Defining the Urology Nurse Practitioner: a Delphi Study

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* 1. Thank you for your interest in participating in this survey. We ask that you please complete all questions. Your responses to Q 11-18 relate to the role of Urology Nurse Practitioners in general, not just your specific role as an individual

Date / Time

Date

Time

AM/PM

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* 2. Age

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* 3. Number of years working as a Nurse Practitioner

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* 4. Number of years working in UROLOGY as a Nurse Practitioner (at least 20 hr/week)

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* 5. Highest degree

MSN

PhD in Nursing

PhD other than nursing

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* 6. Gender

female

male

transgender

nonbinary

prefer not to answer

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* 7. How do you describe your race or cultural background? (Please choose only one.)

Native Hawaiian or Other Pacific Islander

Asian

Black or African American

Hispanic

White / Caucasian

other

I prefer not to answer

Multiple ethnicity / Other (please specify)

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* 8. Are you currently certified as a Urology Nurse Practitioner?

Yes

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* 9. What is your primary NP certification?

Generalist Nurse Practitioner

Urology Nurse Practitioner

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* 10. State or territory in which you work the most number of hours:

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* 11. Your primary work site (choose one)

Inpatient urology private hospital

Single urology private practice

Multi-specialty private practice

Inpatient urology public hospital

Outpatient public hospital

Community health hospital

Nursing home/long term care

Veterans Affairs hospital [VAMC]

Other federal/government facility

Industry (pharmaceuticals, etc)

Other

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* 12. Please rank the Patient Care Roles of the Urology NP- In your experience or opinion, please rank from 1 = most important, 6 = least important

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* 13. Please rank the Professional Activities of the Urology NP- In your experience or opinion, please rank from 1 = most important, 8 = least important

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* 14. Please rank the Health System Activities of the Urology NP- In your experience or opinion, please rank from 1 = most important, 5 = least important

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* 15. Any other aspect to the role of the Urology NP [professional, patient care or health system role] that should be added?

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* 16. In your experience or opinion, how important are these activities to the Patient Care Role of the Urology NP?

	not important	little important	somewhat important	neutral	moderately important	very important	extremely important
Female GU exam	Female GU exam not important	Female GU exam little important	Female GU exam somewhat important	Female GU exam neutral	Female GU exam moderately important	Female GU exam very important	Female GU exam extremely important
Male GU exam	Male GU exam not important	Male GU exam little important	Male GU exam somewhat important	Male GU exam neutral	Male GU exam moderately important	Male GU exam very important	Male GU exam extremely important
medication knowledge	medication knowledge not important	medication knowledge little important	medication knowledge somewhat important	medication knowledge neutral	medication knowledge moderately important	medication knowledge very important	medication knowledge extremely important
emergency room consultation	emergency room consultation not important	emergency room consultation little important	emergency room consultation somewhat important	emergency room consultation neutral	emergency room consultation moderately important	emergency room consultation very important	emergency room consultation extremely important
outpatient clinic management	outpatient clinic management not important	outpatient clinic management little important	outpatient clinic management somewhat important	outpatient clinic management neutral	outpatient clinic management moderately important	outpatient clinic management very important	outpatient clinic management extremely important
inpatient management	inpatient management not important	inpatient management little important	inpatient management somewhat important	inpatient management neutral	inpatient management moderately important	inpatient management very important	inpatient management extremely important
inpatient rounding	inpatient rounding not important	inpatient rounding little important	inpatient rounding somewhat important	inpatient rounding neutral	inpatient rounding moderately important	inpatient rounding very important	inpatient rounding extremely important
inpatient consultations	inpatient consultations not important	inpatient consultations little important	inpatient consultations somewhat important	inpatient consultations neutral	inpatient consultations moderately important	inpatient consultations very important	inpatient consultations extremely important
provides culturally sensitive GU care	provides culturally sensitive GU care not important	provides culturally sensitive GU care little important	provides culturally sensitive GU care somewhat important	provides culturally sensitive GU care neutral	provides culturally sensitive GU care moderately important	provides culturally sensitive GU care very important	provides culturally sensitive GU care extremely important
provides informed consent and counsels patients for urological interventions	provides informed consent and counsels patients for urological interventions not important	provides informed consent and counsels patients for urological interventions little important	provides informed consent and counsels patients for urological interventions somewhat important	provides informed consent and counsels patients for urological interventions neutral	provides informed consent and counsels patients for urological interventions moderately important	provides informed consent and counsels patients for urological interventions very important	provides informed consent and counsels patients for urological interventions extremely important
radiology interpretation	radiology interpretation not important	radiology interpretation little important	radiology interpretation somewhat important	radiology interpretation neutral	radiology interpretation moderately important	radiology interpretation very important	radiology interpretation extremely important
recognizes relevant history to prioritize chief complaint	recognizes relevant history to prioritize chief complaint not important	recognizes relevant history to prioritize chief complaint little important	recognizes relevant history to prioritize chief complaint somewhat important	recognizes relevant history to prioritize chief complaint neutral	recognizes relevant history to prioritize chief complaint moderately important	recognizes relevant history to prioritize chief complaint very important	recognizes relevant history to prioritize chief complaint extremely important
outpatient clinic procedures	outpatient clinic procedures not important	outpatient clinic procedures little important	outpatient clinic procedures somewhat important	outpatient clinic procedures neutral	outpatient clinic procedures moderately important	outpatient clinic procedures very important	outpatient clinic procedures extremely important
patient and family education/teaching	patient and family education/teaching not important	patient and family education/teaching little important	patient and family education/teaching somewhat important	patient and family education/teaching neutral	patient and family education/teaching moderately important	patient and family education/teaching very important	patient and family education/teaching extremely important
preoperative surgical clearance	preoperative surgical clearance not important	preoperative surgical clearance little important	preoperative surgical clearance somewhat important	preoperative surgical clearance neutral	preoperative surgical clearance moderately important	preoperative surgical clearance very important	preoperative surgical clearance extremely important

