Division of Transplant Medicine, Mayo Clinic, Jacksonville, FL.
Liver Transpl. 2019 Jul;25(7):1105-1109. doi: 10.1002/lt.25474. Epub 2019 May 27.
The evolving role of nurse practitioners (NPs) and physician assistants (PAs) in the United States continues to progress. NP and PA responsibilities have expanded from primary care practices to medical and surgical specialties. They provide acute care in hospitals and intensive care units, and they serve as educators, lobbyists, and researchers. Questions have arisen from NP/PA leaders, physician leaders, and administrators on how to best implement a successful NP/PA model within their practice. This article reviews some common themes in the literature by looking at the current state of NP/PA practice, outlines some practice models established therein, and provides recommendations for implementing a successful NP/PA model in a liver transplant practice.
美国的执业护士(NPs)和医师助理(PAs)的角色不断演变。NPs 和 PAs 的职责已从初级保健实践扩展到医疗和外科专业。他们在医院和重症监护病房提供急性护理,并担任教育者、游说者和研究人员。NP/PA 领导者、医师领导者和管理人员提出了一些问题,即如何在实践中最好地实施成功的 NP/PA 模式。本文通过考察 NP/PA 实践的现状,回顾文献中的一些常见主题,概述其中建立的一些实践模式,并为在肝移植实践中实施成功的 NP/PA 模式提供建议。