STUDY OBJECTIVE To determine if there are significant differences in birth outcomes and survival for infants delivered by certified nurse midwives compared with those delivered by physicians, and whether these differences, if they exist, remain after controlling for sociodemographic and medical risk factors. DESIGN Logistic regression models were used to examine differences between certified ...

OBJECTIVES Following a consensus statement from a multidisciplinary UK workshop, a structured examination schedule was developed for the diagnosis and classification of musculoskeletal disorders of the upper limb. The aim of this study was to test the repeatability and the validity of the newly developed schedule in a hospital setting. METHOD 43 consecutive referrals to a soft tissue rheumati...

objective: to examine the inter-rater reliability of triages performed by the electronic triage system (ets) which has recently developed and used in hospital emergency department (ed). methods: this cross-sectional study was conducted prospectively and studied 408 visitors of tabriz imam reza hospital’s ed. the variables of interest were age, sex, nurse-assigned triage category, physician-assi...

W I was a new graduate nurse working on a medicalsurgical unit, I assumed that Karen was a physician as she rounded and wrote patient care orders. Another nurse identified Karen as a nurse practitioner (NP) and opened my eyes to a whole new world of advanced nursing practice. I was curious to know more about NPs and physician assistants (PAs), whom I also saw in patient care. Was it legal for t...

a decade ago, sub-saharan africa accounted for 24% of the global disease burden but was served by only 4% of the global health workforce. the chronic shortage of medical doctors has led other health professionals especially nurses to perform the role of healthcare providers. these health workers have been variously named clinical officers, health officers, physician assistants, nurse practition...

OBJECTIVE To compare blood pressure measurements taken at home by physicians, nurses, and patients with office blood pressure measurement , ambulatory blood pressure monitoring and home blood pressure measurement. METHODS A total of 44 patients seen by a home care program were studied. Protocol 1 a) blood pressure was measured by the patient, a physician and a nurse during a regular home visi...

Foreign-educated physicians (FEPs), also known as "international medical graduates", represent a rich source of potential primary-care providers. Despite their high level of medical knowledge and skills as well as ethnic and cultural diversity suited to meet the demands of patients, FEPs face many barriers in their attempt to continue to practice medicine in the USA. The program of study at Flo...

As a nurse it is difficult for me to read this paper without feeling somewhat 'prickly' but at the same time I welcome May's attempt to address an unfashionable topic, which needs some debate. Why the defensiveness? It follows from certain statements May makes, for example his assertion that full colleague status for nurses with doctors, is connected with nurses taking on 'certain responsibilit...