Ruth M. Kleinpell, PhD, RN-CS, FAAN, FAANP - Springer Publishing

Chapter 1 Measuring Outcomes in Advanced Practice Nursing 43
Table 1.7 (continued)
STUDY APN ROLE OUTCOME INDICATORS FINDINGS
Thompson et al. (1982) NP Quality of examinations, NP-managed patients
Comparison of NP care
waiting times, costs, pa- had ↓ clinic wait time
(to 735 patients) in tient satisfaction for appointments (14
HMO to MD-run clinic
days vs 35 for MD
(to 685 patients)
group); NP total costs
were 36% less, patient
satisfaction was higher
for NP group; MDs reported
↑ complexity of
workload working with
NPs but there was no
quantitative change in
workload.
Monroe et al. (1982) NP & Prescription practices Study demonstrated ef-
Six-month evaluation of CNS for primary prevention, fective and appropriate
prescribing patterns secondary prevention, use of prescription
(1,000 prescriptions chronic disease mainte- drugs by APNs; 98% of
randomly analyzed and nance regarding: (1) drugs prescribed were
a detailed audit of 100 indication, (2) consis- indicated according to
cases) of APNs in urban tency with formulary evidence in the record;
university-affiliated am- and protocol, (3) drug 99% of drugs ordered
bulatory care facility safety were consistent with
protocol; all audited records
were deemed appropriate
in relation to
safety.
Salkever et al. (1982) NP Cost of episode of care NP per-episode costs
Participant observation for otitis media and were 20% below MD
comparing efficiency of sore throat costs; NP care was less
MD and NP in treating
costly but not less
otitis media (409
effective.
cases) and sore throat
(390 cases) in pediatric
medicine department
De Jong (1981) CNS Frequency of consulta- Care delivered by CNSs
Retrospective chart re- tion, identification of and PAs was not differviews
of 444 patients
surgical candidates, dis- ent than that delivered
of a women’s health covery of malignancies, by resident physicians;
clinic comparing CNS patient compliance to patient compliance was
and PA care with resi-
seek follow-up for abnor- increased for the CNS
dent care mal Pap test and PA provider
patients.
(continued)