title: Japanese nurse practitioner practice and outcomes in a nursing home.
abstract: OBJECTIVE
  By describing the practice of a Japanese nurse practitioner, this descriptive case study discusses role development and outcomes before and after the intervention.
  
  
  BACKGROUND
  One of the first Japanese nurse practitioners intervened at a nursing home during the government-designated trial period for nurse practitioner practice.
  
  
  CONCLUSIONS
  Because of the nurse practitioner's meticulous observation and timely care provision to the residents in collaboration with the physician and the other staff in the facility, comparative data showed improvement in daily health status management of every resident and decreased deterioration of residents' health conditions requiring ambulance transfer and hospitalization.
authors.affiliation: Division of General and Gerontological Nursing, Department of Specialized Nursing, Oita University of Nursing and Health Sciences, Oita, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Ono
authors.affiliation: Division of Linguistics, Oita University of Nursing and Health Sciences, Oita, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Miyauchi
authors.affiliation: Division of General and Gerontological Nursing, Department of Specialized Nursing, Oita University of Nursing and Health Sciences, Oita, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Edzuki
authors.affiliation: Division of Health Informatics and Biostatistics, Department of Human Sciences, Oita University of Nursing and Health Sciences, Oita, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Saiki
authors.affiliation: The Center for Nursing Education, Research and Collaboration, Oita University of Nursing and Health Sciences, Oita, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Fukuda
authors.affiliation: Division of Nursing Assessment, Department of Basic Nursing Sciences, Oita University of Nursing and Health Sciences, Oita, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Tonai
authors.affiliation: College of Nursing, University of Colorado, Aurora, CO, USA.
authors.forename: J K
authors.initials: JK
authors.lastname: Magilvy
authors.affiliation: Oita University of Nursing and Health Sciences, Oita, Japan.|Department of Community Health Nursing, University of Tokyo, Tokyo, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Murashima
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D005851:Geriatric Nursing; D006801:Humans; D007564:Japan; D008297:Male; D009722:Nurse Practitioners; D024802:Nurse's Role; D009735:Nursing Homes; D017063:Outcome Assessment, Health Care
keywords: Ambulance Transfer; Hospitalization; Nurse Practitioner Role Development; Nursing Home Residents; Skilled Nursing Care