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Evaluation of the implementation of an online psychiatric nurse practitioner program for primary care nurse practitioners: Use of a Participatory Evidence-Informed (PEPPA-Plus) framework

Published:March 24, 2022DOI:https://doi.org/10.1016/j.apnu.2022.03.008

      Highlights

      • Online post-master’s PMHNP certificate programs can be efficient and effective in increasing access to mental health.
      • Nurse practitioners with education and certification in more than one population foci are likely to merge the competencies in practice.
      • Rural mental health care workforce retention can be achieved by recruiting nurse practitioners who are already committed to rural living.
      • Long-term sustainability requires competent educators to teach NP students how to identify and address health disparities, and monitor impact.

      Abstract

      To address a growing need for primary care nurse practitioners to provide mental health care, grant support was obtained to create an accelerated online post-master's psychiatric-mental health nurse practitioner (PMHNP) program. A participatory evidence-informed framework (PEPPA-Plus) was used to 1) evaluate the program structures and processes from the perspectives of program graduates, and within this context, to evaluate outcomes following graduation, and 2) to evaluate the impact of the program through the implementation of the dual nurse practitioner role. Approximately half (56%) of the graduates completed a 40-item web-based survey. Ninety-nine percent of those who had taken the PMHNP exam were certified as PMHNPs, 99% were dually certified as primary care NPs, 86% reported that their scope of practice had changed to include the delivery of more mental health care services, and 27% were providing both mental and physical health care in integrated care settings. The vast majority (90%) reported a moderate to very high level of confidence in their PMHNP competency, 60% were teaching psychiatric-mental health nursing as preceptors, educators, or new program directors and 29% were providing care in communities with <50,000 residents. Over half of the graduates were committed to staying in their current practice position for at least the next five years. These findings demonstrate the success of the online program in producing graduates who utilize dual NP competencies in practice, at least 25% of whom are treating populations in non-urban settings, in integrated care settings, and treating populations with high social and environmental risk factors.

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      References

        • American Academy of Nurse Practitioner
        NPs are key to providing better rural care.
        (Retrieved from:)
        • American Academy of Nurse Practitioners
        The state of the nurse practitioner profession 2020: Results from the nurse practitioner sample survey.
        (Retrieved from:)
        • American Association of Colleges of Nursing
        The essentials: Core competencies for professional nursing education.
        (Retrieved from:)
        • American Association of Nurse Practitioners
        There's a primary care shortage in this country.
        (Retrieved from:) AANP News Feed, 2019
        • APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee
        APRN consensus model for APRN regulation.
        (Retrieved from:)
        • Bryant-LukosiuP D.
        Advanced practice nursing roles: A proposed framework for evaluation - PEPPA-Plus toolkit.
        McMaster University: Author, 2019
        • Bryant-Lukosius D.
        • Dicenso A.
        A framework for the introduction and evaluation of advanced practice nursing roles.
        Journal of Advanced Nursing. 2004; 48: 530-540https://doi.org/10.1111/j.1365-2648.2004.03235.x
        • Bryant-Lukosius D.
        • Spichiger E.
        • Martin J.
        • Stoll H.
        • Kellerhals S.D.
        • Fliedner M.
        • De Geest S.
        Framework for evaluating the impact of advanced practice nursing roles.
        Journal of Nursing Scholarship. 2016; 48: 201-209https://doi.org/10.1111/jnu.12199
        • Buerhaus P.
        • Martsof G.
        • Donelan K.
        • Clarke S.
        • Barnes H.
        • Cohen C.C.
        • Cooley H.T.
        Nursing health services research agenda for the 2020s.
        (Retrieved from)
        • International Council of Nurses
        Mental health: Position statement.
        International Council of Nurses, Geneva, Switzerland2020 (Retrieved from https://www.icn.ch/sites/default/files/inline-files/PS_A_Mental%20Health_1.pdf)
        • International Council of Nurses
        ICN at world health assembly 74.
        (Retrieved from)
        • National Academies of Sciences E.a.M.
        The future of nursing 2020-2030: Charting a path to achieve health equity.
        (Retrieved from)
        • National Organization of Nurse Practitioner Faculties
        Population-focused nurse practitioner competencies.
        (Retrieved from:)
        • National Task Force on Quality Nurse Practitioner Education
        Criteria for evaluation of nurse practitioner programs. (5th ed.).
        (Retrieved from:)
        • Rural Health Information Hub
        Rural health disparities.
        (Retrieved from)
        • SAMHSA-HRSA Center for Integrated Health Solutions
        Standard framework for levels of integrated healthcare.
        (Retrieved from) SAMHSA-HRSA Center for Integrated Health Solutions, Washington, DC2013