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Utilization-focused evaluation of acute care nurse practitioner role
C B Stetler1, J Effken, L Frigon
1Patient-Centered Redesign Program, Hartford Hospital, Connecticut, USA.
Outcomes Management for Nursing Practice
|January 27, 1999
Summary
Advanced Practice Registered Nurses (APRNs) in acute care are evaluated for role expectations and effectiveness. This program evaluation offers insights into their impact on patient care and nursing focus.
Area of Science:
- Nursing
- Healthcare Administration
- Advanced Practice Nursing
Background:
- The integration of nurse practitioners into acute care settings is emerging.
- Limited data exists on the expectations and effectiveness of Advanced Practice Registered Nurses (APRNs) in these roles.
Purpose of the Study:
- To evaluate an organization's program for Advanced Practice Registered Nurses (APRNs) in acute care.
- To assess the perception of APRN role expectation performance.
- To examine APRN influence on care, nursing focus retention, and effectiveness facilitators/hindrances.
Main Methods:
- Program evaluation of the APRN role within an acute care organization.
- Collection of pragmatic data on role perception and effectiveness.
- Utilized a conceptual model to guide the evaluation.
Main Results:
- Data was gathered on how well APRNs met agreed-upon role expectations.
- The study assessed the influence of APRNs on specific aspects of patient care.
- Factors impacting APRN effectiveness, both positive and negative, were identified.
Conclusions:
- The evaluation provides practical data on the effectiveness of APRNs in acute care.
- Understanding facilitators and hindrances is crucial for optimizing APRN roles.
- This study contributes to the limited existing data on APRN integration in acute care settings.
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