Evidence map›Paper›PMID 35191058›Full record

ArticleNursing forum2022

COVID-19 effects on practice: Perspectives of Tennessee APRNs.

Carole R Myers, Lauren Renee Muñoz, Tracey Stansberry, Mavis Schorn, Ruth Kleinpell, Wendy Likes

Abstract read
In one paragraph

Article in Nursing forum, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carole R MyersCollege of Nursing, University of Tennessee-Knoxville, Knoxville, Tennessee, USA.ORCID https://orcid.org/0000-0001-5766-9651
Lauren Renee MuñozCollege of Nursing, University of Tennessee-Knoxville, Knoxville, Tennessee, USA.ORCID https://orcid.org/0000-0002-5418-1623
Tracey StansberryCollege of Nursing, University of Tennessee-Knoxville, Knoxville, Tennessee, USA.ORCID https://orcid.org/0000-0003-4640-7511
Mavis SchornSchool of Nursing, Vanderbilt University, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-6797-2272
Ruth KleinpellSchool of Nursing, Vanderbilt University, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0003-0142-7527
Wendy LikesCollege of Nursing, University of Tennessee Health Science Center, Memphis, Tennessee, USA.ORCID https://orcid.org/0000-0003-4203-1115

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn response to the COVID-19 pandemic, Tennessee's Governor issued executive orders temporarily suspending certain practice restrictions on advanced practice registered nurses (APRN), which expired after 2 months as the pandemic worsened. PURPOSE: This purpose of this qualitative study was to analyze APRN interview data to evaluate how prepandemic APRN practice barriers, executive orders, and the pandemic affected APRN practice in Tennessee.

methodsFifteen Tennessee APRNs who completed the National APRN Practice and Pandemic study also completed follow-up interviews via a HIPAA-compliant Zoom platform. Given the unprecedented circumstances associated with the COVID-19 pandemic, we conducted a qualitative descriptive study seeking descriptions and unique perspectives of Tennessee APRNs. Consistent with qualitative study design, we conducted an atheoretical study that featured interviews, purposeful sampling with maximum variation sampling, and content analysis.

resultsThe major themes were practice changes, impact of executive orders, and ongoing care barriers. The data revealed that patients, APRNs, and other health care providers were strained in new and profound ways during the pandemic. An underlying theme was Tennessee APRNs' frustration with continued regulatory and other practice barriers despite their state's health and health care disparities and under resourced health care system.

conclusionThese findings indicate the need to improve care access and health outcomes, advocate for full practice authority for APRNs, support telehealth expansion, address transportation deficiencies, and respond to the pandemic-precipitated mental health crisis.

Indexed as

Advanced Practice NursingCOVID-19Delivery of Health CareHumansPandemicsTennesseeadvanced practice nursingCOVID-19delivery of health carehealth policymental healthpolicy

Identifiers

PMID35191058
PMCPMC9115392

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.