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A conceptual framework for evaluating the nurse practitioner role in acute care settings
1Nursing Effectiveness, Utilization, and Outcomes Research Unit, Faculty of Nursing, University of Toronto, ON, Canada. s.sidani@utoronto.ca
Journal of Advanced Nursing
|July 15, 1999
Summary
The Advanced Practice Clinical Nurse Practitioner (ACNP) role
Area of Science:
- Nursing Science
- Healthcare Administration
Background:
- The Advanced Practice Clinical Nurse Practitioner (ACNP) role's conceptualization and enactment vary across healthcare settings.
- This variability can lead to inconsistent achievement of desired patient and organizational outcomes.
Purpose of the Study:
- To propose a conceptual framework for evaluating ACNP role effectiveness.
- To provide a structure for investigating nursing-sensitive outcomes related to ACNP practice.
Main Methods:
- Adaptation of the Nursing Role Effectiveness Model.
- Literature review to provide empirical support for the proposed framework's propositions.
Main Results:
- A three-component framework (structure, process, outcomes) is proposed to represent the ACNP practice system.
- Specific relationships among structure (patient, ACNP, organizational variables), process (role enactment), and outcomes (patient, cost-related) are outlined.
Conclusions:
- The proposed framework offers a systematic approach to evaluating ACNP role effectiveness.
- This framework can guide future research on ACNP impact and optimize ACNP contributions to healthcare.