A multimethod study of advanced practice nurse postdischarge care.

Cheryl Dellasega, T. M. Zerbe

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

In the United States, increasing emphasis is being placed on understanding the roles and cost-effectiveness of advanced practice nurses (APNs). This study used both quantitative and qualitative strategies to explore the impact of APN intervention for frail rural elders being discharged from the hospital. For the quantitative component, analyses of specific postdischarge elder (n = 140) and caregiver (n = 65) outcomes were conducted using four groups receiving the following types of care: no nursing care, registered nurse (RN) care only, APN care only, and both RN and APN care. Outcomes assessed included elder cognitive functioning, self-rated health, informal services provided, and use of health care resources. Caregiver outcomes included physical, emotional, and depressive symptoms, as well as stress scores, physician visits, and missed work days. Elders in the APN-only group experienced fewer emergency room visits and hospital readmissions, although the difference was not significant. Caregivers receiving APN-only support reported significantly fewer work days missed. For the qualitative component, a focus group with four APNs who delivered the intervention was conducted to explore unique aspects of their roles and specific interventions they provided. A theme of these results was more comprehensive and autonomous delivery and management of care to both elders and their caregivers.

Original languageEnglish (US)
Pages (from-to)286-293
Number of pages8
JournalClinical excellence for nurse practitioners : the international journal of NPACE
Volume4
Issue number5
StatePublished - Jan 1 2000

Fingerprint

Nurses
Caregivers
Frail Elderly
Patient Readmission
Health Resources
Nursing Care
Focus Groups
Health Services
Cost-Benefit Analysis
Hospital Emergency Service
Depression
Delivery of Health Care
Physicians

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

@article{64f0722edbbd4fe5911abc598c0854da,
title = "A multimethod study of advanced practice nurse postdischarge care.",
abstract = "In the United States, increasing emphasis is being placed on understanding the roles and cost-effectiveness of advanced practice nurses (APNs). This study used both quantitative and qualitative strategies to explore the impact of APN intervention for frail rural elders being discharged from the hospital. For the quantitative component, analyses of specific postdischarge elder (n = 140) and caregiver (n = 65) outcomes were conducted using four groups receiving the following types of care: no nursing care, registered nurse (RN) care only, APN care only, and both RN and APN care. Outcomes assessed included elder cognitive functioning, self-rated health, informal services provided, and use of health care resources. Caregiver outcomes included physical, emotional, and depressive symptoms, as well as stress scores, physician visits, and missed work days. Elders in the APN-only group experienced fewer emergency room visits and hospital readmissions, although the difference was not significant. Caregivers receiving APN-only support reported significantly fewer work days missed. For the qualitative component, a focus group with four APNs who delivered the intervention was conducted to explore unique aspects of their roles and specific interventions they provided. A theme of these results was more comprehensive and autonomous delivery and management of care to both elders and their caregivers.",
author = "Cheryl Dellasega and Zerbe, {T. M.}",
year = "2000",
month = "1",
day = "1",
language = "English (US)",
volume = "4",
pages = "286--293",
journal = "Clinical Excellence for Nurse Practitioners",
issn = "1085-2360",
publisher = "Churchill Livingstone",
number = "5",

}

A multimethod study of advanced practice nurse postdischarge care. / Dellasega, Cheryl; Zerbe, T. M.

In: Clinical excellence for nurse practitioners : the international journal of NPACE, Vol. 4, No. 5, 01.01.2000, p. 286-293.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A multimethod study of advanced practice nurse postdischarge care.

AU - Dellasega, Cheryl

AU - Zerbe, T. M.

PY - 2000/1/1

Y1 - 2000/1/1

N2 - In the United States, increasing emphasis is being placed on understanding the roles and cost-effectiveness of advanced practice nurses (APNs). This study used both quantitative and qualitative strategies to explore the impact of APN intervention for frail rural elders being discharged from the hospital. For the quantitative component, analyses of specific postdischarge elder (n = 140) and caregiver (n = 65) outcomes were conducted using four groups receiving the following types of care: no nursing care, registered nurse (RN) care only, APN care only, and both RN and APN care. Outcomes assessed included elder cognitive functioning, self-rated health, informal services provided, and use of health care resources. Caregiver outcomes included physical, emotional, and depressive symptoms, as well as stress scores, physician visits, and missed work days. Elders in the APN-only group experienced fewer emergency room visits and hospital readmissions, although the difference was not significant. Caregivers receiving APN-only support reported significantly fewer work days missed. For the qualitative component, a focus group with four APNs who delivered the intervention was conducted to explore unique aspects of their roles and specific interventions they provided. A theme of these results was more comprehensive and autonomous delivery and management of care to both elders and their caregivers.

AB - In the United States, increasing emphasis is being placed on understanding the roles and cost-effectiveness of advanced practice nurses (APNs). This study used both quantitative and qualitative strategies to explore the impact of APN intervention for frail rural elders being discharged from the hospital. For the quantitative component, analyses of specific postdischarge elder (n = 140) and caregiver (n = 65) outcomes were conducted using four groups receiving the following types of care: no nursing care, registered nurse (RN) care only, APN care only, and both RN and APN care. Outcomes assessed included elder cognitive functioning, self-rated health, informal services provided, and use of health care resources. Caregiver outcomes included physical, emotional, and depressive symptoms, as well as stress scores, physician visits, and missed work days. Elders in the APN-only group experienced fewer emergency room visits and hospital readmissions, although the difference was not significant. Caregivers receiving APN-only support reported significantly fewer work days missed. For the qualitative component, a focus group with four APNs who delivered the intervention was conducted to explore unique aspects of their roles and specific interventions they provided. A theme of these results was more comprehensive and autonomous delivery and management of care to both elders and their caregivers.

UR - http://www.scopus.com/inward/record.url?scp=0034286177&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034286177&partnerID=8YFLogxK

M3 - Article

C2 - 11858450

AN - SCOPUS:0034286177

VL - 4

SP - 286

EP - 293

JO - Clinical Excellence for Nurse Practitioners

JF - Clinical Excellence for Nurse Practitioners

SN - 1085-2360

IS - 5

ER -