BIG issues: evaluation of the effects of granting legal authority to Dutch Nurse Practitioners and Physician Assistants to independently perform reserved medical procedures

Research output: ThesisDoctoral ThesisInternal

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Abstract

As from 2012, not only doctors but also nurse practitioners and physician assistants are allowed to independently indicate and perform some medical tasks (or have these performed). By order of the Ministry of Health, Welfare and Sport, the effectiveness and efficiency of this temporary task reallocation was studied. This dissertation shows that nurse practitioners and physician assistants perform catheterisations, surgical procedures, injections, punctures and medication prescriptions at a high level of independency. In addition, the care processes involved are more efficient, legal requirements are met and adverse side effects are absent. The minister has been advised to reallocate these tasks permanently. This has recently been realised.
Original languageEnglish
Awarding Institution
  • Maastricht University
Supervisors/Advisors
  • Dirksen, Carmen, Supervisor
  • Vrijhoef, Hubertus J. M., Supervisor, External person
  • Hustings, Yvonne, Advisor
Award date5 Dec 2018
Place of PublicationMaastricht
Publisher
Print ISBNs9789493014947
DOIs
Publication statusPublished - 2018

Keywords

  • task reallocation
  • reserved procedures
  • nurse practitioner
  • physician assistant
  • temporary registration
  • BIG-register
  • Dutch Individual Healthcare Professions Act (BIG Act)

Cite this

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title = "BIG issues: evaluation of the effects of granting legal authority to Dutch Nurse Practitioners and Physician Assistants to independently perform reserved medical procedures",
abstract = "As from 2012, not only doctors but also nurse practitioners and physician assistants are allowed to independently indicate and perform some medical tasks (or have these performed). By order of the Ministry of Health, Welfare and Sport, the effectiveness and efficiency of this temporary task reallocation was studied. This dissertation shows that nurse practitioners and physician assistants perform catheterisations, surgical procedures, injections, punctures and medication prescriptions at a high level of independency. In addition, the care processes involved are more efficient, legal requirements are met and adverse side effects are absent. The minister has been advised to reallocate these tasks permanently. This has recently been realised.",
keywords = "task reallocation, reserved procedures, nurse practitioner, physician assistant, temporary registration, BIG-register, Dutch Individual Healthcare Professions Act (BIG Act)",
author = "{De Bruijn-Geraets}, {Daisy Philomina}",
year = "2018",
doi = "10.26481/dis.20181205dg",
language = "English",
isbn = "9789493014947",
publisher = "Maastricht University",
school = "Maastricht University",

}

TY - THES

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T2 - evaluation of the effects of granting legal authority to Dutch Nurse Practitioners and Physician Assistants to independently perform reserved medical procedures

AU - De Bruijn-Geraets, Daisy Philomina

PY - 2018

Y1 - 2018

N2 - As from 2012, not only doctors but also nurse practitioners and physician assistants are allowed to independently indicate and perform some medical tasks (or have these performed). By order of the Ministry of Health, Welfare and Sport, the effectiveness and efficiency of this temporary task reallocation was studied. This dissertation shows that nurse practitioners and physician assistants perform catheterisations, surgical procedures, injections, punctures and medication prescriptions at a high level of independency. In addition, the care processes involved are more efficient, legal requirements are met and adverse side effects are absent. The minister has been advised to reallocate these tasks permanently. This has recently been realised.

AB - As from 2012, not only doctors but also nurse practitioners and physician assistants are allowed to independently indicate and perform some medical tasks (or have these performed). By order of the Ministry of Health, Welfare and Sport, the effectiveness and efficiency of this temporary task reallocation was studied. This dissertation shows that nurse practitioners and physician assistants perform catheterisations, surgical procedures, injections, punctures and medication prescriptions at a high level of independency. In addition, the care processes involved are more efficient, legal requirements are met and adverse side effects are absent. The minister has been advised to reallocate these tasks permanently. This has recently been realised.

KW - task reallocation

KW - reserved procedures

KW - nurse practitioner

KW - physician assistant

KW - temporary registration

KW - BIG-register

KW - Dutch Individual Healthcare Professions Act (BIG Act)

U2 - 10.26481/dis.20181205dg

DO - 10.26481/dis.20181205dg

M3 - Doctoral Thesis

SN - 9789493014947

PB - Maastricht University

CY - Maastricht

ER -