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The Association Between APRN Intensity and Nurse-Sensitive Outcomes

Author:
Logan, Paul
Additional Titles:
Association Between Advanced Practice Registered Nurse Intensity and Nurse-Sensitive Outcomes
Published:
[University Park, Pennsylvania] : Pennsylvania State University, 2019.
Physical Description:
1 electronic document
Additional Creators:
Boltz, Marie
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Open Access.
Summary:
BACKGROUND: Despite decades of documented safe practice and positive influence onpatient outcomes, advanced practice registered nurses (APRNs) must still justify their contributions to the care and well-being of patients. In addition to providing direct care, APRNs are called upon to support organizational effectiveness, evident in quality patient outcomes, including nurse-sensitive outcomes (NSOs). To date, no studies have examined the influence of APRN intensity upon nurse-sensitive outcomes (NSOs).PURPOSE: Guided by Donabedian's framework of healthcare quality, this study examined the association between APRN intensity and NSOs (fall injuries, pressure injuries, central line- associated bloodstream infections and catheter-associated urinary tract infections) in a national sample of acute care hospitals.METHODS: The American Hospital Association annual survey and the Centers for Medicare and Medicaid Services Hospital Compare were the data sources. Regression analyses examined the association between APRN intensity (independent variable) and each NSO (dependent variable), while controlling for hospital characteristics, including bed size, teaching status, major technology (heart surgery and major organ transplant centers), Magnet status, Medicaid percent, ownership, region of country and rurality and nurse staffing (nurse intensity and nurse staff mix).RESULTS: No association was found between APRN intensity and fall injury, pressure injury or CLABSI scores. Higher APRN intensity was associated with higher CAUTI scores. CONCLUSION: More research is necessary to determine if the results are reproducible. This line of research would benefit from the addition of case-mix index or patient-level data.
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Dissertation Note:
Ph.D. Pennsylvania State University 2019.
Reproduction Note:
Microfilm (positive). 1 reel ; 35 mm. (University Microfilms 28097058)
Technical Details:
The full text of the dissertation is available as an Adobe Acrobat .pdf file ; Adobe Acrobat Reader required to view the file.
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