Pregnant Women with Diabetes: Health Problems, APN Interventions in 2 Models of APN Transitional Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/202316
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Pregnant Women with Diabetes: Health Problems, APN Interventions in 2 Models of APN Transitional Care
Other Titles:
Session Title: Advanced Practice Initiatives for Vulnerable Adults
Author(s):
Brooten, Dorothy; Felber, Donna; Hannan, Jean
Author Details:
Dorothy Brooten, RN, PhD, FAAN; Donna Felber Neff PhD, RN; Jean Hannan PhD, ARNP; Frank Guido-Sanz MSN, ARNP; JoAnne M. Youngblut PhD, RN, FAAN
Abstract:
(41st Biennial Convention) Purpose: To examine differences in type and frequency of health problems and advanced practice nurse (APN) interventions between 2 models of APN provided prenatal care in pregnant women with diabetes. In one model, APN care was added to physician prenatal care (additive). In the second, half of physician prenatal care was substituted with APN prenatal care in women's homes (substitution). For pregnant women with diabetes, maintaining diets and blood sugar levels is challenging. The literature lacks data on health problems from the women's perspectives and if provider responses differ by model of care delivery. Methods: Content analysis of 41 interaction logs containing process of APN care in 2 clinical trials: 1) APN care added to physician care; 2) half of physician care substituted with APN care. Health problems and APN interventions were classified using the Omaha System. Sample: The 41 women with diabetes in the APN care group of the 2 RCTs had a mean age of 30, and were predominantly Black, high school graduates, and low income. Results: 61,004 health problems and 61,007 APN interventions were identified with 70% of these occurring prenatally. The Substitution group had significantly more problems identified than the Additive group (M =2642 vs M = 491) and received significantly more APN interventions. Categories of health problems and APN interventions were the same in both groups; surveillance, health teaching and counseling were the predominant APN functions. Discussion & Conclusions: APNs' broad range of skills and depth of understanding in personal, family, clinical and system issues allowed APNs to intervene early and effectively. When APNs shared care more equally with physicians, they intervened differently in type and number of interventions but maintained improved patient outcomes and health care cost savings even when assuming half of routine physician care. Funded by NIH, NINR R01 NR02867, NIGMS S06 GM008205-210029
Keywords:
diabetes in pregnancy; APN Transitional care; prenatal care
Repository Posting Date:
11-Jan-2012
Date of Publication:
11-Jan-2012
Other Identifiers:
CONV11H06
Conference Date:
2011
Conference Name:
41st Biennial Convention: People and Knowledge: Connecting for Global Health
Conference Host:
Sigma Theta Tau International
Conference Location:
Grapevine, Texas USA
Sponsors:
NIH, NINR R01 NR02867, NIGMS S06 GM008205-210029
Description:
41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & convention Center.
Note:
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.; Items submitted to a STTI conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titlePregnant Women with Diabetes: Health Problems, APN Interventions in 2 Models of APN Transitional Careen
dc.title.alternativeSession Title: Advanced Practice Initiatives for Vulnerable Adultsen
dc.contributor.authorBrooten, Dorothyen
dc.contributor.authorFelber, Donnaen
dc.contributor.authorHannan, Jeanen
dc.author.detailsDorothy Brooten, RN, PhD, FAAN; Donna Felber Neff PhD, RN; Jean Hannan PhD, ARNP; Frank Guido-Sanz MSN, ARNP; JoAnne M. Youngblut PhD, RN, FAANen
dc.identifier.urihttp://hdl.handle.net/10755/202316-
dc.description.abstract(41st Biennial Convention) Purpose: To examine differences in type and frequency of health problems and advanced practice nurse (APN) interventions between 2 models of APN provided prenatal care in pregnant women with diabetes. In one model, APN care was added to physician prenatal care (additive). In the second, half of physician prenatal care was substituted with APN prenatal care in women's homes (substitution). For pregnant women with diabetes, maintaining diets and blood sugar levels is challenging. The literature lacks data on health problems from the women's perspectives and if provider responses differ by model of care delivery. Methods: Content analysis of 41 interaction logs containing process of APN care in 2 clinical trials: 1) APN care added to physician care; 2) half of physician care substituted with APN care. Health problems and APN interventions were classified using the Omaha System. Sample: The 41 women with diabetes in the APN care group of the 2 RCTs had a mean age of 30, and were predominantly Black, high school graduates, and low income. Results: 61,004 health problems and 61,007 APN interventions were identified with 70% of these occurring prenatally. The Substitution group had significantly more problems identified than the Additive group (M =2642 vs M = 491) and received significantly more APN interventions. Categories of health problems and APN interventions were the same in both groups; surveillance, health teaching and counseling were the predominant APN functions. Discussion & Conclusions: APNs' broad range of skills and depth of understanding in personal, family, clinical and system issues allowed APNs to intervene early and effectively. When APNs shared care more equally with physicians, they intervened differently in type and number of interventions but maintained improved patient outcomes and health care cost savings even when assuming half of routine physician care. Funded by NIH, NINR R01 NR02867, NIGMS S06 GM008205-210029en
dc.subjectdiabetes in pregnancyen
dc.subjectAPN Transitional careen
dc.subjectprenatal careen
dc.date.available2012-01-11T11:21:51Z-
dc.date.issued2012-01-11en
dc.date.accessioned2012-01-11T11:21:51Z-
dc.conference.date2011en
dc.conference.name41st Biennial Convention: People and Knowledge: Connecting for Global Healthen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationGrapevine, Texas USAen
dc.description.sponsorshipNIH, NINR R01 NR02867, NIGMS S06 GM008205-210029en
dc.description41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & convention Center.en
dc.description.noteItems submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.-
dc.description.noteItems submitted to a STTI conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.-
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