Value-added outcomes: The use of advanced practice nurses in long-term care facilities

M. B. Ryden, M. Snyder, Cynthia R Gross, K. Savik, V. Pearson, Kathleen E Krichbaum, Christine A Mueller

Research output: Contribution to journalArticle

70 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)654-662
Number of pages9
JournalGerontologist
Volume40
Issue number6
DOIs
StatePublished - Jan 1 2000

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Long-Term Care
Nurses
Nursing Homes
Pressure Ulcer
Physician's Role
Nursing Staff
Home Care Services
Depression
Therapeutics

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 journalArticle

Ryden, M. B. ; Snyder, M. ; Gross, Cynthia R ; Savik, K. ; Pearson, V. ; Krichbaum, Kathleen E ; Mueller, Christine A. / Value-added outcomes : The use of advanced practice nurses in long-term care facilities. In: Gerontologist. 2000 ; Vol. 40, No. 6. pp. 654-662.
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