCP))

  • 234 Accesses

Abstract

Residents in nursing and assisted living facilities are often the most vulnerable older adults due to multi-morbidities, neurocognitive disorders, and psychosocial issues. The complexity of resident needs coupled with the increased burden on attending physicians in long-term care has increased the need for collaborative practice among physicians, nurse practitioners, and physician assistants to ensure high quality, timely, and appropriate medical care (Cacchione ZC, Shah R, Nurse practitioners, clinical nurse specialists, and physician assistants. In: Fenstemacher P, Winn P (eds) Post-acute and long-term medicine: a pocket guide. 2nd ed. Humana Press, 2016; Katz et al., Gerontologist 61:595–604, 2021).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cacchione ZC, Shah R Nurse practitioners, clinical nurse specialists, and physician assistants. In: Fenstemacher P, Winn P, editiors. Post-acute and long-term medicine: a pocket guide. 2nd ed. Humana Press. 2016.

    Google Scholar 

  2. American Association of Nurse Practitioners. 2022 nurse practitioner state practice environment. 2022. https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners. Accessed 26 July 2022.

  3. Bakerjian D. Care of nursing home residents by advanced practice nurses. A review of the literature. Res Gerontol Nurs. 2008;1(3):177–85. https://doi.org/10.3928/00220124-20091301-01.

    Article  PubMed  Google Scholar 

  4. Bergman-Evans B. Out of the shadows: nurse practitioner leadership in skilled and long-term care facilities. J Gerontol Nurs. 2021;47(8):3–6. https://doi.org/10.3928/00989134-20210707-01.

    Article  PubMed  Google Scholar 

  5. Rantz MJ, Birtley NM, Flesner M, et al. Call to action: APRNs in U.S. nursing homes to improve care and reduce costs. Nurs Outlook. 2017;65(6):689–96. https://doi.org/10.1016/j.outlook.2017.08.011.

    Article  PubMed  Google Scholar 

  6. Katz PR, Ryskina D, Saliba D, et al. Medical care delivery in U.S. nursing homes: current and future practice. Gerontologist. 2021;61(4):595–604. https://doi.org/10.1093/geront/gnaa141.

    Article  PubMed  Google Scholar 

  7. McGilton KS, Bowers BJ, Resnick B. The future includes nurse practitioner models of care in the long-term care sector. J Am Med Dir Assoc. 2022;23(2):197–200. https://doi.org/10.1016/j.jamda.2021.12.003.

    Article  PubMed  PubMed Central  Google Scholar 

  8. The future of nursing: leading change, advancing health. Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. Washington, DC: National Academies Press (US). 2011. Accessed 26 July 2022.

    Google Scholar 

  9. Reed SM, Arbet J, Staubli L. Clinical nurse specialists in the United States registered with a national provider identifier. Clin Nurse Spec. 2021;35(3):119–28.

    Article  PubMed  PubMed Central  Google Scholar 

  10. American Medical Association—Advocacy Resource Center. Physician assistant scope of practice. 2018. https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-browser/public/arc-public/state-law-physician-assistant-scope-practice.pdf. Accessed 26 July 2022.

  11. Pakizegee, M and Stefanacci R. The ever-expanding role of nurse practitioners in LTC. Ann Long-Term Care. 2019. Accessed 10 Aug 2022.

    Google Scholar 

  12. The future of nursing: leading change, advancing health. 2019. National Academies Sciences Engineering Medicine. Accessed 10 Aug 2022.

    Google Scholar 

  13. Stucky CH, Brown WJ, Stucky MG. COVID 19: an unprecedented opportunity for nurse practitioners to reform healthcare and advocate for permanent full practice authority. Nurs Forum. 2021;56:222–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Salinas, R.C., Winn, P. (2023). Team-Based Care: Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants. In: Winn, P., Fenstemacher, P.A., Stefanacci, R.G., DeLong, R.S. (eds) Post-Acute and Long-Term Care Medicine. Current Clinical Practice. Humana, Cham. https://doi.org/10.1007/978-3-031-28628-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-28628-5_7

  • Published:

  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-031-28627-8

  • Online ISBN: 978-3-031-28628-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics