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

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

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22 Outcome Assessment in Advanced Practice Nursing<br />

Table 1.5 (continued)<br />

STUDY APN ROLE OUTCOME INDICATORS FINDINGS<br />

Weinberg et al. (1983) NP LOS, laboratory, and X- No significant differ-<br />

Chart review of 25 inpa- ray costs, consultations, ences were found betients<br />

in a rehabilitation index scores on manage- tween the patient<br />

hospital comparing NP ment of common medi- groups managed by the<br />

care to internist care cal problems, including NP supervised by an in-<br />

UTI, congestive heart ternist and 3 indepenfailure,<br />

anemia, diabe- dent internists.<br />

tes, hypertension, and<br />

hypokalemia<br />

Simborg et al. (1978) NP Diagnoses, tests, non- MDs prescribed more<br />

Chart review of 1,369 drug therapies drug therapies (p <<br />

patient-practitioner en-<br />

.05); NPs recorded<br />

counters to compare<br />

more signs and symp-<br />

MD (n = 109) to NP<br />

toms; NPs emphasized<br />

(n = 35) in primary patient education more<br />

care practices<br />

than MDs.<br />

Runyan (1975) NP Clinic visits, blood glu- Patients with hyperten-<br />

Experimental study of cose, diastolic blood sive disease expericare<br />

provided by NP to pressure, hospital inpa- enced greater<br />

1,006 patients, com- tient days, mortality reductions in diastolic<br />

pared to MD care to<br />

blood pressure. Patients<br />

498 ambulatory pa- with diabetes had<br />

tients with diabetes, hy-<br />

greater reductions in<br />

pertension, and CV<br />

blood glucose levels<br />

disease<br />

and patients had fewer<br />

hospitalization days<br />

(p < .05).

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