In her 2008 article entitled “Advanced Practice Registered Nurses: The Impact of Patient
Safety and Quality,” Eileen O’Grady reported that the advanced practice registered
nurse (APRN) workforce “has been growing exponentially with APRNs employed in every
health care sector.”
1
The Bureau of Labor Statistics agreed, underscoring the demand for APRNs with the
ever-increasing need for access to cost-effective, quality health care.
2
Today, there are more than 267,000 APRNs across the United States, practicing in
communities, hospitals, and many other healthcare settings. APRNs are categorized
as certified nurse practitioners (NPs), certified nurse midwives (CNM), certified
nurse specialists (CNS), and certified registered nurse anesthetists (CRNAs).
3
All groups continue to increase in number and effectiveness as integral members of
the healthcare team.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Nurse LeaderAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Advanced practice registered nurses: the impact on patient safety and quality.in: Hughes RG Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ Publication No. 08-0043. Agency for Healthcare Research and Quality, Rockville, MDMarch 2008
- Registered nurses. Occupational Outlook Handbook. 2006–07 ed.(Accessed August 1, 2014.)
- APRNs in the U.S. The Consensus Model for APRN Regulation, Licensure, Accreditation, Certification and Education.(Accessed August 1, 2014.)
- Advancing Higher Education In Nursing: Position Statement.http://www.aacn.nche.edu/dnp/dnp-position-statement(Accessed August 1, 2014.)Date: October 2004
- To Err Is Human: Building a Safer Health System. National Academies Press, Washington DC1999
- Crossing the Quality Chasm. National Academies Press, Washington DC2001
- Health Professions Education: A Bridge to Quality. National Academies Press, Washington DC2003
- The Future of Nursing: Leading Change, Advancing Health. Report Recommendations. National Academies Press, Washington DC2010 (Accessed August 1, 2014.)
- Improving outcomes for mechanically ventilated medical intensive care unit patients using advanced practice nurses: a 6-year experience.Crit Care Nurs Clin North Am. 2002; 14: 231-243
- Implementation of an institutional program to improve clinical and financial outcomes of mechanically ventilated patients: one-year outcomes and lessons learned.Crit Care Med. 2003; 31: 2752-2763
- Optimizing advanced practitioner charge capture in high-acuity surgical intensive care units.Arch Surg. 2011; 146: 552-555
- Evaluation of a nurse practitioner-led care management model in reducing inpatient drug utilization and cost.Nurs Econ. 2009; 27: 160-168
- Outcomes of adding acute care nurse practitioners to a Level I trauma service with the goal of decreased length of stay and improved physician and nursing satisfaction.J Trauma Acute Care Surg. 2014; 76: 353-357
- The effect of a multidisciplinary hospitalist/physician and advanced practice nurse collaboration on hospital costs.J Nurs Adm. 2006; 36: 79-85
- An alternative approach to reducing the costs of patient care? A controlled trial of the multi-disciplinary doctor-nurse practitioner (MDNP) model.Med Decis Making. 2006; 26: 9-17
- Quality and financial impact of adding nurse practitioners to inpatient care teams.J Nurs Adm. 2014; 44: 87-96
- Primary care outcomes in patients treated by nurse practitioners or physicians: two-year follow-up.Med Care Res Rev. 2004; 61: 332-351
- Cardiovascular surgeon and acute care nurse practitioner: collaboration on postoperative outcomes.AACN Clin Issues. 2005; 16: 149-158
- Advanced practice nurse outcomes 1990-2008: a systematic review.Nurs Econ. 2011; 29 (quiz 251.): 230-250
- Cost-effectiveness of nurse practitioner management of hypercholesterolemia following coronary revascularization.J Am Acad Nurse Pract. 2006; 18: 436-444
- Effect of an outcomes-managed approach to care of neuroscience patients by acute care nurse practitioners.Am J Crit Care. 2002; 11: 353-362
- Resource commitment to improve outcomes and increase value at a level I trauma center.J Trauma. 2011; 70: 560-568
- Nurse practitioners as an underutilized resource for health reform: evidence-based demonstrations of cost-effectiveness.J Am Acad Nurse Pract. 2010; 22: 228-231
- The Economic Benefits of More Fully Utilizing Advanced Practice Registered Nurses in the Provision of Care in Texas: An Analysis of Local and Statewide Effects on Business Activity. Perryman Group, Waco, TX2012 (Accessed August 1, 2014.)
- A benefit-cost analysis of a worksite nurse practitioner program: first impressions.J Occup Environ Med. 2005; 47: 1110-1116
- Federal Health Care Cost Containment: How in Practice Can It Be Done? Options With a Real World Track Record of Success. Working Paper 1.(Accessed August 1, 2014.)
- NPs in the ICU: the Vanderbilt initiative.Nurse Pract. 2012; 37: 46-52
- Structural Empowerment and Role Definition of Unit-Based Advanced Practice Registered Nurses (APRN) [Doctoral]. Vanderbilt University School of Nursing, Nashville, TNJuly 2013
- Men and Women of the Corporation. Basic Books, New York, NY1977
- Power and empowerment in nursing: looking backward to inform the future.OJIN Online J Issues Nurs. 2007; 12 (Manuscript 1) (Accessed August 1, 2014.)
- Physician assistant and nurse practitioner utilization in academic medical centers.Am J Med Qual. 2011; 26: 452-460
- Announcing a New Model for ANCC's Magnet Recognition Program [brochure].(Accessed August 1, 2014.)
- Determined persistence: achieving and sustaining job satisfaction among nurse practitioners.J Am Assoc Nurse Pract. 2015; 27: 31-38
- Nurse practitioner job satisfaction: looking for successful outcomes.J Clin Nurs. 2013; 22: 2593-2604
- A national survey of PICU nurse practitioners'opportunities to standardize practices and optimize service delivery.Pediatr Nurs. 2012; 38 (277.): 249-250
- Optimized efficiency and effectiveness: impact of an academic medical center APRN workflow analysis. Vanderbilt University Medical Center, Nashville, TNMarch, 2014
- A framework for the introduction and evaluation of advanced practice nursing roles.J Adv Nurs. 2004; 48: 530-540
Article info
Identification
Copyright
© 2015 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
