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

Chapter 1 Measuring Outcomes in Advanced Practice Nursing 13
Table 1.5 (continued)
STUDY APN ROLE OUTCOME INDICATORS FINDINGS
Burns et al. (2003) NP Ventilator duration, An outcomes manage-
ACNP care for mechani- LOS in ICU, mortality, ment model of ACNP
cally ventilated patients costs of care care resulted in ↓ ventiin
ICU lator duration (p =
.0001), ↓ ICU LOS (p =
.0008), ↓ hospital LOS
(p = .0001), ↓ mortality
rates (p = .02), and >
$3,000,000 cost
savings.
Litaker et al. (2003) NP Glycosylated hemoglo- Patients randomized to
Impact of NP-physician bin, high-density-lipo- the NP-MD team care
team in managing pa- protein (HDL) experienced significant
tients with chronic cholesterol, satisfac- improvements in mean
disease tion with care, health- hemoglobin A 1c (HbA 1c ),
related quality of life HDL-cholesterol, and
satisfaction with care.
Tijhuis et al. (2002) Im- CNS Functional status, qual- CNS-managed patients
pact of CNS care for pa- ity of life, disease activ- had a significant imtients
with rheumatoid ity, health utility, provement (p < 0.05)
arthritis satisfaction with care in functional status,
quality of life, health
utility, and patient satisfaction.
Russell et al. (2002) NP LOS, rates of urinary Patients managed by
ACNP care for neurosci- tract infection (UTI), ACNPs had shorter LOS
ence ICU patients skin breakdown, Foley (p = .03), shorter ICU
catheter time, mobiliza- LOS (p < .001), lower
tion out of bed rates of UTI and skin
breakdown (p < .05),
and shorter time to discontinuation
of Foley
catheter and mobilization
out of bed.
(continued)