scholarly journals Treatment Quality through Advanced Practice Nurses (APN) and Clinical Nurses (CN) in Ambulatory Primary Health Care – a retrospective study / Behandlungsqualität durch Advanced Practice Nurses (APN) und Clinical Nurses (CN) in der ambulanten Gesundheitsversorgung – eine retrospektive Studie

2020 ◽  
Vol 7 (1) ◽  
pp. 84-89
Author(s):  
Christian Ambrosch ◽  
Isabelle Mathier ◽  
Irina Bajusic ◽  
Thomas Bucher ◽  
Chantal Wüst
Keyword(s):  
Health Care ◽  
Advanced Practice Nurses ◽  
Retrospektive Studie ◽  
Treatment Quality ◽  
Advanced Practice ◽  
Upper Respiratory Tract ◽  
Practice Nurses ◽  
Clinical Nurses ◽  
Quality Of Treatment

AbstractIntroductionThe shortage of general practitioners in Switzerland requires new ways to ensure primary outpatient health care. The group practice Medbase Winterthur Neuwiesen has been testing the use of Advanced Practice Nurses (APN) and Clinical Nurses (CN) for the treatment of clearly defined cases with minor illnesses for the past two years. In the context of quality assurance, this study examines the quality of treatment and outcome in 60 patients with symptoms of an acute upper respiratory tract infection, half of whom were assigned to a physician and half to an APN/CNMethodsAnalysis of the treatment and the outcome of 60 patient files, half of which were randomly assigned to a physician and half to an APN/CN.ResultsAPN/CN treated significantly more often according to standardized guidelines than physicians; the outcome in patients treated by APN/CN was slightly better, the difference is not significant, though.DiscussionThe use of APN and CN in outpatient primary care is possible without compromising the quality of treatment in cases with minor illnesses and clearly defined guidelines for treatment.

Patient Satisfaction With the Quality of Counseling Provided by Advanced Practice Nurses Specialized in Multiple Sclerosis

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Melanie Weilenmann ◽  
Daniela Händler-Schuster ◽  
Heidi Petry ◽  
Diana Zanolari ◽  
Gabriela Schmid-Mohler ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Patient Satisfaction ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses

Building to Make a Difference: Advanced Practice Nurses’ Experience of Power

2018 ◽  
Vol 32 (1) ◽  
pp. 96-116
Author(s):  
Catherine A. Schoales ◽  
Frances Fothergill Bourbonnais ◽  
Judy Rashotte
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Lived Experience ◽  
Soft Power ◽  
Tertiary Care ◽  
Improve Patient Care ◽  
Advanced Practice Nurses ◽  
Care Organization ◽  
Advanced Practice ◽  
Practice Nurses

Power is necessary for nurses to affect change in patient care and to move the nursing profession forward. Despite the evolving body of nursing research on power, there have been no studies that have investigated the nature of advanced practice nurses’ (APNs’) power. The purpose of this study was to explore the APNs’ lived experience of power. Interpretive phenomenology guided the method and analysis. Eight APNs employed in a single Canadian tertiary care teaching health-care organization engaged in in-depth interviews. The overarching theme, building to make a difference, reflected the APNs’ perception of power in their practice, which involved a passion to facilitate change in practice to improve patient care. Building to make a difference involved three themes: building on, building with, and building for. The APNs experienced more power—a process they described as power creep—when they used soft power that was shared with others to affect positive change in health care. These findings contribute to our understanding of how power is perceived and manifested in the APN role, thus further enabling organizations to create working conditions to support the APNs’ endeavors to empower others.

scholarly journals A systematic review of the effectiveness of advanced practice nurses in long-term care

2021 ◽  
Author(s):  
Alba DiCenso
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Prospective Studies ◽  
Long Term Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Term Care ◽  
Practice Nurses

