Implementation of a nurse practitioner role in an acute care setting.
During the implementation, the authors strived to clearly identify a person to focus on patient outcomes. Thus, they limited the ARNP's involvement in central functions and direct management of the staff. The overall implementation of the demonstration project has benefited patients, staff, and the health care team. The continuity provided allows the patient and family to interact with a consistent person. The ARNP functions as the key to directing patient care in a holistic manner while facilitating staff development. The demonstration project has given the authors an opportunity to evaluate the management structure and redefine roles to achieve those outcomes in the management arena.
Counsell
C
C
Shands Hospital, University of Florida, Gainesville, USA.
Gilbert
M
M
D000208:Acute Disease / Q000191:economics / Q000451:nursing* / Q000523:psychology; D003363:Cost Control; D006801:Humans; D007587:Job Description; D007902:Length of Stay / Q000706:statistics & numerical data; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000191:economics / Q000451:nursing* / Q000523:psychology; D009722:Nurse Practitioners / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D017060:Patient Satisfaction; D016730:Program Development / Q000379:methods; D015397:Program Evaluation; D017749:Total Quality Management / Q000458:organization & administration