Optimizing care for patients with infectious diseases: Roles of emergency medical services and nursing

https://doi.org/10.53730/ijhs.v8nS1.15204

Authors

  • Maha Mahdi Alanazi KSA, National Guard Health Affairs
  • Sanad Samah Alharbi KSA, National Guard Health Affairs
  • Saleh Abdul Latif Al-Jasser KSA, National Guard Health Affairs
  • Alaa Saud Aleiid KSA, National Guard Health Affairs
  • Alaa Musaad Alsayyari KSA, National Guard Health Affairs
  • Munirah Nassar Arabi KSA, National Guard Health Affairs
  • Maha Fuhied Alharthi KSA, National Guard Health Affairs
  • Dalal Rahil Alshammari KSA, National Guard Health Affairs
  • ‏Salwa Rashed Alowaidan KSA, National Guard Health Affairs
  • ‏Reem Mahmoud Nashar KSA, National Guard Health Affairs
  • Ahmad Mohammed Isa Gaddourah KSA, National Guard Health Affairs

Keywords:

infectious diseases, advanced care practitioners, competency-based education, nurse practitioners, physician assistants, healthcare delivery

Abstract

Background: Internal medicine (IM) and its subspecialties have seen a shift in care delivery, increasingly relying on nonphysician practitioners (NPPs) such as nurse practitioners (NPs) and physician assistants (PAs). This article focuses on the development of a curriculum and competency framework for advanced care practitioners (ACPs) specializing in infectious diseases (ID). Aim: To establish a comprehensive competency-based education (CBE) model for NPs and PAs in ID, aiming to enhance their skills and optimize patient care. Methods: The framework incorporates six core competencies endorsed by various regulatory and professional organizations. An interprofessional approach was utilized to develop a curriculum that addresses the educational needs of ACPs in ID practice, along with assessing Entrustable Professional Activities (EPAs). Results: The proposed guidelines outline specific clinical responsibilities and milestones for ACPs over a one-year training period. This structured approach ensures that ACPs develop competencies in patient care, medical knowledge, interpersonal skills, professionalism, and systems-based practice, allowing them to effectively manage common and complex infectious diseases. Conclusion: The integration of ACPs into infectious disease practice is vital for enhancing patient care and alleviating resident workload. 

Downloads

Download data is not yet available.

References

Advanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician Assistants. https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/medicareinformationforaprnsaaspasbookleticn901623_0.pdf. Accessed 3 October 2023.

ACGME. Internal medicine milestones. Available at: https://www.acgme.org/globalassets/PDFs/Milestones/InternalMedicineMilestones2.0.pdf.

American Board of Medical Specialties. American Board of Medical Specialties standards for continuing certification. Available at: https://www.abms.org/wp-content/uploads/2021/11/ABMS-Standards-for-Continuing-Certification-20211029.pdf–added.

Doolittle BR, Lim J, Edgar L. Milestones 2.0—a growth mindset for internal medicine residency programs. Amer J of Med 2020; 133:1492–9. DOI: https://doi.org/10.1016/j.amjmed.2020.09.003

Englander R, Cameron T, Ballard AJ, et al. Toward a common taxonomy of competency domains for the health professions and competencies for physicians. Acad Med 2013; 88:1088–94. DOI: https://doi.org/10.1097/ACM.0b013e31829a3b2b

Ten Cate O. Nuts and bolts of entrustable professional activities. J of Grad Med Ed 2013; 5:157–8. DOI: https://doi.org/10.4300/JGME-D-12-00380.1

Wagner LM, Dolansky MA, Englander R. Entrustable professional activities for quality and patient safety. Nurs Outlook 2018; 66:237–43. DOI: https://doi.org/10.1016/j.outlook.2017.11.001

Hodges AL, Konicki AJ, Talley MH, et al. Competency-based education in transitioning nurse practitioner students from education into practice. J Am Assoc Nurse Pract 2019; 31:675–82. DOI: https://doi.org/10.1097/JXX.0000000000000327

Accreditation Council for Graduate Medical Education (ACGME). Common Program Requirements (residency). Available at: https://www.acgme.org/globalassets/pfassets/programrequirements/cprresidency_2023.pdf.

Accreditation Council for Graduate Medical Education (ACGME). Common Program Requirements (Fellowship). Available at: https://www.acgme.org/globalassets/pfassets/programrequirements/146_infectiousdisease_2022_tcc.pdf

Nurse practitioner core competencies content from the NP core competencies content work group. Available at: https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.

American Association of Colleges of Nursing. The essentials: core competencies for professional nursing education. April 6, 2021. Available at: https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf

Chan TE, Lockhart JS, Schreiber JB, Kronk R. Determining nurse practitioner core competencies using a delphi approach. J Am Assoc Nurse Pract 2020; 32:200–17. DOI: https://doi.org/10.1097/JXX.0000000000000384

Wu C, Wu P, Li P, et al. Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study. BMC Infect Dis 2021; 21:791. DOI: https://doi.org/10.1186/s12879-021-06402-2

Competencies for the physician assistant profession. Updated 2021. Available at: https://www.aapa.org/wp-content/uploads/2017/02/PA-Competencies-updated.pdf. Accessed 18 September 2023.

Interprofessional Education Collaborative 2016. Core competencies for interprofessional collaborative practice: 2016 update. Available at: https://www.mededportal.org. Accessed 18 September 2023.

