The fifth edition of this award-winning text continues to be the only advanced practice nursing resource to focus exclusively on outcome assessment, an integral aspect of quantifying the effectiveness of care, both clinically and financially. Written by expert practitioners, educators, and researchers, this text analyzes the foundations of outcome assessment, provides guidelines for selecting assessment instruments and measuring results, and discusses design and implementation challenges. It also covers specialty areas of practice and specialty-specific considerations for outcome evaluation.
This revision provides APRN students, educators, and administrators with the most up-to-date resources and information on measuring outcomes of practice. The fifth edition has a strong focus on practice-specific quality metrics and covers a recent national collaborative project that showcased outcomes of nurse-led initiatives as part of the Choosing Wisely Campaign. Additionally, the fifth edition now includes an outcome assessment template to aid in the application of content.
New to the Fifth Edition:
- Discusses a recent national collaborative project showcasing outcomes of nurse-led initiatives as part of the Choosing Wisely Campaign
- A new outcome assessment template to aid in the practical application of content
- New exemplars demonstrating practical application in a variety of settings
- Includes examples of APRN roles and impact resulting from the COVID-19 pandemic
- Increased coverage of DNP competencies and scope of practice
- Covers updates on NP competencies and their impact on care
Key Features:
- Covers specialty areas of practice and specialty-specific considerations for outcome evaluation
- Offers guidelines for selecting assessment instruments and measuring the results
- Describes potential pitfalls of design and implementation
- Includes an instructor's manual including algorithms and teaching tools
Purchase includes digital access for use on most mobile devices or computers.
Author(s): Ruth M. Kleinpell
Edition: 5
Publisher: Springer Publishing Company
Year: 2021
Language: English
Pages: 312
City: New York
Cover
Title
Copyright
Contents
Contributors
Foreword
Preface
Outcome Assessment Template
Chapter 1: Measuring Outcomes in Advanced Practice Nursing
Chapter Objectives
Chapter Discussion Questions
Capturing APRN Impact
Developing Quality Metrics: Institutional Exemplar, Vanderbilt University Medical Center
Developing Quality Metrics: Institutional Exemplar, Hospital of the University of Pennsylvania
Developing Quality Metrics: Institutional Exemplar, Atrium Health
Practice-Specific Quality Metrics
Choosing Wisely
Summary
Answers to Chapter Discussion Questions
References
Chapter 2: Analyzing Economic Outcomes in Advanced Practice Nursing
Chapter Objectives
Chapter Discussion Questions
Introduction
Types of Economic Evaluations
Cost-Minimization Analysis
Cost–Consequence Analysis
Cost-Effectiveness Analysis
Cost–Utility Analysis
Cost–Benefit Analysis
Common Issues in All Economic Evaluations
Selecting the Type of Economic Evaluation
Framing the Analysis
Costs
Discounting
Analysis
Sensitivity Analysis
Summary
Answers to Chapter Discussion Questions
Web Links
References
Chapter 3: Selecting Advanced Practice Nursing Outcome Measures
Chapter Objectives
Chapter Discussion Questions
Introduction
Selecting APRN Role-Sensitive Outcome Measures
APRN Exemplar: Acute Care Nurse Practitioner For medical Acute Care Unit
Acute or Critical Care Clinical Nurse Specialist
APRN Exemplar: Psychiatric Mental Health APRN
Categories of Aprn Outcome Data
Satisfaction (Patient, Family, Caregivers, and Physician)
Clinical Outcome Measures
Efficiency (Time-Saving) Outcomes
Financial Outcomes
Aggregate Data and/or Hospital Benchmark Data
Summary
Answers to Chapter Discussion Question
References
Chapter 4: General Design and Implementation Challenges in Outcome Assessment
Chapter Objectives
Chapter Discussion Questions
Introduction
Solving Design Challenges
Linking Purpose and Design
Selecting Outcomes
Tracing Cause and Effect
Analytic Issues
Addressing Outcome Assessment Project implementation Challenges
Challenges
Solutions
Summary
Answers to Chapter Discussion Questions
Resources—Books and Websites
References
Chapter 5: Locating Instruments and Measures for Advanced Practice Nursing Outcome Assessments
Chapter Objectives
Chapter Discussion Questions
Introduction
Standard Books
Mental Measurements Year Books by Buros Center for Testing
Tests in Print by Buros Center for Testing
Bibliographic Databases
Levels of Evidence
Cumulative Index to Nursing and Allied Health Literature
Health and Psychosocial Instruments
Medline/Pubmed
Cochrane Library
Psyctests
Psycinfo
Education Resources Information Center
Proquest
ProQuest Dissertations and theses Global
Recommended Apps
Internet Resources and Online Library Resources
University Library Websites
Professional Association Sites
Corporate Websites
Government Sites
Clinical Practice Guidelines (National and International)
International Literature and Databases
Open Access to Journals and Institutional Repositories
Summary
Answers to Chapter Discussion Questions
Resources
Public Access Sites and Databases
