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Toward national comparable nurse practitioner data: proposed data elements, rationale, and methods.

Melinda L Jenkins1

  • 1School of Nursing, Columbia University, 630 West 168 Street, New York, NY 10032, USA. mlj2101@columbia.edu

Journal of Biomedical Informatics
|December 4, 2003
PubMed
Summary

Federal funding supports nurse practitioners, but national surveys overlook their care quality. This study proposes expanding surveys to include nurse-managed centers and nurse-sensitive outcomes for better data on healthcare quality.

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Area of Science:

  • Health Services Research
  • Nursing Informatics
  • Health Outcomes

Background:

  • Federal funds support Nurse Practitioner (NP) education and nurse-managed centers.
  • Concerns exist regarding the quality and scope of NP care.
  • Current national ambulatory care surveys exclude NP-patient encounters due to physician-based sampling frames and lack of outcome indicators.

Purpose of the Study:

  • To address limitations in national healthcare surveys regarding NP care.
  • To propose an expansion of the National Ambulatory Medical Care Survey (NAMCS).
  • To incorporate nurse-managed centers and nurse-sensitive quality indicators into national data collection.

Main Methods:

  • Application of informatics principles to survey design.
  • Proposal to expand the NAMCS sample to include nurse-managed centers.

Related Experiment Videos

  • Identification of quality outcome and process indicators in standardized, nurse-sensitive language.

    • Main Results:

    • Current national surveys inadequately capture NP practice and patient outcomes.
    • A framework for expanding the NAMCS is proposed.
    • Key variables for a pilot instrument, focusing on nurse-sensitive outcomes and national health priorities, have been identified.

    Conclusions:

    • Existing national surveys do not fully represent NP contributions to ambulatory care.
    • Informatics can enhance healthcare surveys to include nurse-sensitive outcomes.
    • The proposed expansion aims to improve data quality and inform healthcare policy for NP-provided care.