Advancement of Research on Nurse Practitioners (ARNP): Setting a Research Agenda

全球医疗保健系统面临着满足日益增长的初级保健服务需求的压力， 特别是在农村和社会经济贫困地区，由于人口老龄化和慢性病， 负担包括美国在内的许多国家，正在寻求创新的医疗保健劳动力 解决方案来满足这一需求。一个潜在的解决方案是发展执业护士（NP） 劳动力到2025年，将需要额外的52，000名医生来满足初级保健需求。 美国不断增长的NP劳动力可以帮助满足这一需求，因为他们的人数将在2008年至2025年之间翻一番， 到2025年，NPs将占所有初级保健提供者的27%。研究一致表明，NP提供高 为患者提供优质、安全的护理，并实现最佳的患者结局。此外，NP护理也增加了 为居住在农村和服务不足地区的少数种族和族裔提供护理， 关注这些人群（AHRQ优先人群）。因此，许多利益相关者建议最佳使用 NP在初级保健中的应用然而，联邦、州和组织层面的许多障碍阻碍了NP劳动力， 实践，以及他们提供护理的能力，这些都没有得到很好的探索或研究。缺乏证据， 决策者、管理者和临床医生（AHRQ利益相关者）采取行动消除障碍的能力 最佳利用NP劳动力，以促进安全护理提供。这项研究的目的是 会议补助金是召集国家和国际专家制定一项全面的研究 确定影响NP劳动力，实践和NP提供初级保健能力的挑战的议程， 确定研究它们的方法。我们将召开一个为期一天半的会议， 护士执业者（ARNP），由研究人员，领导者，临床医生和政策制定者组成：目标1。识别 影响NP劳动力，实践及其在两个领域提供安全初级保健的能力的障碍和促进因素 美国和全球范围内。目标2.确定研究这些障碍和促进因素的最佳策略和方法。目标3。 制定一个全面的研究议程，以产生证据，消除障碍，促进者 在初级保健中的NP实践。ARNP将在纽约的哥伦比亚大学护理学院举行 由国家认可的卫生服务研究人员领导（主席：Lusine Poghosyan博士，联合主席：Dr. Grant Martsolf），他将国家和国际跨学科专家聚集在一起， 以马克思预期的产品是一个研究议程，以提高在美国的NP劳动力，将 与国家相关组织分享。评估ARNP的成功，包括总结性和形成性 评价将完成。ARNP的目标与AHRQ的使命一致，即提供证据， 提高卫生保健的安全性和质量。ARNP可以为促进健康提供重要平台 服务研究，开发美国与国际合作研究项目 这将有助于促进社区的知识共享，并加强跨学科专家的更广泛受众之间的知识共享。

Healthcare systems globally face pressures to meet the increasing demand for primary care services, particularly in rural and socio-economically deprived areas due to aging populations and chronic disease burdens. Many countries, including the United States (U.S.), are seeking innovative healthcare workforce solutions to meet this demand. One potential solution is the development of the nurse practitioner (NP) workforce. By 2025, an additional 52,000 physicians will be needed to meet the primary care demand in the U.S. The growing NP workforce could help fill this need as their numbers will double between 2008 and 2025, and NPs will comprise 27% of all primary care providers by 2025. Studies consistently show NPs deliver high quality, safe care to patients and achieve optimal patient outcomes. Furthermore, NP care also increases access to care for racial and ethnic minorities residing in rural and underserved areas as NPs disproportionally care for these populations (AHRQ Priority Populations). Thus, many stakeholders recommend optimal use of NPs in primary care. Yet, many barriers at the federal, state, and organizational levels hamper NP workforce, practice, and their ability to deliver care, which are not well-explored or studied. Lack of evidence prevents policymakers', administrators', and clinicians' (AHRQ stakeholders) abilities to take actions to eliminate barriers and optimally utilize NP workforce to promote safe care delivery. The purpose of this research development conference grant is to convene national and international experts to develop a comprehensive research agenda to define challenges affecting NP workforce, practice, and NPs' ability to deliver primary care and identify methodologies to study them. We will convene a 1.5 day conference, Advancement of Research on Nurse Practitioners (ARNP), consisting of researchers, leaders, clinicians, and policymakers to: Aim 1. Identify barriers and facilitators affecting NP workforce, practice, and their ability to deliver safe primary care both in the U.S. and globally. Aim 2. Identify best strategies and methods to study these barriers and facilitators. Aim 3. Develop a comprehensive research agenda to produce evidence to eliminate barriers and promote facilitators to NP practice in primary care. ARNP will be held at Columbia University School of Nursing in New York, NY and led by nationally recognized health services researchers (Chair: Dr. Lusine Poghosyan, Co-Chair: Dr. Grant Martsolf) who brought together national and international interdisciplinary experts in the planning committee. The expected product is a research agenda to enhance NP workforce in the U.S., which will be shared with nationally relevant organizations. To evaluate ARNP's success, both summative and formative evaluations will be completed. ARNP's aims are consistent with AHRQ's mission of producing evidence to improve the safety and quality of health care. ARNP can provide an important platform for advancing health services research, developing collaborative research projects between the U.S. and the international community, and enhancing knowledge sharing among a broader audience of interdisciplinary experts.