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Perceptions of the effectiveness of Advanced practice Nurses on a neurosurgery unit in a Canadian Tertiary Care Centre:A pre-and-post implementation design

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International Journal of Nursing Sciences 2018年第2期5卷 138-143页

作者： Alanna M.Keenan Erin E.Mutterback Kristi M.Velthuizen Monika E.Pantalone Kira L.Gossack-Keenan The Ottawa Hospital OttawaOntarioCanada University of Ottawa OttawaOntarioCanada McMaster University HamiltonOntarioCanada

Objectives:A framework for the advanced practice nurse(APN)role was developed in our Canadian Tertiary Care Centre,delineating five domains of advanced nursing practice:clinical practice,consultation,research,education and *** goal of this study was to evaluate perceptions of the effectiveness of the implementation of an innovative APN role on an in-patient Neurosurgery ***:A pre-and-post implementation design,incorporating both qualitative and quantitative data,was *** innovative APN role was implemented within the Neurosurgery program focusing on the clinical domain and required the successful candidates to be NP *** APN role was designed to improve patient flow,documentation,communication and patient and staff *** primary outcomes were measured:pre-implementation questionnaire(nurses),post-implementation questionnaire(nurses and residents)and number of pages to the on-call ***:Survey scores by nurses and residents indicated improvement across all aspects *** scores increased from 1.1 to 2.6,reflecting an overall statistically significant *** number of pages to the on-call resident also showed a ***:Perceptions of patient care delivery and professional collaboration improved following implementation of the APN *** indicated that APNs significantly impacted patient care and improved nurses and residents'job satisfaction.

关键词： Advanced practice nursing Delivery of health care Patient care team Pre-post tests professional practice gaps

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