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

20 Outcome Assessment in Advanced Practice Nursing
Table 1.5 (continued)
STUDY APN ROLE OUTCOME INDICATORS FINDINGS
Langner & Hutelmyer NP Clinic wait time, patient Overall satisfaction with
(1995) perceptions of provider patient care was high.
Patient satisfaction sur- knowledge, continuity NP ratings were higher
vey to 52 patients with of care, social service in areas of provider
HIV, comparing NP to support, patient knowledge, continuity
physician provider care education of care, patient educain
an ambulatory care
tion, and clinic wait
services clinic
time.
Sulzbach-Hoke & Gift CNS Length of time to insti- Intubated patients were
(1995) tute nutrition, presence fed sooner after initia-
Quality assessment of of complications tion of nutritional guideimplementation
of nutri-
lines by CNS; days to
tional support guide-
institute feedings was
lines for intubated
reduced by 6.4 days; avpatients
for 51 patients
erage time from start of
over a 12-month time
period
intubation to decision
to feed was reduced
from 11 to 4.6 days.
Carzoli et al. (1994) NP LOS, use of total paren- No differences in out-
6-month retrospective teral nutrition; blood comes of NPs, PAs, and
chart-review compari- transfusions, procedure resident MD staff; NPson
of neonatal NP, PA, complication rate, in- PA care was associated
and resident physician fant mortality with an overall cost savcare
ings in terms of annual
costs and hospital
charges.
Lombness (1994) CNS LOS; complications, in- CNS-managed group
Descriptive study using cluding dysrhythmias, had a statistically signifretrospective
chart
abnormal lab values, in- icant shorter length of
audits of 105 randomly fections, labile blood stay. Complication rates
selected CABG patients pressure, urinary reten- were similar.
cared for by PA and
tion, pneumothorax,
CNS teams comanaged
thrombus
with cardiac surgeons