The Center for Advanced Practice, Atrium Health Carolinas Medical Center, Charlotte, North Carolina.
Clinical and Translational Science Institute, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
J Am Assoc Nurse Pract. 2023 Dec 1;35(12):770-775. doi: 10.1097/JXX.0000000000000896.
The Advanced Practice Registered Nurse (APRN) Consensus Model was developed in 2008 by the APRN Consensus Work Group and the National Council of State Boards of Nursing APRN Advisory Committee. This model aims to improve access to APRN care through standardization of licensure, accreditation, certification, and education and has been adopted by many organizations throughout the United States. However, the Consensus Model is not a legislative document, and there is variation in adoption and implementation throughout states and organizations. Since the Consensus Model was developed, little is known about how this change has affected hiring practices for nurse practitioners (NPs) and physician assistants (PAs). There are concerns that the model may place burdensome hiring constraints on NP hires, which could inadvertently lead to preferential hiring of PAs over NPs. We evaluated whether there was a significant association between the proportion of NPs versus PAs hired after the implementation of the APRN Consensus Model in 2017 in a large not-for-profit health system in North Carolina. Our study revealed no association between implementation of hiring practices to align with the APRN Consensus Model and preferential hiring of PAs over NPs.
高级实践注册护士（APRN）共识模型由 APRN 共识工作组和国家护理委员会董事会 APRN 咨询委员会于 2008 年开发。该模型旨在通过标准化许可、认证、认证和教育来改善获得 APRN 护理的机会，并已被美国许多组织采用。然而，共识模型不是立法文件，在各州和组织之间的采用和实施存在差异。自共识模型出台以来，人们对这一变化如何影响护士从业者 (NPs) 和医师助理 (PAs) 的招聘实践知之甚少。有人担心，该模型可能会对 NP 招聘施加繁重的招聘限制，这可能会无意中导致对 PA 的偏好招聘而不是 NP。我们评估了在 2017 年实施 APRN 共识模型后，在北卡罗来纳州的一个大型非营利性卫生系统中，聘用的 NP 与 PA 的比例是否存在显著关联。我们的研究表明，实施与 APRN 共识模型保持一致的招聘实践与对 PA 的偏好招聘之间没有关联。