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* 17. In your experience or opinion, how important are these activities to the Professional Activities of the Urology NP?

	not important	little important	somewhat important	neutral	moderately important	very important	extremely important
billing/reimbursement knowledge	billing/reimbursement knowledge not important	billing/reimbursement knowledge little important	billing/reimbursement knowledge somewhat important	billing/reimbursement knowledge neutral	billing/reimbursement knowledge moderately important	billing/reimbursement knowledge very important	billing/reimbursement knowledge extremely important
knowledge of regulatory issues unique to urology	knowledge of regulatory issues unique to urology not important	knowledge of regulatory issues unique to urology little important	knowledge of regulatory issues unique to urology somewhat important	knowledge of regulatory issues unique to urology neutral	knowledge of regulatory issues unique to urology moderately important	knowledge of regulatory issues unique to urology very important	knowledge of regulatory issues unique to urology extremely important
policy knowledge	policy knowledge not important	policy knowledge little important	policy knowledge somewhat important	policy knowledge neutral	policy knowledge moderately important	policy knowledge very important	policy knowledge extremely important
preceptor experience	preceptor experience not important	preceptor experience little important	preceptor experience somewhat important	preceptor experience neutral	preceptor experience moderately important	preceptor experience very important	preceptor experience extremely important
teaching experience	teaching experience not important	teaching experience little important	teaching experience somewhat important	teaching experience neutral	teaching experience moderately important	teaching experience very important	teaching experience extremely important
active in professional organization	active in professional organization not important	active in professional organization little important	active in professional organization somewhat important	active in professional organization neutral	active in professional organization moderately important	active in professional organization very important	active in professional organization extremely important
research experience	research experience not important	research experience little important	research experience somewhat important	research experience neutral	research experience moderately important	research experience very important	research experience extremely important
Experience as manuscript or conference abstract reviewer	Experience as manuscript or conference abstract reviewer not important	Experience as manuscript or conference abstract reviewer little important	Experience as manuscript or conference abstract reviewer somewhat important	Experience as manuscript or conference abstract reviewer neutral	Experience as manuscript or conference abstract reviewer moderately important	Experience as manuscript or conference abstract reviewer very important	Experience as manuscript or conference abstract reviewer extremely important

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* 18. In your experience or opinion, how important are these activities to the Health System Activities of the Urology NP?

