Addressing the Support Needs of Women at High Risk for Breast Cancer: Evidence-Based Care by Advanced Practice Nurses

2002 ◽  
Vol 29 (6) ◽  
pp. E77-E84 ◽  
Author(s):  
Dawn Stacey ◽  
Cathy DeGrasse ◽  
Lisa Johnston
2019 ◽  
Vol 29 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Miguel Ángel Rodríguez Calero ◽  
Carlos Javier Villafáfila Gomila ◽  
Pedro Sastre Fullana

2009 ◽  
Vol 28 (3) ◽  
pp. 193-201 ◽  
Author(s):  
Joan Renaud Smith ◽  
Ann Donze ◽  
F. Sessions Cole ◽  
Judy Johnston ◽  
Jeanne Giebe

EVIDENCE-BASED PRACTICE (EBP) is a process that utilizes the best available evidence, expert opinion, and patient preference to guide clinical practice decisions. Although the process itself is relatively straightforward and understandable (See Five Steps of Evidence-Based Practice), implementation requires an infrastructure and knowledge base that can support all five steps of the EBP process.


2000 ◽  
Vol 2 (3) ◽  
pp. 148-152 ◽  
Author(s):  
Christine M. Waszynski ◽  
Wendy Murakami ◽  
Mary Lewis

A group of advanced practice nurses partnered with a major insurer in the design and implementation of a care coordination model for high-risk older adults. This article will discuss the process of such an undertaking, highlighting the successes and barriers encountered. The key elements of this program included early identification and regular reassessment of each member’s acuity level; fostering close partnerships between individual or teams of APRNs and groups of physicians; and uninterrupted clinical management of high-risk members across the health care continuum. This model was designed to achieve the following outcomes: to support the physician management of high-risk, chronic individuals; to increase or maintain the health of members; and to reduce health care costs. Outcome studies have demonstrated a substantial net savings by decreasing acute care admissions by 54%, reducing hospital days by 42%, and trimming primary care physicians’ and specialists’ visit costs by 37%. There was a 33% reduction in the overall costs of health care for members enrolled in this program. Physicians and members both rated their satisfaction with the APRN-based model of care as very high.


1998 ◽  
Vol 16 (12) ◽  
pp. 823-830 ◽  
Author(s):  
Dorothy Brooten ◽  
Latina Brooks ◽  
Elizabeth A. Madigan ◽  
JoAnne M. Youngblut

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