Related Experiment Video
Updated: May 24, 2026
10:07
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.
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.
Related Concept Videos
01:15Nursing Evaluation
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Section...
01:30Current Trends in Nursing II
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
01:30National Nursing Organizations II
Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
01:28Current Trends in Nursing I
Current trends in nursing include:
01:11Guidelines for Writing Outcome
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...