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Related Experiment Videos

Piloting web-based NAMCS data collection for nurse-managed centers.

Melinda L Jenkins1, Thomas White, Susan Lin

  • 1School of Nursing, Columbia University, New York, NY, USA.

AMIA ... Annual Symposium Proceedings. AMIA Symposium
|January 20, 2004
PubMed
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Nurse Practitioners (NPs) offer healthcare comparable to physicians, excelling in patient education and case management for chronic conditions. This pilot study adapted a national survey to better capture NP-led care in nurse-managed centers.

Area of Science:

  • Nursing
  • Health Services Research
  • Ambulatory Care

Background:

  • Nurse Practitioners (NPs) demonstrate healthcare equivalence to physicians, particularly in patient education and case management for chronic ambulatory conditions.
  • Existing national surveys like the National Ambulatory Medical Care Survey (NAMCS) inadequately represent NP-led care, with only 2.1% of a 2000 sample from NP encounters.
  • Nurse-managed centers are excluded from current national ambulatory care survey sampling frames.

Purpose of the Study:

  • To develop a web-based version of the NAMCS to improve data collection.
  • To enhance the survey by incorporating nursing diagnoses, interventions, and outcomes.
  • To pilot-test the modified survey with 300 patient encounters across five nurse-managed centers.

Main Methods:

Related Experiment Videos

  • Development of a web-based data collection tool based on the NAMCS.
  • Integration of specific nursing diagnoses, interventions, and outcome measures into the survey instrument.
  • Pilot testing of the enhanced survey across five distinct nurse-managed centers, collecting data from 300 patient encounters.

Main Results:

  • The study successfully created and pilot-tested a web-based, enhanced NAMCS format.
  • The modified survey facilitated the inclusion of nursing-specific data points.
  • Data were collected from 300 patient encounters in nurse-managed settings, demonstrating feasibility.

Conclusions:

  • A web-based, enhanced NAMCS is a viable method for capturing NP-led care in nurse-managed centers.
  • This approach can provide more comprehensive data on the role and impact of NPs in ambulatory care.
  • Further large-scale implementation is warranted to fully assess NP contributions to chronic disease self-management.