2.50
Hdl Handle:
http://hdl.handle.net/10755/153877
Type:
Presentation
Title:
A Randomized Trial of RN-Coordinated Prevention Services
Abstract:
A Randomized Trial of RN-Coordinated Prevention Services
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Jacques, Rita C., RN, MN, FNP
P.I. Institution Name:N/A
Title:Colonel (Retired) US Army Nurse Corp
Co-Authors:Ruth A. Anderson, RN, PhD
ABSTRACT Objective: 1.Determine if a Primary Care Nurse Liason (PCNL) model of health promotion/disease prevention coordination increases quality outcomes and cost- effectiveness over that of usual care for active duty soldiers. 2. Determine the risk factor and chronic disease profile of active duty soldiers. Design: A two group, randomized comparative posttest design Population, Sample, Setting, Years: Between November 1999 and February 2001 a sample of 2,130 active duty soldiers newly assigned to one US Army base were voluntarily enrolled in the study. Intervention: The PCNL met with each subject to review responses on a health self-assessment tool to identify areas of potential risk or chronic disease. Preventive healthcare guidelines were followed in recommending maintenance examinations, screening tests, and adult immunizations. Risk reduction protocols were designed for specific counseling or for use by the primary care provider. Outcome Variables: Access, utilization, patient satisfaction, and clinical effectiveness were measures of outcomes. Methods: Upon entry into the study the subjects were assigned to the experimental (n=1311) or control group (n=819). The experimental group was given an appointment with the PCNL for the intervention. One year following the anniversary date of the enrollment measures of service utilization were extracted from the Ambulatory Data System (ADS) and each subject was mailed a self-report survey on risk reduction services. Findings: Prevention service utilization for the experimental group was significantly higher (p<.001) than the control group. Conclusion: Professional nursing intervention in the ambulatory setting results in increased delivery and consumption of preventive services. Implications: These findings support the integration of a holistic assessment and plan of care into the primary care model and demonstrate that the professional nurse is effective in the assessment and implementation of a plan of comprehensive primary and preventive ambulatory care.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Randomized Trial of RN-Coordinated Prevention Servicesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153877-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Randomized Trial of RN-Coordinated Prevention Services</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Jacques, Rita C., RN, MN, FNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">N/A</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Colonel (Retired) US Army Nurse Corp</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Stan2Rita@att.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ruth A. Anderson, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">ABSTRACT Objective: 1.Determine if a Primary Care Nurse Liason (PCNL) model of health promotion/disease prevention coordination increases quality outcomes and cost- effectiveness over that of usual care for active duty soldiers. 2. Determine the risk factor and chronic disease profile of active duty soldiers. Design: A two group, randomized comparative posttest design Population, Sample, Setting, Years: Between November 1999 and February 2001 a sample of 2,130 active duty soldiers newly assigned to one US Army base were voluntarily enrolled in the study. Intervention: The PCNL met with each subject to review responses on a health self-assessment tool to identify areas of potential risk or chronic disease. Preventive healthcare guidelines were followed in recommending maintenance examinations, screening tests, and adult immunizations. Risk reduction protocols were designed for specific counseling or for use by the primary care provider. Outcome Variables: Access, utilization, patient satisfaction, and clinical effectiveness were measures of outcomes. Methods: Upon entry into the study the subjects were assigned to the experimental (n=1311) or control group (n=819). The experimental group was given an appointment with the PCNL for the intervention. One year following the anniversary date of the enrollment measures of service utilization were extracted from the Ambulatory Data System (ADS) and each subject was mailed a self-report survey on risk reduction services. Findings: Prevention service utilization for the experimental group was significantly higher (p&lt;.001) than the control group. Conclusion: Professional nursing intervention in the ambulatory setting results in increased delivery and consumption of preventive services. Implications: These findings support the integration of a holistic assessment and plan of care into the primary care model and demonstrate that the professional nurse is effective in the assessment and implementation of a plan of comprehensive primary and preventive ambulatory care.</td></tr></table>en_GB
dc.date.available2011-10-26T12:34:51Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T12:34:51Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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