title: Description of the clinical practice of advanced practice nurses in family-centered early intervention in two rural settings.
abstract: The purpose of this study was to describe the scope of clinical practice of advanced practice nurses who were involved in a project designed to increase access of families with at-risk and disabled young children, newborn to 3 years of age, to early intervention services in rural Washington State. The findings from this study are based on the retrospective review of records of clients seen by the advanced practice nurses. Nursing diagnoses and nursing interventions were assigned to chart recordings. The most frequently occurring nursing diagnoses assigned to parents were Altered Parenting, Altered Family Processes, Fear, Noncompliance, and Knowledge Deficit. The most frequently occurring nursing diagnoses assigned to children were Impaired Physical Mobility, Impaired Verban Communication, Altered Nutrition: Less than Body Requirements, Sensory-Perceptual Alteration, and Altered Thought Processes. Categories of nursing intervention recorded most frequently were Monitoring, Planning and Information. Discussion of findings addresses the roles and reimbursement of advanced practice nurses who provide family-centered early intervention services in rural communities.
authors.affiliation: University of Washington School of Nursing, Department of Community Health Care Systems, Seattle 98195.
authors.forename: R
authors.initials: R
authors.lastname: Kang
authors.forename: K
authors.initials: K
authors.lastname: Barnard
authors.forename: S
authors.initials: S
authors.lastname: Oshio
mesh_terms: D002675:Child, Preschool; D005190:Family; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007587:Job Description; D009722:Nurse Practitioners; D009731:Nursing Audit; D009733:Nursing Diagnosis; D018802:Patient-Centered Care / Q000458:organization & administration*; D011637:Public Health Nursing / Q000458:organization & administration*; D012189:Retrospective Studies; D012424:Rural Population