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

36 Outcome Assessment in Advanced Practice Nursing
Table 1.7 (continued)
STUDY APN ROLE OUTCOME INDICATORS FINDINGS
Moody et al. (1999) NP Client health status, di- NPs tended to care for
Survey research study agnostic tests ordered, more younger and feof
random sample of therapeutic interven- male clients, perform
115 NPs practicing 20 tions, client disposition fewer office surgical proor
more hours per week
cedures (1.5% versus
in primary care in Ten-
6.1%), and provide
nessee during one se-
more health teaching/
lected day of care
counseling interveninvolving
680 clients
tions, including nutricompared
to physician tion counseling (19%
practices based on the
versus 15%), exercise
National Ambulatory (12% versus 7%),
Medical Care Survey weight reduction (15%
versus 4%), smoking
cessation (7% versus
2.5%), and family planning
counseling (5%
versus 0.1%).
Chang et al. (1999) NP Wound care manage- No significant differ-
Comparison of NP care ment, treatment of ences were found beand
MD care in ER set- blunt limb trauma, pa- tween NP and MD care.
ting for 232 patients
tient satisfaction
Ockene et al. (1999) NP Change in alcohol use Brief (5–10 minute) ad-
Randomized study of from baseline to 6 vice and counseling by
patient-centered coun-
months as measured by NP or MD as part of rouseling
to 530 high-risk weekly alcohol con- tine primary care signifidrinkers
by NPs, at-
sumption and frequency cantly reduced alcohol
tending MDs and resi- of binge drinking consumption by highdent
MDs episodes risk drinkers. There
were no differences in
provider characteristics
by treatment condition
for NP, attending physicians
or resident
physicians.