Impact of Advanced Practice Registered Nurses on Quality Measures: The Missouri Quality Initiative Experience

Rantz, Marilyn; Popejoy, Lori; Vogelsmeier, Amy; Galambos, Colleen; Alexander, Greg; Flesner, Marcia; Murray, Cathy M.; Crecelius, Charles; Ge, Bin; Petroski, Gregory F.

doi:10.1016/j.jamda.2017.10.014

Cited by 23 publications

(32 citation statements)

References 14 publications

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“…The positive facilitator theme presence of NPs decreasing hospitalizations was mentioned in 37 of 136 occurrences, or 27.21% [ 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]. The presence of NPs also improved health outcomes was mentioned in 27 of 136 occurrences of facilitator themes, or 19.85% [ 7 , 9 , 12 , 14 , 20 , 21 , 23 , 24 , 26 , 28 , 29 , 30 , 31 ]. Improved patient and family satisfaction were mentioned in 2 of 136 occurrences of facilitator themes, or 1.47% [ 19 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…Multidisciplinary approach was mentioned in 5 of 136 occurrences of facilitator themes, or 3.68% [ 21 , 25 , 29 , 32 ]. Reduced healthcare costs were mentioned in 9 of 136 occurrences of facilitator themes, or 6.62% [ 7 , 8 , 9 , 12 , 14 , 23 , 30 ]. Unrestrictive or least restrictive scope of practice for NPs was mentioned in 10 of 136 occurrences of facilitator themes, 7.35% [ 10 , 14 , 16 , 17 , 31 , 32 , 33 , 34 , 35 , 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…Many of the articles reviewed indicated NPs were a valuable resource to prevent unnecessary hospitalizations and clearly impacted a reduction in emergency room visits and hospitalizations particularly among the frail elderly and seniors [ 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]. Elderly patients managed by NPs had a lower hospital length of stay, were provided person-centered care, and a significant difference was found in the relationship between the number of NP discussions with patients about care and the number of hospitalizations [ 7 , 20 , 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…The positive facilitator theme presence of NPs decreasing hospitalizations was mentioned in 37 of 136 occurrences, or 27.21% . The presence of NPs also improved health outcomes was mentioned in 27 of 136 occurrences of facilitator themes, or 19.85% [7,9,12,14,20,21,23,24,26,[28][29][30][31].…”

Section: Facilitatorsmentioning

confidence: 99%

“…NPs, as primary care providers, advocated for patients and families, improved chronic disease management and care planning, and reduced depressive symptoms in patients they treated [20,24,29]. Time NPs spent in nursing activities were highly correlated with improved health outcomes, as well [9,24,28]. For example, when NPs provided only two hours on average per month for six months, elders in their care were able to improve function with a hip fracture and increase their activities of daily living [24].…”

Section: Facilitatorsmentioning

confidence: 99%

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The Impact of Nurse Practitioners on Hospitalizations and Discharges from Long-term Nursing Facilities: A Systematic Review

et al. 2020

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The objective of this study was to increase the understanding of the role a nurse practitioner (NP) has in reducing the risk of hospitalizations and improving quality outcomes among nursing facility residents. This was explored by the research team conducting a systematic literature review via Cumulative Index of Nursing and Allied Health Literature, PubMed (MEDLINE), and Academic Search Ultimate. This is of concern because of the increased rate of hospital readmissions from skilled nursing facilities. The study found that utilization of NPs as primary care providers resulted in decreased unnecessary hospitalizations, increased access to healthcare, and improved health outcomes. NPs are fundamental in building relationships with residents and families and providing them information for decision making. The utilization of NPs in a long-term care setting should be encouraged to improve access to care, decrease hospitalizations, and enhance quality of care. States with reduced or restrictive scope of practice for NPs should revisit the regulations to provide unrestricted scope of practice for NPs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Facilitatorsmentioning

confidence: 99%

Section: Facilitatorsmentioning

confidence: 99%

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The Impact of Nurse Practitioners on Hospitalizations and Discharges from Long-term Nursing Facilities: A Systematic Review

et al. 2020

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Expanded role of nurses in Swiss nursing homes and their engagement in quality improvement: A cross‐sectional study

Favez

Simon

Serdaly³

et al. 2023

Nursing Open

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Quality of care issues have long been a concern for nursing homes (NHs). Now, as growing numbers of people with complex geriatric needs deepen a global healthcare worker shortage, NHs are facing increased challenges to provide high quality of care (OECD/ European Union, 2013). To meet these challenges, implementing quality improvement is key: it can help NHs identify problems, initiate improvement cycles and evaluate outcomes (Johannessen et al., 2020; OECD/European Union, 2013;Rantz et al., 2012).Quality improvement activities include, for example, monitoring, benchmarking and assessing data, evaluating processes, identifying opportunities for improvement, implementing new approaches to care, and assessing changes in processes or outcomes. Various publications have reported on specific NH quality improvement interventions or projects (Chadborn et al., 2020;Toles et al., 2021). However,

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Involvement of Advanced Practice Nurse in the Management of Geriatric Conditions: Examples from Different Countries

Fougère

Lagourdette

Abele

et al. 2018

The Journal of nutrition, health and aging

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The increasing demand for healthcare services is placing great strain on healthcare systems throughout the world. Although the older population is increasing worldwide, there is a marked deficit in the number of persons trained in geriatrics. It is now recognized that early detection and treatment of geriatric conditions (e.g., frailty, sarcopenia, falls, anorexia of aging, and cognitive decline) will delay or avert the development of disability. At the same time, recent years have seen an increased interest and use of advanced practice nurses (APN). Models of best practices of supervision and collaboration have been promulgated by many organizations. APN's roles and scope of practice have been expanded in many countries and the quality and cost-effectiveness of healthcare systems have improved. Nevertheless, in older people, evidence of advanced practice roles remains scattered, and there is little synthesis of evidence, and therefore it is not easy to visualize the different practice models and their components. The aim of this paper is to explain the need for advanced practice nurses to manage geriatric conditions.

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Impact of Advanced Practice Registered Nurses on Quality Measures: The Missouri Quality Initiative Experience

Cited by 23 publications

References 14 publications

The Impact of Nurse Practitioners on Hospitalizations and Discharges from Long-term Nursing Facilities: A Systematic Review

The Impact of Nurse Practitioners on Hospitalizations and Discharges from Long-term Nursing Facilities: A Systematic Review

Expanded role of nurses in Swiss nursing homes and their engagement in quality improvement: A cross‐sectional study

Involvement of Advanced Practice Nurse in the Management of Geriatric Conditions: Examples from Different Countries

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