Expanding the Knowledge Base of Resident and Facility Outcomes of Care Delivered by Advanced Practice Nurses in Long-Term Care

Author:

Bourbonniere Meg1,Mezey Mathy2,Mitty Ethel L.3,Burger Sarah2,Bonner Alice4,Bowers Barbara5,Burl Jeffrey B.6,Carter Diane7,Dimant Jacob8,Jerro Sarah A.9,Reinhard Susan C.10,Ter Maat Marilyn11,Nicholson Nicholas R.12

Affiliation:

1. Dartmouth-Hitchcock Medical Center, Lebanon, NH

2. New York University, New York, NY

3. New York University, New York, NY,

4. Massachusetts Long Term Care Foundation, Newton Lower Falls, MA

5. University of Wisconsin-Madison, Madison,WI

6. University of Massachusetts Medical School, Worcester

7. American Association of Nurse Assessment Coordinators, Denver, CO

8. Lutheran Augustana Center for Extended Care and Rehabilitation, Brooklyn, NY

9. Eden Park Health Care Center, Poughkeepsie, NY

10. Public Policy Institute, Washington, DC

11. The Evangelical Lutheran Good Samaritan Society, Windcrest, TX

12. Yale University, New Haven, CT

Abstract

In 2003, a panel of nationally recognized experts in geriatric practice, education, research, public policy, and long-term care convened to examine and make recommendations about care quality and safety issues related to advanced practice nurses (APNs) in nursing home practice. This article reports on the panel recommendation that addressed expanding the evidence base of resident and facility outcomes of APN nursing home practice. A review of the small but important body of research related to nursing home APN practice suggests a positive impact on resident care and facility outcomes. Recommendations are made for critically needed research in four key areas: (a) APN nursing home practice, (b) relative value unit coding, (c) outcomes related to geropsychiatric and mental health nursing services, and (d) outcomes related to geriatric specialization. The APN role could be significantly enhanced and executed if its specific contribution to resident and facility outcomes was more clearly delineated through the recommended rigorous research.

Publisher

SAGE Publications

Subject

General Medicine,Issues, ethics and legal aspects,Leadership and Management

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