	not important	little important	somewhat important	neutral	moderately important	very important	extremely important
consultant	consultant not important	consultant little important	consultant somewhat important	consultant neutral	consultant moderately important	consultant very important	consultant extremely important
clinical leadership	clinical leadership not important	clinical leadership little important	clinical leadership somewhat important	clinical leadership neutral	clinical leadership moderately important	clinical leadership very important	clinical leadership extremely important
leader of healthcare team	leader of healthcare team not important	leader of healthcare team little important	leader of healthcare team somewhat important	leader of healthcare team neutral	leader of healthcare team moderately important	leader of healthcare team very important	leader of healthcare team extremely important
work with community organizations	work with community organizations not important	work with community organizations little important	work with community organizations somewhat important	work with community organizations neutral	work with community organizations moderately important	work with community organizations very important	work with community organizations extremely important
Facility policy	Facility policy not important	Facility policy little important	Facility policy somewhat important	Facility policy neutral	Facility policy moderately important	Facility policy very important	Facility policy extremely important
develop quality improvement projects	develop quality improvement projects not important	develop quality improvement projects little important	develop quality improvement projects somewhat important	develop quality improvement projects neutral	develop quality improvement projects moderately important	develop quality improvement projects very important	develop quality improvement projects extremely important

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* 19. In your experience or opinion, how important are these activities to the Urology NP procedures [procedures outside scope of RN license]
How important are these to the role of the Urology NP?

