Abstract
The purpose of this study was to determine the effect on clinical outcomes for newly admitted nursing home residents when advanced practice gerontological nurses (APNs) worked with staff to implement scientifically based protocols for incontinence, pressure ulcers, depression, and aggressive behavior. Use of APNs in this manner differs from the usual way APNs have been used in nursing homes, in which their primary focus has been to augment the physician's role. The APN treatment was randomly assigned to two nursing homes and usual care was assigned to a third. Trajectories from admission to 6 months revealed that residents with APN input into their care (n = 86) experienced significantly greater improvement or less decline in incontinence, pressure ulcers, and aggressive behavior, and they had higher mean composite trajectory scores compared with residents receiving usual care (n = 111). Significantly less deterioration in affect was noted in cognitively impaired residents in the treatment group. Findings suggest that APNs can be effective links between current scientific knowledge about clinical problems and nursing home staff.
| Language | English (US) |
|---|---|
| Pages | 654-662 |
| Number of pages | 9 |
| Journal | Gerontologist |
| Volume | 40 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jan 1 2000 |
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Keywords
- Advanced practice nurses
- Nursing home
Cite this
Value-added outcomes : The use of advanced practice nurses in long-term care facilities. / Ryden, M. B.; Snyder, M.; Gross, Cynthia R; Savik, K.; Pearson, V.; Krichbaum, Kathleen E; Mueller, Christine A.
In: Gerontologist, Vol. 40, No. 6, 01.01.2000, p. 654-662.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Value-added outcomes
T2 - Gerontologist
AU - Ryden, M. B.
AU - Snyder, M.
AU - Gross, Cynthia R
AU - Savik, K.
AU - Pearson, V.
AU - Krichbaum, Kathleen E
AU - Mueller, Christine A
PY - 2000/1/1
Y1 - 2000/1/1
N2 - The purpose of this study was to determine the effect on clinical outcomes for newly admitted nursing home residents when advanced practice gerontological nurses (APNs) worked with staff to implement scientifically based protocols for incontinence, pressure ulcers, depression, and aggressive behavior. Use of APNs in this manner differs from the usual way APNs have been used in nursing homes, in which their primary focus has been to augment the physician's role. The APN treatment was randomly assigned to two nursing homes and usual care was assigned to a third. Trajectories from admission to 6 months revealed that residents with APN input into their care (n = 86) experienced significantly greater improvement or less decline in incontinence, pressure ulcers, and aggressive behavior, and they had higher mean composite trajectory scores compared with residents receiving usual care (n = 111). Significantly less deterioration in affect was noted in cognitively impaired residents in the treatment group. Findings suggest that APNs can be effective links between current scientific knowledge about clinical problems and nursing home staff.
AB - The purpose of this study was to determine the effect on clinical outcomes for newly admitted nursing home residents when advanced practice gerontological nurses (APNs) worked with staff to implement scientifically based protocols for incontinence, pressure ulcers, depression, and aggressive behavior. Use of APNs in this manner differs from the usual way APNs have been used in nursing homes, in which their primary focus has been to augment the physician's role. The APN treatment was randomly assigned to two nursing homes and usual care was assigned to a third. Trajectories from admission to 6 months revealed that residents with APN input into their care (n = 86) experienced significantly greater improvement or less decline in incontinence, pressure ulcers, and aggressive behavior, and they had higher mean composite trajectory scores compared with residents receiving usual care (n = 111). Significantly less deterioration in affect was noted in cognitively impaired residents in the treatment group. Findings suggest that APNs can be effective links between current scientific knowledge about clinical problems and nursing home staff.
KW - Advanced practice nurses
KW - Nursing home
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UR - http://www.scopus.com/inward/citedby.url?scp=0034541460&partnerID=8YFLogxK
U2 - 10.1093/geront/40.6.654
DO - 10.1093/geront/40.6.654
M3 - Article
VL - 40
SP - 654
EP - 662
JO - Gerontologist
JF - Gerontologist
SN - 0016-9013
IS - 6
ER -