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Preparing advanced practice nurses for acute care

J M Clochesy1, B J Daly, B K Idemoto

  • 1Case Western Reserve University, Cleveland, Ohio.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|July 1, 1994
PubMed
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The development of acute care nurse practitioners (ACNPs) addresses fragmented healthcare. This program shows significant support, with graduates now practicing and patient outcomes being evaluated.

Area of Science:

  • Healthcare delivery
  • Advanced practice nursing
  • Nursing education

Background:

  • Healthcare specialization leads to fragmented patient care.
  • Need for advanced practice nurses (APNs) with enhanced decision-making and psychomotor skills.
  • Development of APN roles in acute care settings necessitates specialized graduate programs.

Purpose of the Study:

  • Describe the development of a graduate program for acute care nurse practitioners (ACNPs).
  • Outline needs assessment, curriculum design, role development, implementation, and evaluation strategies.
  • Prepare nurses for advanced roles in acute care environments.

Main Methods:

  • Needs assessment for ACNP program development.
  • Curriculum and role definition for ACNPs.

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  • Program implementation and phased evaluation.
  • Assessment of external support and financial backing.

    • Main Results:

    • Phase 1 evaluation indicates strong support for ACNPs.
    • Significant financial backing received from a hospital and a private foundation.
    • First cohort of ACNP graduates are actively practicing.
    • Phase 2 patient outcome evaluation is currently in progress.

    Conclusions:

    • Changes in US healthcare have driven the emergence of ACNPs.
    • Substantial support exists for the ACNP role.
    • Further research is needed on implementation barriers and patient/fiscal outcomes.