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Nurse-sensitive outcomes of advanced practice.

G L Ingersoll1, E McIntosh, M Williams

  • 1Director of Clinical Nursing Research, Strong Memorial Hospital, Rochester, New York, USA. gail_ingersoll@urmc.rochester.edu

Journal of Advanced Nursing
|December 15, 2000
PubMed
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Advanced practice nurses (APNs) recommend key indicators to measure their impact on patient care outcomes. These include patient satisfaction, symptom improvement, and quality of life, guiding future research in nursing effectiveness.

Area of Science:

  • Nursing Science
  • Health Services Research
  • Clinical Outcomes Measurement

Background:

  • Advanced practice nurses (APNs) provide specialized care and influence healthcare systems.
  • Existing outcome indicators often focus on physicians, with limited measures reflecting APN contributions.
  • Identifying APN-specific outcome indicators is crucial for evaluating their impact.

Purpose of the Study:

  • To determine outcome indicators recommended by APNs for measuring their effect on care delivery.
  • To establish a consensus among APNs regarding the most valid and sensitive outcome measures.

Main Methods:

  • A modified Delphi survey was conducted with 66 APNs.
  • Two rounds of surveys were used to identify, rate, and rank potential outcome indicators.

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  • Indicators were assessed for validity, sensitivity, feasibility, utility, and cost.

    • Main Results:

    • APNs identified 27 potential outcome indicators, with 10 highest-ranked indicators selected.
    • Top indicators included patient satisfaction, symptom resolution, perceived care quality, treatment adherence, and quality of life.
    • Both direct and indirect measures of APN impact were identified.

    Conclusions:

    • APNs proposed a set of indicators reflecting their unique contributions to patient care outcomes.
    • Further research is needed to validate these proposed indicators for advanced practice nursing.
    • These findings can inform the development of more accurate measures of APN effectiveness.