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    Need and Readiness for a Nurse Practitioner-Paramedic Unit in Rural Yuma, Arizona

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    Author
    Gompert, Katherine Marie
    Issue Date
    2016
    Advisor
    McArthur, Donna
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Background: The expansion of health care coverage, overuse, misuse, and overcrowding of emergency departments, inappropriate use of emergency medical services, and issues pertaining to rural dwelling, call for the development of new models of care to improve patient outcomes, bridge care gaps, and meet community needs. One such model that may be instrumental in overcoming these issues it that of the Nurse Practitioner-Paramedic Unit (NPPU). Purpose: This doctor of nursing practice project comprises a needs and readiness assessment with input from key stakeholders regarding resources required and the need for a NPPU in Yuma, Arizona. The ultimate goal of this needs and readiness assessment is to inform the future development of a new model of care, the NPPU for Yuma, Arizona. Methods: Surveys were distributed via Qualtrics to 86 individuals to include local physicians, nurse practitioners, and paramedics, amongst others. The survey contained nine open-ended questions to inform the future development of a NPPU. A total of 17 completed surveys were submitted between 9/11/16 to 10/9/16. Response were grouped by question number and analyzed for themes. Results: Eighty-two percent of respondents felt that a NPPU was needed in Yuma, Arizona. Respondents identified more benefits than negatives of an NPPU. Resources needed were identified to include hospital buy-in, provider trust and buy-in, coordination between the hospital and fire departments, medical equipment, transport vehicle, funding, scheduling, and education. The most common care situations considered appropriate for a NPPU were identified as low acuity (47%), transitional care and/or chronic health issues (35%), and behavioral health (29%). The importance of protocols was noted by 65% of respondents. 94% of respondents expressed that an NPPU would increase patient satisfaction. Improved patient outcomes due to an NPPU was identified by 24% of respondents. Overall, 94% of respondents stated that they would support an NPPU and were interested in being part of a working group. Conclusions: The results of this project support the need for a NPPU by stakeholders in the community and will guide the future development of an NPPU for Yuma.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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