Measures of Success: Making the Case for Advanced Practice-Sensitive Quality Indicators.

Ruth Kleinpell, April Kapu, Cynthia Borum
Author Information
  1. Ruth Kleinpell: Vanderbilt University School of Nursing, Nashville, TN.
  2. April Kapu: Vanderbilt University School of Nursing, Nashville, TN.
  3. Cynthia Borum: HCA Healthcare Clinical Services Group, Nashville, TN.

Abstract

Description Advanced practice registered nurses (APRNs) are key health care providers in a variety of settings. Often APRNs are grouped in a collective category, along with physician assistants, and referred to collectively as advanced practice providers. As APRNs assume an increasing role in patient care management in hospital, outpatient, and community settings, such as clinics and rural practices, measuring the impact of their care on patient outcomes and quality of care becomes a necessary component of performance evaluation. APRN-sensitive outcome indicators are an important way to identify the impact of the role. While a number of studies have been conducted that demonstrate APRN outcomes, identifying specific APRN-sensitive outcome indicators can be challenging. This article reviews the use of APRN-sensitive outcome indicators to identify the impact of the APRN role, highlighting exemplars from several clinical practice sites.

Keywords

References

  1. J Adv Nurs. 2020 Jan;76(1):81-95 [PMID: 31588598]
  2. Health Aff (Millwood). 2019 Jun;38(6):1028-1036 [PMID: 31158006]
  3. J Clin Nurs. 2020 May;29(9-10):1623-1634 [PMID: 32065688]
  4. Nurs Outlook. 2017 Nov - Dec;65(6):679-688 [PMID: 28803624]
  5. Nurs Outlook. 2020 Sep - Oct;68(5):626-636 [PMID: 32739096]
  6. JAMA Cardiol. 2021 Jul 1;6(7):830-835 [PMID: 33377898]
  7. Hum Resour Health. 2017 Sep 11;15(1):63 [PMID: 28893270]
  8. J Am Assoc Nurse Pract. 2020 Jul 7;33(10):771-775 [PMID: 32649383]
  9. Inquiry. 2023 Jan-Dec;60:469580231167013 [PMID: 37102473]
  10. Int J Environ Res Public Health. 2022 Apr 07;19(8): [PMID: 35457336]
  11. Healthcare (Basel). 2020 Apr 28;8(2): [PMID: 32354015]
  12. J Am Assoc Nurse Pract. 2013 Jun;25(6):289-296 [PMID: 24170592]
  13. Health Serv Res. 2020 Apr;55(2):178-189 [PMID: 31943190]
  14. J Trauma Acute Care Surg. 2014 Feb;76(2):353-7 [PMID: 24398767]
  15. Med Care. 2021 Oct 1;59(10):857-863 [PMID: 34432769]
  16. J Med Internet Res. 2021 Apr 27;23(4):e28216 [PMID: 33904823]
  17. Chest. 2016 May;149(5):1146-54 [PMID: 26836900]
  18. Nurs Rep. 2021 Jan 06;11(1):28-35 [PMID: 34968309]
  19. Med Care Res Rev. 2023 Dec;80(6):563-581 [PMID: 37438917]
  20. J Adv Nurs. 2016 Jun;72(6):1357-67 [PMID: 26915719]
  21. Med Care. 2018 Jun;56(6):484-490 [PMID: 29613873]
  22. Crit Care Med. 2019 Oct;47(10):1442-1449 [PMID: 31414993]

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