A Systematic Review of the Literature: Analysis of APRN Roles Including Effectiveness of Clinical Nurse Specialist Role

2.50
Hdl Handle:
http://hdl.handle.net/10755/164116
Category:
Abstract
Type:
Presentation
Title:
A Systematic Review of the Literature: Analysis of APRN Roles Including Effectiveness of Clinical Nurse Specialist Role
Author(s):
White, Kathleen; Newhouse, Robin P.; Stanik-Hutt, Julie; Johantgen, Meg
Author Details:
Kathleen White, PhD, RN, CEA-BC, FAAN, The Johns Hopkins University School of Nursing, Baltimore, Maryland, USA, email: kwhite@son.jhmi.edu; Robin P. Newhouse, PhD, RN, CNAA, BC, CNOR; Julie Stanik-Hutt, PhD, RN, ACNP, CCNS; Meg Johantgen, PhD, RN
Abstract:
PURPOSE/OBJECTIVES: Describe the recent literature about the outcomes of CNS effectiveness in achieving patient outcomes. Discuss the gaps in the literature and make recommendations for future comparative effectiveness research on patient outcomes and CNS practice. SIGNIFICANCE: The quality, access and cost of healthcare in the United States is a concern. While the healthcare system boasts the most up-to-date technology, 98,000 individuals die due to preventable errors and almost 50% of Americans do not received necessary evidence-based care. The continued increasing costs of healthcare threaten the financial survival of the health care system. Advanced practice nurses are an important part of the solution to these problems. DESIGN: There is a growing body of evidence that supports the safety, quality and effectiveness of APRN care, but until recently had not been systematically reviewed or summarized. METHODS: Responding to an RFP from the Tri-council, a multidisciplinary team of researchers completed a comprehensive systematic review of the scientific literature on the care provided by APRNs. FINDINGS: This session presents the data and conclusions drawn from this work. There is high level of evidence that supports the utilization of the CNS role in the hospital decreases the LOS and decreases costs for hospitalized patients and a moderate level of evidence supports that the CNS affects lower complication rates. CONCLUSIONS: Clinical Nurse Specialists have assumed critical roles as both direct and indirect care providers in our increasingly complex system. The CNS works with and through the system to plan, implement and evaluate care delivery for patient populations in order to improve care. IMPLICATIONS FOR PRACTICE: Health policy implications from the national to the organizational level will be explored, as well as implications for further comparative effectiveness research regarding APN care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Systematic Review of the Literature: Analysis of APRN Roles Including Effectiveness of Clinical Nurse Specialist Roleen_GB
dc.contributor.authorWhite, Kathleenen_US
dc.contributor.authorNewhouse, Robin P.en_US
dc.contributor.authorStanik-Hutt, Julieen_US
dc.contributor.authorJohantgen, Megen_US
dc.author.detailsKathleen White, PhD, RN, CEA-BC, FAAN, The Johns Hopkins University School of Nursing, Baltimore, Maryland, USA, email: kwhite@son.jhmi.edu; Robin P. Newhouse, PhD, RN, CNAA, BC, CNOR; Julie Stanik-Hutt, PhD, RN, ACNP, CCNS; Meg Johantgen, PhD, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164116-
dc.description.abstractPURPOSE/OBJECTIVES: Describe the recent literature about the outcomes of CNS effectiveness in achieving patient outcomes. Discuss the gaps in the literature and make recommendations for future comparative effectiveness research on patient outcomes and CNS practice. SIGNIFICANCE: The quality, access and cost of healthcare in the United States is a concern. While the healthcare system boasts the most up-to-date technology, 98,000 individuals die due to preventable errors and almost 50% of Americans do not received necessary evidence-based care. The continued increasing costs of healthcare threaten the financial survival of the health care system. Advanced practice nurses are an important part of the solution to these problems. DESIGN: There is a growing body of evidence that supports the safety, quality and effectiveness of APRN care, but until recently had not been systematically reviewed or summarized. METHODS: Responding to an RFP from the Tri-council, a multidisciplinary team of researchers completed a comprehensive systematic review of the scientific literature on the care provided by APRNs. FINDINGS: This session presents the data and conclusions drawn from this work. There is high level of evidence that supports the utilization of the CNS role in the hospital decreases the LOS and decreases costs for hospitalized patients and a moderate level of evidence supports that the CNS affects lower complication rates. CONCLUSIONS: Clinical Nurse Specialists have assumed critical roles as both direct and indirect care providers in our increasingly complex system. The CNS works with and through the system to plan, implement and evaluate care delivery for patient populations in order to improve care. IMPLICATIONS FOR PRACTICE: Health policy implications from the national to the organizational level will be explored, as well as implications for further comparative effectiveness research regarding APN care.en_GB
dc.date.available2011-10-27T11:42:20Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:42:20Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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