Practice Model: Development of a Nurse-Managed Unit and the Advanced Practitioner Role

Substantive Areas of Clinical Nurse Specialist Practice

“…375 Clinical nurse specialists have been instrumental in practice change at the organizational level by introducing innovative models of nursing practice and patient care. 283,320, Clinical nurse specialist practice models 283,379,[384][385][386]392,395 and those directed toward changing healthcare delivery to patients and families in a variety of settings 320,[376][377][378][380][381][382][383][387][388][389][390][391]393,394,[396][397][398] have been developed and/or implemented. Examples of the latter include a community nursing health promotion model for chronic childhood illness, 378 adaptation of the synergy model for the care of the critically ill patient, 388,397 and a model of healthcare delivery to incarcerated populations.…”

Pediatric trauma nurse practitioners provide excellent care with superior patient satisfaction for injured children

“…Patients were randomized prospectively based on the day of the week they were admitted to the hospital. Patients who met inclusion criteria were placed in the RES group (postgraduate year [1][2][3]) if they were admitted on Friday, Saturday, or Sunday or were placed in the PNP group if they were admitted on Monday, Tuesday, Wednesday, or Thursday. Our service used 2 trauma PNPs, one of whom is responsible for the inpatient service every weekday.…”

“…Nurses with advanced degrees may be a potential resource in this regard. Largely used by primary care physicians in the outpatient settings, these specially trained nurses have assumed an important role in the acute care setting [2][3][4][5][6]. In 2001, we began using pediatric nurse practitioners (PNPs), with special competence in trauma care, to provide in-patient trauma care.…”

Outcomes‐based trial of an inpatient nurse practitioner service for general medical patients

“…Few studies, however, have examined the effectiveness of NPs in inpatient settings. Moreover, available data are limited primarily to clinically homogeneous populations, such as patients in cardiac step‐down units (Giacalone et al 1995) or neonatal intensive care units (Mitchell‐DiCenso et al 1997). Little is known about the effectiveness of NPs in providing care to more heterogeneous populations, such as patients admitted to general medical wards (Scheffler 1996).…”