	not important	little important	somewhat important	neutral	moderately important	very important	extremely important
PTNS needle placement	PTNS needle placement not important	PTNS needle placement little important	PTNS needle placement somewhat important	PTNS needle placement neutral	PTNS needle placement moderately important	PTNS needle placement very important	PTNS needle placement extremely important
urodynamics interpretation	urodynamics interpretation not important	urodynamics interpretation little important	urodynamics interpretation somewhat important	urodynamics interpretation neutral	urodynamics interpretation moderately important	urodynamics interpretation very important	urodynamics interpretation extremely important
pelvic floor biofeedback training	pelvic floor biofeedback training not important	pelvic floor biofeedback training little important	pelvic floor biofeedback training somewhat important	pelvic floor biofeedback training neutral	pelvic floor biofeedback training moderately important	pelvic floor biofeedback training very important	pelvic floor biofeedback training extremely important
cystoscopy: diagnostic	cystoscopy: diagnostic not important	cystoscopy: diagnostic little important	cystoscopy: diagnostic somewhat important	cystoscopy: diagnostic neutral	cystoscopy: diagnostic moderately important	cystoscopy: diagnostic very important	cystoscopy: diagnostic extremely important
Cystoscopy: screening	Cystoscopy: screening not important	Cystoscopy: screening little important	Cystoscopy: screening somewhat important	Cystoscopy: screening neutral	Cystoscopy: screening moderately important	Cystoscopy: screening very important	Cystoscopy: screening extremely important
Cystoscopy: surveillance	Cystoscopy: surveillance not important	Cystoscopy: surveillance little important	Cystoscopy: surveillance somewhat important	Cystoscopy: surveillance neutral	Cystoscopy: surveillance moderately important	Cystoscopy: surveillance very important	Cystoscopy: surveillance extremely important
Cystoscopy for stent removal	Cystoscopy for stent removal not important	Cystoscopy for stent removal little important	Cystoscopy for stent removal somewhat important	Cystoscopy for stent removal neutral	Cystoscopy for stent removal moderately important	Cystoscopy for stent removal very important	Cystoscopy for stent removal extremely important
Cystoscopy + biopsy	Cystoscopy + biopsy not important	Cystoscopy + biopsy little important	Cystoscopy + biopsy somewhat important	Cystoscopy + biopsy neutral	Cystoscopy + biopsy moderately important	Cystoscopy + biopsy very important	Cystoscopy + biopsy extremely important
Cystoscopy for difficult catheter placement	Cystoscopy for difficult catheter placement not important	Cystoscopy for difficult catheter placement little important	Cystoscopy for difficult catheter placement somewhat important	Cystoscopy for difficult catheter placement neutral	Cystoscopy for difficult catheter placement moderately important	Cystoscopy for difficult catheter placement very important	Cystoscopy for difficult catheter placement extremely important
cystoscopy for bladder/prostate Botox (onabotulinumtoxinA) injections	cystoscopy for bladder/prostate Botox (onabotulinumtoxinA) injections not important	cystoscopy for bladder/prostate Botox (onabotulinumtoxinA) injections little important	cystoscopy for bladder/prostate Botox (onabotulinumtoxinA) injections somewhat important	cystoscopy for bladder/prostate Botox (onabotulinumtoxinA) injections neutral	cystoscopy for bladder/prostate Botox (onabotulinumtoxinA) injections moderately important	cystoscopy for bladder/prostate Botox (onabotulinumtoxinA) injections very important	cystoscopy for bladder/prostate Botox (onabotulinumtoxinA) injections extremely important
Incision and drainage (I & D) scrotal/groin/genital abcess	Incision and drainage (I & D) scrotal/groin/genital abcess not important	Incision and drainage (I & D) scrotal/groin/genital abcess little important	Incision and drainage (I & D) scrotal/groin/genital abcess somewhat important	Incision and drainage (I & D) scrotal/groin/genital abcess neutral	Incision and drainage (I & D) scrotal/groin/genital abcess moderately important	Incision and drainage (I & D) scrotal/groin/genital abcess very important	Incision and drainage (I & D) scrotal/groin/genital abcess extremely important
penile doppler- perform/interpret	penile doppler- perform/interpret not important	penile doppler- perform/interpret little important	penile doppler- perform/interpret somewhat important	penile doppler- perform/interpret neutral	penile doppler- perform/interpret moderately important	penile doppler- perform/interpret very important	penile doppler- perform/interpret extremely important
priapism injection	priapism injection not important	priapism injection little important	priapism injection somewhat important	priapism injection neutral	priapism injection moderately important	priapism injection very important	priapism injection extremely important
testosterone pellet insertion	testosterone pellet insertion not important	testosterone pellet insertion little important	testosterone pellet insertion somewhat important	testosterone pellet insertion neutral	testosterone pellet insertion moderately important	testosterone pellet insertion very important	testosterone pellet insertion extremely important
TRUS without biopsy	TRUS without biopsy not important	TRUS without biopsy little important	TRUS without biopsy somewhat important	TRUS without biopsy neutral	TRUS without biopsy moderately important	TRUS without biopsy very important	TRUS without biopsy extremely important
TRUS prostate biopsy	TRUS prostate biopsy not important	TRUS prostate biopsy little important	TRUS prostate biopsy somewhat important	TRUS prostate biopsy neutral	TRUS prostate biopsy moderately important	TRUS prostate biopsy very important	TRUS prostate biopsy extremely important
LHRH antagonist insertion	LHRH antagonist insertion not important	LHRH antagonist insertion little important	LHRH antagonist insertion somewhat important	LHRH antagonist insertion neutral	LHRH antagonist insertion moderately important	LHRH antagonist insertion very important	LHRH antagonist insertion extremely important
urodynamics [place catheters/perform test]	urodynamics [place catheters/perform test] not important	urodynamics [place catheters/perform test] little important	urodynamics [place catheters/perform test] somewhat important	urodynamics [place catheters/perform test] neutral	urodynamics [place catheters/perform test] moderately important	urodynamics [place catheters/perform test] very important	urodynamics [place catheters/perform test] extremely important
pessary fitting	pessary fitting not important	pessary fitting little important	pessary fitting somewhat important	pessary fitting neutral	pessary fitting moderately important	pessary fitting very important	pessary fitting extremely important
urethral dilation in clinic	urethral dilation in clinic not important	urethral dilation in clinic little important	urethral dilation in clinic somewhat important	urethral dilation in clinic neutral	urethral dilation in clinic moderately important	urethral dilation in clinic very important	urethral dilation in clinic extremely important
injections for Peyronie's disease	injections for Peyronie's disease not important	injections for Peyronie's disease little important	injections for Peyronie's disease somewhat important	injections for Peyronie's disease neutral	injections for Peyronie's disease moderately important	injections for Peyronie's disease very important	injections for Peyronie's disease extremely important
neuromodulation with programming of Interstim device	neuromodulation with programming of Interstim device not important	neuromodulation with programming of Interstim device little important	neuromodulation with programming of Interstim device somewhat important	neuromodulation with programming of Interstim device neutral	neuromodulation with programming of Interstim device moderately important	neuromodulation with programming of Interstim device very important	neuromodulation with programming of Interstim device extremely important
myofascial release of pelvic floor	myofascial release of pelvic floor not important	myofascial release of pelvic floor little important	myofascial release of pelvic floor somewhat important	myofascial release of pelvic floor neutral	myofascial release of pelvic floor moderately important	myofascial release of pelvic floor very important	myofascial release of pelvic floor extremely important
pelvic floor trigger point injections (male or female)	pelvic floor trigger point injections (male or female) not important	pelvic floor trigger point injections (male or female) little important	pelvic floor trigger point injections (male or female) somewhat important	pelvic floor trigger point injections (male or female) neutral	pelvic floor trigger point injections (male or female) moderately important	pelvic floor trigger point injections (male or female) very important	pelvic floor trigger point injections (male or female) extremely important
circumcision (infant)	circumcision (infant) not important	circumcision (infant) little important	circumcision (infant) somewhat important	circumcision (infant) neutral	circumcision (infant) moderately important	circumcision (infant) very important	circumcision (infant) extremely important
aspiration of hydrocele	aspiration of hydrocele not important	aspiration of hydrocele little important	aspiration of hydrocele somewhat important	aspiration of hydrocele neutral	aspiration of hydrocele moderately important	aspiration of hydrocele very important	aspiration of hydrocele extremely important
perform vasectomy	perform vasectomy not important	perform vasectomy little important	perform vasectomy somewhat important	perform vasectomy neutral	perform vasectomy moderately important	perform vasectomy very important	perform vasectomy extremely important
suprapubic catheter- initial placement	suprapubic catheter- initial placement not important	suprapubic catheter- initial placement little important	suprapubic catheter- initial placement somewhat important	suprapubic catheter- initial placement neutral	suprapubic catheter- initial placement moderately important	suprapubic catheter- initial placement very important	suprapubic catheter- initial placement extremely important
chemotherapy injections	chemotherapy injections not important	chemotherapy injections little important	chemotherapy injections somewhat important	chemotherapy injections neutral	chemotherapy injections moderately important	chemotherapy injections very important	chemotherapy injections extremely important
perform scrotal ultrasound	perform scrotal ultrasound not important	perform scrotal ultrasound little important	perform scrotal ultrasound somewhat important	perform scrotal ultrasound neutral	perform scrotal ultrasound moderately important	perform scrotal ultrasound very important	perform scrotal ultrasound extremely important
perform renal ultrasound	perform renal ultrasound not important	perform renal ultrasound little important	perform renal ultrasound somewhat important	perform renal ultrasound neutral	perform renal ultrasound moderately important	perform renal ultrasound very important	perform renal ultrasound extremely important