To report quantitative evidence of the effectiveness of advanced practice nursing roles, clinical nurse specialists and nurse practitioners, in meeting the healthcare needs of older adults living in long-term care residential settings. Although studies have examined the effectiveness of advanced practice nurses in this setting, a systematic review of this evidence has not been conducted. Quantitative systematic review. Twelve electronic databases were searched (1966-2010); leaders in the field were contacted; and personal files, reference lists, pertinent journals, and websites were searched for prospective studies with a comparison group. Studies that met inclusion criteria were reviewed for quality, using a modified version of the Cochrane Effective Practice and Organisation of Care Review Group risk of bias assessment criteria. Four prospective studies conducted in the USA and reported in 15 papers were included. Long-term care settings with advanced practice nurses had lower rates of depression, urinary incontinence, pressure ulcers, restraint use, and aggressive behaviours; more residents who experienced improvements in meeting personal goals; and family members who expressed more satisfaction with medical services. Advanced practice nurses are associated with improvements in several measures of health status and behaviours of older adults in long-term care settings and in family satisfaction. Further exploration is needed to determine the effect of advanced practice nurses on health services use; resident satisfaction with care and quality of life; and the skills, quality of care, and job satisfaction of healthcare staff.

Developing Grant Writing Skills to Translate Practice Dreams Into Reality

2013 ◽  
Vol 24 (2) ◽  
pp. 177-185
Author(s):  
Ruth Lindquist ◽  
Niloufar Hadidi
Keyword(s):  
Health Care ◽  
Patient Outcomes ◽  
Financial Support ◽  
Writing Skills ◽  
Advanced Practice Nurses ◽  
Grant Writing ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Potential Efficacy ◽  
Improve Patient

In an era of health care reform and limited financial support, good ideas for changes in clinical practice may await the available time, resources, and attention that are required to test and implement them. Developing grant writing skills is a way to attract resources to explore the feasibility and potential efficacy of changes to improve patient outcomes or efficiencies of care. This article describes the purpose of grant writing by advanced practice nurses (APNs), discusses the needs for and benefits of grant writing, identifies types and sources of available grants, describes potential roles of APNs in grant writing, describes ways to overcome barriers to grant writing, and presents strategies for writing winning grants to develop and improve practice in acute and critical care settings. These strategies will help APNs get started and provide a guide to follow in writing their first grant or will refresh their existing grant writing skills.

Community Care Management: Advanced Practice Nurses as Care Managers

2000 ◽  
Vol 2 (3) ◽  
pp. 148-152 ◽  
Author(s):  
Christine M. Waszynski ◽  
Wendy Murakami ◽  
Mary Lewis
Keyword(s):  
Health Care ◽  
High Risk ◽  
Primary Care Physicians ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Model Of Care ◽  
Practice Nurses ◽  
Coordination Model ◽  
Hospital Days ◽  
Care Costs

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.

scholarly journals Educating Advanced Practice Nurses in Using Social Media in Rural Health Care

2011 ◽  
Vol 8 (1) ◽  
Author(s):  
Carolyn M. Rutledge ◽  
Michelle Renaud ◽  
Laurel Shepherd ◽  
Michele Bordelon ◽  
Tina Haney ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Rural Health ◽  
Rural Health Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Health Care Technology ◽  
Practice Nurses ◽  
Care Technology

Health care in the United States is facing a crisis in providing access to quality care for those in underserved and rural regions. Advanced practice nurses are at the forefront of addressing such issues, through modalities such as health care technology. Many nursing education programs are seeking strategies for better educating students on technology utilization. Health care technology includes electronic health records, telemedicine, and clinical decision support systems. However, little focus has been placed on the role of social media in health care. This paper describes an educational workshop using standardized patients and hands-on experiences to introduce advanced practice nurses in a Doctor of Nursing Practice program to the role of social media in addressing issues inherent in the delivery of rural health care. The students explore innovative approaches for utilizing social media for patient and caregiver support as well as identify online resources that assist providers in a rural setting.

Ethics in independent nurse consulting: Strategies for avoiding ethical quicksand

2010 ◽  
Vol 17 (6) ◽  
pp. 769-776 ◽  
Author(s):  
Eileen L Creel ◽  
Jennifer C Robinson
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Ethical Dilemmas ◽  
Codes Of Ethics ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses

Changes in health care have created a variety of new roles and opportunities for nurses in advanced practice. One of these changes is the increasing number of advanced practice nurses carrying out independent consultation. Differences in goals between business and health care may create ethical dilemmas for nurse consultants. The purpose of this article is to describe possible ethical pitfalls that nurse consultants may encounter and strategies to prevent or solve these dilemmas. Three themes related to nursing codes of ethics will be discussed: the duty to uphold human rights, the duty to fulfill commitments, and the duty to practice the profession competently.

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