title: Expanding the knowledge base of resident and facility outcomes of care delivered by advanced practice nurses in long-term care: expert panel recommendations.
abstract: In 2003, a panel of nationally recognized experts in geriatric practice, education, research, public policy, and long-term care convened to examine and make recommendations about care quality and safety issues related to advanced practice nurses (APNs) in nursing home practice. This article reports on the panel recommendation that addressed expanding the evidence base of resident and facility outcomes of APN nursing home practice. A review of the small but important body of research related to nursing home APN practice suggests a positive impact on resident care and facility outcomes. Recommendations are made for critically needed research in four key areas: (a) APN nursing home practice, (b) relative value unit coding, (c) outcomes related to geropsychiatric and mental health nursing services, and (d) outcomes related to geriatric specialization. The APN role could be significantly enhanced and executed if its specific contribution to resident and facility outcomes was more clearly delineated through the recommended rigorous research.
authors.affiliation: Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
authors.forename: Meg
authors.initials: M
authors.lastname: Bourbonniere
authors.forename: Mathy
authors.initials: M
authors.lastname: Mezey
authors.forename: Ethel L
authors.initials: EL
authors.lastname: Mitty
authors.forename: Sarah
authors.initials: S
authors.lastname: Burger
authors.forename: Alice
authors.initials: A
authors.lastname: Bonner
authors.forename: Barbara
authors.initials: B
authors.lastname: Bowers
authors.forename: Jeffrey B
authors.initials: JB
authors.lastname: Burl
authors.forename: Diane
authors.initials: D
authors.lastname: Carter
authors.forename: Jacob
authors.initials: J
authors.lastname: Dimant
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Jerro
authors.forename: Susan C
authors.initials: SC
authors.lastname: Reinhard
authors.forename: Marilyn
authors.initials: M
authors.lastname: Ter Maat
authors.forename: Nicholas R
authors.initials: NR
authors.lastname: Nicholson
mesh_terms: D000368:Aged; D003362:Cost-Benefit Analysis; D005851:Geriatric Nursing / Q000458:organization & administration*; D006707:Homes for the Aged; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration; D009720:Nurse Clinicians; D009722:Nurse Practitioners; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D009735:Nursing Homes; D017063:Outcome Assessment, Health Care; D015895:Relative Value Scales; D014481:United States