APRN care by NP, CNS, Nurse Midwives, CRNA similar + better than physicans alone

  1. 5
    nursing economics sept -oct 2011 -early release
    1.6 ceu available

    advanced practice nurse outcomes 1990-2008: a systematic review


    executive summary:
    advanced practice registered nurses
    have assumed an increasing
    role as providers in the health care
    system, particularly for underserved
    populations.
    the aim of this systematic review
    was to answer the following question:
    compared to other providers
    (physicians or teams without
    aprns) are aprn patient outcomes
    of care similar?

    this systematic review of published
    literature between 1990 and 2008
    on care provided by aprns indicates
    patient outcomes of care provided
    by nurse practitioners and
    certified nurse midwives in collaboration
    with physicians are similar to
    and in some ways better than care
    provided by physicians alone for the
    populations and in the settings
    included.

    use of clinical nurse specialists in
    acute care settings can reduce
    length of stay and cost of care for
    hospitalized patients.

    these results extend what is known
    about aprn outcomes from previous
    reviews by assessing all types
    of aprns over a span of 18 years,
    using a systematic process with
    intentionally broad inclusion of outcomes,
    patient populations, and
    settings.

    the results indicate aprns provide
    effective and high-quality patient
    care, have an important role in
    improving the quality of patient care
    in the united states, and could help
    to address concerns about whether
    care provided by aprns can safely
    augment the physician supply to
    support reform efforts aimed at
    expanding access to care.



    authors’ note: this study was supported
    by a grant from the tri-council for
    nursing and the advanced practice
    registered nurse alliance. the content is
    solely the responsibility of the authors and
    does not necessarily represent the official
    views of the tri-council for nursing.
    Last edit by NRSKarenRN on Jul 31, '11
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  3. 3 Comments so far...

  4. 4
    To all the the nurses that hold advanced degrees
  5. 1
    Have you heard of Publication bias folk? Any study that produced the opposite result would not be published, as it would not create any ripples, and would be Politiclly Incorrect. So, let us not get our knickers in a twist over this, and do the job that we loved and were trained to do. Doctors cannot do our job, and we should be proud of what we do. Instead, we want to diss our noble profession, and play doctor. It has got to a point, that there are folk getting into nursing school,graduating, and straight away applying to NP school. They are using our noble profession as a cheap and backdoor path to go play doctor. They had never wanted to be a nurse in the first place!
    DNS on the go likes this.
  6. 1
    Quote from goody2shoe
    Have you heard of Publication bias folk? Any study that produced the opposite result would not be published, as it would not create any ripples, and would be Politiclly Incorrect. So, let us not get our knickers in a twist over this, and do the job that we loved and were trained to do. Doctors cannot do our job, and we should be proud of what we do. Instead, we want to diss our noble profession, and play doctor. It has got to a point, that there are folk getting into nursing school,graduating, and straight away applying to NP school. They are using our noble profession as a cheap and backdoor path to go play doctor. They had never wanted to be a nurse in the first place!
    The article did not say that the NP was the only one caring for the patient. They said a patient with a NP working with the team (MD, RN, etc.) had better outcomes. It is not whether an NP is BETTER than the MD, but rather a physician alone is not better than if there was a Nurse Practitioner also working with them:

    "care provided by nurse practitioners and certified nurse midwives in collaboration with physicians are similar to and in some ways better than care provided by physicians alone."
    RN in training likes this.


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