title: Advanced practice nurses' perspectives on the use of health optimization strategies for managing chronic disease among older adults in different care settings: pushing the boundaries of self-management programs.
abstract: This study examines the intention of advanced practice nurses (APNs) to utilize health optimization programs (HOPs) for addressing clients' chronic disease in various work settings (i.e., nursing homes or other care settings). A paper-based survey was administered to 270 APNs at a continuing education conference to determine their intentions to refer patients to HOPs for chronic disease management. APNs working in nursing homes were 0.23 times as likely to utilize HOPs for management of their patients' chronic disease compared with their counterparts working in other care settings (odds ratio = 0.23, confidence interval = 0.06-0.80, P = .021). APNs who had previously used a HOP for management of their patients' chronic disease were 5.2 times as likely to do so again relative to those who had not previously used a HOP for management of their patients' chronic disease (odds ratio = 5.17, confidence interval = 1.78-14.99, P = .002). Educational and organizational interventions are recommended to disseminate further HOPs for chronic disease in nursing home settings as part of an overall health optimization strategy.
authors: Department of Health Policy & Management, Texas A&M Health Science Center, School of Rural Public Health, College Station, TX, USA.
authors: Justin B
authors: JB
authors: Dickerson
authors: Matthew Lee
authors: ML
authors: Smith
authors: Diane M
authors: DM
authors: Dowdy
authors: Ashley
authors: A
authors: McKinley
authors: Sangnam
authors: S
authors: Ahn
authors: Marcia G
authors: MG
authors: Ory
mesh_terms: D000328:Adult; D057179:Advanced Practice Nursing; D001499:Bayes Theorem; D016009:Chi-Square Distribution; D002908:Chronic Disease / Q000451:nursing*; D005260:Female; D005851:Geriatric Nursing; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D012648:Self Care; D011795:Surveys and Questionnaires