Advanced practice nurse outcomes 1990-2008: a systematic review.

Advanced practice nurse outcomes 1990-2008: a systematic review.
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1990-2008 年高级执业护士成果:系统评价。

DOI:
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发表时间:
2011
期刊:
Nursing Economic
影响因子:
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通讯作者:
J. Weiner
J. Weiner
中科院分区:
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文献类型:
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作者:
R. Newhouse;J. Stanik;K. White;M. Johantgen;E. Bass;George A. Zangaro;Renee F Wilson;L. Fountain;D. Steinwachs;L. Heindel;J. Weiner

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高级执业注册护士在医疗保健系统中扮演着越来越重要的角色,特别是在服务不足的人群中。本系统综述的目的是回答以下问题:与其他提供者(没有APRN的医生或团队)相比,APRN患者的护理结果相似吗?对1990年至2008年间发表的关于APRNs提供的护理的文献进行了系统回顾,结果表明,在包括的人群和环境中,执业护士和注册助产士与医生合作提供的护理与医生单独提供的护理相似,甚至在某些方面优于医生单独提供的护理。在急症护理机构使用临床护理专家可以减少住院患者的住院时间和护理费用。这些结果通过评估18年来所有类型的APRN,扩展了以往综述中对APRN结果的了解,采用了一个系统的过程,有意广泛地包括了结果、患者群体和环境。结果表明,APRNs提供了有效和高质量的患者护理,在提高美国患者护理质量方面发挥了重要作用,并有助于解决APRNs提供的护理是否可以安全地增加医生供应以支持旨在扩大护理可及性的改革努力的问题。
Advanced practice registered nurses have assumed an increasing role as providers in the health care system, particularly for underserved populations. The aim of this systematic review was to answer the following question: Compared to other providers (physicians or teams without APRNs) are APRN patient outcomes of care similar? This systematic review of published literature between 1990 and 2008 on care provided by APRNs indicates patient outcomes of care provided by nurse practitioners and certified nurse midwives in collaboration with physicians are similar to and in some ways better than care provided by physicians alone for the populations and in the settings included. Use of clinical nurse specialists in acute care settings can reduce length of stay and cost of care for hospitalized patients. These results extend what is known about APRN outcomes from previous reviews by assessing all types of APRNs over a span of 18 years, using a systematic process with intentionally broad inclusion of outcomes, patient populations, and settings. The results indicate APRNs provide effective and high-quality patient care, have an important role in improving the quality of patient care in the United States, and could help to address concerns about whether care provided by APRNs can safely augment the physician supply to support reform efforts aimed at expanding access to care.
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