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

18 Outcome Assessment in Advanced Practice Nursing
Table 1.5 (continued)
STUDY APN ROLE OUTCOME INDICATORS FINDINGS
Paladichuk (1997) CNS & Quality of life, cost sav- APN-run clinic resulted
Evaluation of effect of NP ings, annual readmis- in the prevention of
CNS and NP in outpa- sion rate 160 readmissions a
tient chronic disease
year (cost savings of
$1.2 million); ↓ in an-
nual readmissions from
11% to 1%, and a ↑ in
quality of life at 6
months after initial
visit.
clinic for congestive
heart failure patients
Ziemer et al. (1996) NP Metabolic profiles, Significant decreases in
6-month prospective HbA 1c weight loss HbA 1c : 52% of obese
study of 325 type II dia-
patients lost weight;
betes patients at 2, 4,
59% of patients were
6, and 12 months at maintained on diet conhospital-based
clinic
trol alone; 35% of patients
using
pharmacologic agents
discontinued oral
agents or insulin by 1
year.
Mitchell-Dicenso et al. NP-CNS LOS, mortality rates, No significant differ-
(1996) complication rates, par- ences were found be-
Randomized controlled ent satisfaction, quality tween NP-CNS team
study comparing out- of care, costs and resident staff in all
comes of NP-CNS team
outcome measures.
with pediatric resident
team in a neonatal ICU
Hooker & McCaig NP Type of ER patient No differences between
(1996) cared for, drugs pre- the services of the
Comparisons of emer- scribed, diagnostic NP-PA group and
gency room NP and PA screening tests physicians.
care with physician
ordered, diagnoses
care using data from
made
the National Ambulatory
Medical Care
Survey