ArticleJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing2002
Lessons learned from testing the quality cost model of Advanced Practice Nursing (APN) transitional care.
Article in Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Effect of continuous nursing on wound infection and quality of life in patients with cancer-related stoma: A meta-analysis.International wound journal · 2023Pooled it
- Intervention Effect of the Mobile Phone APP Based Continuous Care on Patients after Mechanical Heart Valve Replacement: A Randomised Controlled Trials.Reviews in cardiovascular medicine · 2024Article
- Advanced Midwifery Practice in Switzerland: Development and challenges.European journal of midwifery · 2024Article
- Contextualisation of Early and Enhanced Clinical Exposure Model through Development of Curricula for Advanced Practice Nursing and Midwifery.Open journal of nursing · 2022Article
- The development and implementation of the After Cancer Treatment Transition (ACTT) Program for survivors of cancer.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022Article
- Article
- Interprofessional Collaboration in a New Model of Transitional Care for Families with Preterm Infants - The Health Care Professional's Perspective.Journal of multidisciplinary healthcare · 2021Article
- The value of continuous nursing in patients after cardiac mechanical valve replacement.Journal of cardiothoracic surgery · 2020Article
- Benefits of Advanced Practice Nursing for Its Expansion in the Spanish Context.International journal of environmental research and public health · 2019Review
- The effect of a gerontology nurse specialist for high needs older people in the community on healthcare utilisation: a controlled before-after study.BMC geriatrics · 2018Article
- Comparing the Cost of Care Provided to Medicare Beneficiaries Assigned to Primary Care Nurse Practitioners and Physicians.Health services research · 2016Article
- Low-Income First-Time Mothers: Effects of APN Follow-up Using Mobile Technology on Maternal and Infant Outcomes.Global pediatric health · 2016Article
- Article
- A qualitative analysis of an advanced practice nurse-directed transitional care model intervention.The Gerontologist · 2012Article
- [Reflections on nurse prescribing in Primary Health Care].Atencion primaria · 2009Article
- The doctor of nursing practice: recognizing a need or graying the line between doctor and nurse?Medscape journal of medicine · 2008Article
- APN-physician collaboration in caring for women with high-risk pregnancies.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2005Article
- Patient problems, advanced practice nurse (APN) interventions, time and contacts among five patient groups.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2003Review
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
purposeTo describe the development, testing, modification, and results of the Quality Cost Model of Advanced Practice Nurses (APNs) Transitional Care on patient outcomes and health care costs in the United States over 22 years, and to delineate what has been learned for nursing education, practice, and further research. ORGANIZING CONSTRUCT: The Quality Cost Model of APN Transitional Care.
methodsReview of published results of seven randomized clinical trials with very low birth-weight (VLBW) infants; women with unplanned cesarean births, high risk pregnancies, and hysterectomy surgery; elders with cardiac medical and surgical diagnoses and common diagnostic related groups (DRGs); and women with high risk pregnancies in which half of physician prenatal care was substituted with APN care. Ongoing work with the model is linking the process of APN care with the outcomes and costs of care.
findingsAPN intervention has consistently resulted in improved patient outcomes and reduced health care costs across groups. Groups with APN providers were rehospitalized for less time at less cost, reflecting early detection and intervention. Optimal number and timing of postdischarge home visits and telephone contacts by the APNs and patterns of rehospitalizations and acute care visits varied by group.
conclusionsTo keep people well over time, APNs must have depth of knowledge and excellent clinical and interpersonal skills that are the hallmark of specialist practice, an in-depth understanding of systems and how to work within them, and sufficient patient contact to effect positive outcomes at low cost.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.