2.50
Hdl Handle:
http://hdl.handle.net/10755/166083
Category:
Abstract
Type:
Presentation
Title:
Validation Of Advanced Practice Nurse-sensitive Patient Outcomes
Author(s):
Ingersoll, Gail
Author Details:
Gail Ingersoll, EdD, University of Rochester Medical Center, Rochester, New York, USA, email: gail_ingersoll@urmc.rochester.edu
Abstract:
A modified Delphi survey of all APN's in the state of Tennessee was conducted as part of a multi-phase study designed to identify and validate patient outcomes sensitive to advanced practice nurse (APN) care delivery. The outcome measures included in the survey were identified during a statewide brainstorming conference in which APN's were asked to generate possible outcome measures reflective of APN influence regardless of practice and locale (defined as core outcome measures) and then to repeat the process and identify outcome measures reflective of specialty practice (defined as specialty outcome measures). Data obtained during the brainstorming process were transcribed verbatim from audiotapes of sessions and were content analyzed for evidence of outcome measures. Simple frequency counts were done for all of the measures identified for core and specialty sessions. Each transcript was analyzed by at least two members of the research team and final lists with frequency counts were reviewed by all team members. Once outcome measures were identified, they were entered into scannable survey forms and a series of Likert Formatted questions was asked of each. These questions pertained to the viability, relevance, feasibility, utility, burden and cost of each measure. In addition, a literature guided definition was provided for each outcome to reduce the potential for different interpretations resulting in different responses. A two-phase Delphi process was used, with findings summarized for first round questionnaires being contained in the second round. Second round responses were made in consideration of group response information and with an additional request to rank order measures from most to least useful, valid and feasible. In this paper, the process and results of the Delphi study are presented. Data from the first and second round of questionnaires are discussed, with final lists of recommended core and specialty outcomes shared with conference participants. Also presented in this analysis of how outcome measures currently proposed for widespread use in monitoring care provider performance fit with APN generated measures. Because previous efforts to identify reliable and valid outcome measures have not considered nurse influence, some difference is expected. Future research plans include formal testing of the proposed outcome measures in various locales and practice groups in the State of Tennessee.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
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.titleValidation Of Advanced Practice Nurse-sensitive Patient Outcomesen_GB
dc.contributor.authorIngersoll, Gailen_US
dc.author.detailsGail Ingersoll, EdD, University of Rochester Medical Center, Rochester, New York, USA, email: gail_ingersoll@urmc.rochester.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/166083-
dc.description.abstractA modified Delphi survey of all APN's in the state of Tennessee was conducted as part of a multi-phase study designed to identify and validate patient outcomes sensitive to advanced practice nurse (APN) care delivery. The outcome measures included in the survey were identified during a statewide brainstorming conference in which APN's were asked to generate possible outcome measures reflective of APN influence regardless of practice and locale (defined as core outcome measures) and then to repeat the process and identify outcome measures reflective of specialty practice (defined as specialty outcome measures). Data obtained during the brainstorming process were transcribed verbatim from audiotapes of sessions and were content analyzed for evidence of outcome measures. Simple frequency counts were done for all of the measures identified for core and specialty sessions. Each transcript was analyzed by at least two members of the research team and final lists with frequency counts were reviewed by all team members. Once outcome measures were identified, they were entered into scannable survey forms and a series of Likert Formatted questions was asked of each. These questions pertained to the viability, relevance, feasibility, utility, burden and cost of each measure. In addition, a literature guided definition was provided for each outcome to reduce the potential for different interpretations resulting in different responses. A two-phase Delphi process was used, with findings summarized for first round questionnaires being contained in the second round. Second round responses were made in consideration of group response information and with an additional request to rank order measures from most to least useful, valid and feasible. In this paper, the process and results of the Delphi study are presented. Data from the first and second round of questionnaires are discussed, with final lists of recommended core and specialty outcomes shared with conference participants. Also presented in this analysis of how outcome measures currently proposed for widespread use in monitoring care provider performance fit with APN generated measures. Because previous efforts to identify reliable and valid outcome measures have not considered nurse influence, some difference is expected. Future research plans include formal testing of the proposed outcome measures in various locales and practice groups in the State of Tennessee.en_GB
dc.date.available2011-10-27T14:39:51Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:39:51Z-
dc.conference.hostSouthern Nursing Research Societyen_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.-
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