Schaffner Barbara, Vogt Marjorie
Otterbein College, Department of Nursing, Westerville, Ohio 43081, USA.
J Pediatr Health Care. 2004 Jul-Aug;18(4):180-5. doi: 10.1016/j.pedhc.2003.12.006.
The purpose of the study was to describe practice patterns and compensation patterns of Pediatric Nurse Practitioners (PNPs) in Ohio.
A survey, including open-ended and forced choice questions, was sent to all members of Ohio's chapter of NAPNAP. The resultant sample included 200 female PNPs. Over half had practiced as NPs between 5-29 years, holding at least a Master's degree.
Fifty percent worked full-time in a variety of practice settings; 71% held prescriptive privileges. Most saw patients with a physician on-site and billed for services with the physician's name; few had "on call" responsibilities. The majority spent most of their clinical time with acute visits and providing preventative services. Only 29% had a contract with a collaborating physician and the components of the contract varied greatly. Compensation for services mimicked national rates, annual salaries from $35,000-$90,000/year and hourly rates $19-$40/hour. Salary bonuses were reported by 23%. Two-thirds of the PNPs received benefits.
Practice patterns of the Ohio PNPs were found to be consistent with the practice patterns of advanced practice nurses nationally. Most PNPs remain largely uninformed about reimbursement issues. Negotiation of employment contracts with potential employers will be enhanced by demonstration of the positive impact of the NP on the number and type of patients seen, reimbursement possibilities, and quality of care. Future studies need to focus on quantifying the value of the NP.
本研究的目的是描述俄亥俄州儿科执业护士（PNP）的执业模式和薪酬模式。
向NAPNAP俄亥俄州分会的所有成员发送了一份包含开放式和选择题的调查问卷。最终样本包括200名女性PNP。超过一半的人在5至29年期间担任执业护士，至少拥有硕士学位。
50%的人在各种执业环境中全职工作；71%的人拥有处方权。大多数人在有医生在场的情况下看诊，并以医生的名义计费；很少有人承担“值班”职责。大多数人将大部分临床时间用于急症就诊和提供预防服务。只有29%的人与合作医生签订了合同，合同内容差异很大。服务报酬与全国水平相似，年薪为35,000至90,000美元/年，小时费率为19至40美元/小时。23%的人报告有薪资奖金。三分之二的PNP获得福利。
发现俄亥俄州PNP的执业模式与全国高级执业护士的执业模式一致。大多数PNP对报销问题仍然知之甚少。通过展示执业护士对就诊患者数量和类型、报销可能性以及护理质量的积极影响，将加强与潜在雇主的雇佣合同谈判。未来的研究需要专注于量化执业护士的价值。