Websites
University Library Websites
Books
Chapter 6: Measuring Outcomes in Cardiovascular Advanced Practice Nursing
Chapter Objectives
Chapter Discussion Questions
Introduction
Clinical Outcomes
Nursing Outcomes
Classification of Outcomes
Outcome Measures Used in Advanced Practice Nursing
Instruments and Approaches to Outcome Measurement
Methods for Outcome Measurement
Designs
Methods
Quality Improvement
Role of the APRN in Outcome Measurement
Background
Clinical Issue
Review of the Literature
Project Framework, Goals, and Criteria
Interventions for Project Development and Implementation
Outcomes Measured
Results Before and After Project Implementation
Limitations
Patient Navigator Program
Risk Model and Interventions
Outcomes
Summary
Answers to Chapter Discussion Questions
References
References
Chapter 7: Ambulatory Nurse Practitioner Outcomes
Chapter Objectives
Chapter Discussion Questions
Instroduction
Veterans Affairs’ Administrative Data Capturing Characteristics
Focusing on Ambulatory Care Nurse Practitioner Practice
Importance/Purpose of Primary Care Outcome Measurement
Summary of Existing Primary Care Nurse Practitioner Outcome Literature
Measures Relevant to Ambulatory Care Practice
Selecting Practical Outcomes of Interest
Approaches to Overcoming Potential Barriers to Outcome Measurement
Summary
Answers to Chapter Discussion Questions
Web Links
References
Chapter 8: Assessing Outcomes in Clinical Nurse Specialist Practice
Chapter Objectives
Chapter Discussion Questions
Introduction
Framework for Measuring Clinical Nurse Specialist Outcomes
The Davidson Hierarchy of Outcome Measurement
Time-On Activities
Process Measures
Surrogate Outcomes
Direct Outcomes
Measuring Educational Outcomes
Pulling it All Together
End-of-Year Report
Project Case Example and Crosswalk
Summary
Answers to Chapter Discussion Questions
Acknowledgments
References
Chapter 9: Outcome Measurement in Nurse-Midwifery Practice
Chapter Objectives
Chapter Discussion Questions
Introduction
Review of Research on Nurse-Midwifery Outcomes
Midwives and the National Quality Movement
Data for Continuous Quality Assurance and Quality Improvement
Benchmarking
American Association of Birth Centers Perinatal Data Registry
Classification of Outcome Measurement for Nurse-Midwifery Practice
Administrative Claims Data
Cost Analysis
Developing Client-Reported Outcome Measures
Variations From Expected Outcomes
Tools for Data Collection
Sources of Outcome Data
Summary
Answers to Chapter Discussion Questions
Web Links
References
Chapter 10: Outcome Assessment in Nurse Anesthesia
Chapter Objectives
Chapter Discussion Questions
Introduction
Current Status of Nurse Anesthetists
Credentialing of Nurse Anesthetists
CRNA Practice
Collaboration with Physicians
Nurse Anesthesia Outcomes Assessment
Outcomes Research in Anesthesiology
Evidence-Based Practice
Scope of Practice: Job Satisfaction and Clinical Outcomes
Summary
Acknowledgment
Answers to Chapter Discussion Questions
References
Chapter 11: Measuring Outcomes of Doctor of Nursing Practice
Chapter Objectives
Chapter Discussion Questions
Introduction
An Overview of the Doctor of Nursing Practice
Doctor of Nursing Practice Outcomes: Personal and Professional
Doctor of Nursing Practice Outcomes
Doctor of Nursing Practice Outcomes: Doctor of Nursing Practice Student Projects
Recommendations for Doctor of Nursing Practice Outcome Studies
Policy
Evidence-Based Practice
Quality and Safety Improvement
Academic Education
Summary
Answers to Chapter Discussion Question
Web Link
References
Chapter 12: Resources to Facilitate Advanced Practice Nursing Outcome Research
Chapter Objectives
Chapter Discussion Questions
Introduction
Research Chair in Advanced Practice Nursing
Impact of the Chair Program on Building Advanced PracticeNursing Research Capacity and Expertise
Canadian Centre for APN Research
Canadian Centre for APN Research’s Activities and Infl uence(2011–2020)
Building Capacity for International Advanced Practice Nursing Research
Building Advanced Practice Nursing Capacity to Conduct Point-of-Care Research
Advancing Economic Evaluations of Advanced Practice Nursing Roles
Additional Resources to Support Advanced Practice Nursing Role Evaluation
The Participatory, Evidence-Based, Patient-Focused Process for Advanced Practice Nursing Role Development, Implementation, and Evaluation Framework
Conceptual Foundations of the Participatory, Evidence-Based, Patient-Focused Process for Advanced Practice Nursing Role Development, Implementation, and Evaluation Framework
Steps of the Participatory, Evidence-Based, Patient-Focused Process for Advanced Practice Nursing Role Development, Implementation, and Evaluation Framework
Current Applications of the Participatory, Evidence Based, Patient-Focused Process for Advanced Practice Nursing Role Development, Implementation, and Evaluation Framework
Participatory, Evidence-Based, Patient-Focused Process for Advanced Practice Nursing Role Development, Implementation, and Evaluation-Plus—An Expanded Framework for Advanced Practice Nursing Role Evaluation
Advanced Practice Nursing Research Data Collection Resources
Summary
Answers to Chapter Discussion Questions
References
Acronyms
Index
