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Updated: May 24, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

Advanced practice nurse outcomes 1990-2008: a systematic review.

Robin P Newhouse¹, Julie Stanik-Hutt, Kathleen M White

¹University of Maryland School of Nursing, Baltimore, MD, USA.

Nursing Economic$

|March 1, 2012

Summary

Advanced practice registered nurses (APRNs) provide patient care outcomes similar to or better than physicians alone. APRNs improve healthcare quality and can expand access to care for underserved populations.

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Last Updated: May 24, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

Area of Science:

Health Services Research
Nursing Practice
Patient Outcomes

Background:

Advanced practice registered nurses (APRNs) play a growing role in healthcare, especially for underserved groups.
Questions persist regarding the comparative effectiveness of APRN-led care versus other provider models.

Purpose of the Study:

To systematically review and compare patient outcomes for care provided by APRNs versus physicians or teams without APRNs.
To assess the effectiveness of various APRN roles across different settings and populations.

Main Methods:

Systematic review of published literature from 1990 to 2008.
Broad inclusion criteria for outcomes, patient populations, and healthcare settings.
Focused on comparing care by nurse practitioners, certified nurse midwives, and clinical nurse specialists.

Main Results:

APRNs (nurse practitioners, certified nurse midwives) in collaboration with physicians achieve similar or superior patient outcomes compared to physicians alone.
Clinical nurse specialists in acute care reduce hospital length of stay and healthcare costs.
The review encompasses 18 years of data across diverse APRN roles and settings.

Conclusions:

APRNs deliver effective, high-quality patient care.
APRNs are crucial for enhancing the quality of patient care in the U.S.
APRNs can safely augment physician supply, supporting efforts to expand healthcare access.