The changing landscape of nephrology physician assistants and nurse practitioners

J Am Assoc Nurse Pract. 2021 Jan 1;33(1):51-56. doi: 10.1097/JXX.0000000000000490.

Abstract

Background: Physician assistants (PAs) and nurse practitioners (NPs) have expanded roles in nephrology as both the patient load and acuity of care needed for this population have increased.

Purpose: To evaluate workforce patterns of PAs and NPs working in nephrology over the past decade.

Methods: Using the biannual survey from the National Kidney Foundation Council of Advanced Practitioners, data were collected and analyzed over the past decade.

Results: Surveys of nephrology practitioners show the evolution of the dialysis-centralized practitioner to one encompassing all aspects of nephrology: hospital, intensive care unit, research, office, and all types of dialysis. Salaries and benefits have increased to compensate for the expansion of responsibilities.

Implications for practice: Physician assistants and NPs in nephrology have the opportunity to use their skills and training in caring for this high-risk population.

MeSH terms

  • California
  • Humans
  • Nephrology / methods*
  • Nephrology / trends
  • Nurse Practitioners / statistics & numerical data*
  • Physician Assistants / statistics & numerical data*
  • Surveys and Questionnaires