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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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34 Outcome Assessment in Advanced Practice Nursing<br />

Table 1.7 (continued)<br />

STUDY APN ROLE OUTCOME INDICATORS FINDINGS<br />

Scisney-Matlock et al. NP Blood pressure control, NP–MD-managed pa-<br />

(2004) Comparison of patient knowledge of tients had lower bp<br />

hypertension care by hypertension readings and higher<br />

physicians versus physician–APN<br />

care<br />

scores for discussion<br />

of blood pressure<br />

readings.<br />

Hoffman et al. (2003) NP Activities and roles in ACNPs and fellows<br />

ACNP care in compari- the ICU spent a similar proporson<br />

to pulmonary criti-<br />

tion of time performing<br />

cal care fellows in ICU<br />

required tasks. Physicians<br />

spent more time<br />

in nonunit activities<br />

such as education while<br />

ACNPs spent more time<br />

interacting with patients<br />

and patients’ families<br />

and collaborating<br />

with health care team.<br />

Lenz et al. (2002) NP Processes of care, NPs were more likely<br />

Comparison of NP and HbA 1c testing, than MDs to document<br />

MD care for adults with documentation HbA 1c levels, general edtype<br />

2 diabetes<br />

ucation, patient height,<br />

urinalysis results and<br />

education about nutrition,<br />

weight, exercise<br />

and medications.<br />

Aubrey & Yoxall (2001) NP Resuscitation Resuscitation teams led<br />

Comparison of neonatal outcomes by neonatal NPs pro-<br />

NP vs MD care in resus-<br />

vided the same intervencitation<br />

of 245 preterm<br />

tions as those led by<br />

infants at birth<br />

MDs. Babies resuscitated<br />

by NPs were intubated<br />

more quickly,<br />

received surfactant<br />

sooner (p = .0001) and<br />

were less likely to be hypothermic<br />

on admission<br />

to the ICU (p = .013).

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