Rodgers GP, Linderbaum JA, Pearson DD, et al. ACC clinical competencies for NPs and PAs in adult cardiovascular med. J Am Coll Cardiol 2020; 75:2483–517. DOI: https://doi.org/10.1016/j.jacc.2020.01.005

Emergency NP Competencies Work Group. Emergency nurse practitioner competencies. 2021. Available at: https://www.ena.org/docs/default-source/education-document-library/enpcompetencies_final.pdf?sfvrsn=f75b4634_0__;!!BWcElQ!0OSiRB9AyZjDC6esKPrkOvctb9aeHn4jjGrolc266WrMOSDB3k6KHU5dU8YNLDLef2dmXoJ5812rKevZzQc$. Accessed 3 October 2023.

Eaton B, Hessler L, O’Meara L, et al. The impact of advanced practice providers on the surgical resident experience: agree to disagree? Am J Surg 2019; 217:1107–11. DOI: https://doi.org/10.1016/j.amjsurg.2018.10.014

Joffe AM, Pastores SM, Maerz LL, et al. Utilization and impact on fellowship training of non-physician advanced practice providers in intensive care units of academic medical centers: a survey of critical care program directors. J Crit Care 2014; 29:112–5. DOI: https://doi.org/10.1016/j.jcrc.2013.10.005

Kahn S, Davis SA, Banes CT, et al. Impact of advanced practice providers (nurse practitioners and physician assistants) on surgical residents’ critical care experience. J Surg Res 2015; 199:7–12. DOI: https://doi.org/10.1016/j.jss.2015.05.036

Gottenborg E, Limes J, Olson A, Wolfe B. Learning together: integration of advanced practice providers into a general medicine ward team. J Gen Intern Med 2019; 34:769–72. DOI: https://doi.org/10.1007/s11606-019-04880-4

Gilman SC, Chokshi DA, Bowen JL, et al. Connecting the dots: interprofessional health education and delivery system redesign at the Veterans Health Administration. Acad Med 2014; 89:1113–6. DOI: https://doi.org/10.1097/ACM.0000000000000312

Sklar DP. Training models for physician assistants and nurse practitioners: disruptive innovations that could improve health professions education and practice. Acad Med 2019; 94:917–20. DOI: https://doi.org/10.1097/ACM.0000000000002738

Consortium for Advanced Practice Providers: Specialty NP and NP/PA Post-graduate Residency and Fellowship. Available at: https://www.apppostgradtraining.com/wp-content/uploads/2023/04/CAPP_PostgradSpecProgShts_0423_R1.pdf. Accessed 11 December 2023.

Kesten KS, Beebe SL. Competency framework for nurse practitioner residency and fellowship programs: comparison, analysis and recommendations. J Am Assoc Nurse Pract 2021; 34:160–8. DOI: https://doi.org/10.1097/JXX.0000000000000591

Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. National Academies Press; 2011. Available at: https://www.ncbi.nlm.nih.gov/books/NBK209881/.

Kidd VD, Vanderlinden S, Hooker RS. A national survey of postgraduate physician assistant fellowship and residency programs. BMC Med Educ 2021; 21:212. DOI: https://doi.org/10.1186/s12909-021-02613-y

Certificates of added qualifications (CAQs). Available at: https://www.nccpa.net/.

White CN, Borchardt RA, Mabry ML, et al. Multidisciplinary cancer care: development of an infectious diseases physician assistant workforce at a comprehensive cancer center. J Oncol Pract 2010; 6:e31–4. DOI: https://doi.org/10.1200/JOP.2010.000100

Decloe M, McCready J, Downey J, Powis J. Improving health care efficiency through the integration of a physician assistant into an infectious disease consult service at a large urban community hospital. Can J Infect Dis Med Microbiol 2015; 26:130–2. DOI: https://doi.org/10.1155/2015/857890

Gail C, Field KW, Simpson T, Bond EF. Clinical nurse specialists and nurse practitioners: complementary roles for infectious diseases and infection control. Am J Infect Control 2004; 32:239–42. DOI: https://doi.org/10.1016/j.ajic.2003.06.002

Hays D, Kridli S, Kruse JA. Implementation of a standardized national HIV curriculum in a primary care nurse practitioner program. Nurse Educ 2022; 47:317–21. DOI: https://doi.org/10.1097/NNE.0000000000001252

McGee KS, Relf M, Harmon JL. The development of an HIV training program for nurse practitioners. J Assoc Nurses AIDS Care (JANAC) 2016; 27:240–5. DOI: https://doi.org/10.1016/j.jana.2015.11.008

Farley JE, Stewart J, Kub J, et al. Development of the Johns Hopkins University School of Nursing adult/geriatric primary care NP program in HIV prevention, treatment and care. J Assoc Nurses AIDS Care (JANAC) 2016; 27:223–33. DOI: https://doi.org/10.1016/j.jana.2015.12.006

Boehler M, Schechman B, Rivero R, et al. Developing the HIV workforce: the MATEC Clinician Scholars Program. J Assoc Nurses AIDS Care 2016; 27:246–60. DOI: https://doi.org/10.1016/j.jana.2015.06.006

Published

15-01-2024

How to Cite

Alanazi, M. M., Alharbi, S. S., Al-Jasser, S. A. L., Aleiid, A. S., Alsayyari, A. M., Arabi, M. N., Alharthi, M. F., Alshammari, D. R., Alowaidan, ‏Salwa R., Nashar, ‏Reem M., & Gaddourah, A. M. I. (2024). Optimizing care for patients with infectious diseases: Roles of emergency medical services and nursing. International Journal of Health Sciences, 8(S1), 1331–1346. https://doi.org/10.53730/ijhs.v8nS1.15204

Issue

Section

Peer Review Articles

Most read articles by the same author(s)

1 2 > >>