Defining the Urology Nurse Practitioner: a Delphi Study

Question Title

* 1. Thank you for your interest in participating in this survey. We ask that you please complete all questions. Your responses to Q 11-18 relate to the role of Urology Nurse Practitioners in general, not just your specific role as an individual

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* 2. Age

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* 3. Number of years working as a Nurse Practitioner

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* 4. Number of years working in UROLOGY as a Nurse Practitioner (at least 20 hr/week)

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* 5. Highest degree

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* 6. Gender

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* 7. How do you describe your race or cultural background? (Please choose only one.)

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* 8. Are you currently certified as a Urology Nurse Practitioner?

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* 9. What is your primary NP certification?

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* 10. State or territory in which you work the most number of hours:

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* 11. Your primary work site (choose one)

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* 12. Please rank the Patient Care Roles of the Urology NP- In your experience or opinion, please rank from 1 = most important, 6 = least important

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* 13. Please rank the Professional Activities of the Urology NP- In your experience or opinion, please rank from 1 = most important, 8 = least important

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* 14. Please rank the Health System Activities of the Urology NP- In your experience or opinion, please rank from 1 = most important, 5 = least important

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* 15. Any other aspect to the role of the Urology NP [professional, patient care or health system role] that should be added?

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* 16. In your experience or opinion, how important are these activities to the Patient Care Role of the Urology NP?

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* 17. In your experience or opinion, how important are these activities to the Professional Activities of the Urology NP?

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* 18. In your experience or opinion, how important are these activities to the Health System Activities of the Urology NP?

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* 19. In your experience or opinion, how important are these activities to the Urology NP procedures [procedures outside scope of RN license]How important are these to the role of the Urology NP?

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* 20. Any additonal procedures or NP role activities that should be included?

* 19. In your experience or opinion, how important are these activities to the Urology NP procedures [procedures outside scope of RN license]
How important are these to the role of the Urology NP?