Title:

Nurse Practitioner--led Intensive Outpatient Team: Effects on End-of-life Care.

Authors:
Hummel, Debra L.; Hill, Constance; Shaw, Jonathan G.; Slightam, Cindie; Asch, Steven M.; Zulman, Donna M.
Affiliation:
Nurse practitioner at Veteran's Administration Palo Alto in Palo Alto, CA
Assistant professor at Valley Foundation School of Nursing, San Jose State University in San Jose, CA
Research associate at the Center for Innovation to Implementation, VA Palo Alto Healthcare System in Palo Alto, CA
Clinical assistant professor at the Division of General Medical Disciplines at Stanford School of Medicine in Stanford, CA
Research health science specialist at the Center for Innovation to Implementation, VA Palo Alto Healthcare System
Director of the Center for Innovation to Implementation, VA Palo Alto Healthcare System
Investigator at the Center for Innovation to Implementation, VA Palo Alto Healthcare System and an assistant professor in the Division of General Medical Disciplines at Stanford School of Medicine in Stanford, CA
Source:
Journal for Nurse Practitioners (J NURSE PRACT), May2017; 13(5): 245-248. (4p)
Publication Type:
Article - research, tables/charts
Language:
English
Major Subjects:
Nurse Practitioners
Terminal Care
Ambulatory Care Facilities
Primary Health Care
Nurse-Managed Centers
Holistic Care
Minor Subjects:
Veterans; Patient Centered Care; Human; Random Sample; Descriptive Statistics; Data Analysis Software; T-Tests; Chi Square Test; Male; Female; Middle Age; Aged; Aged, 80 and Over
Abstract:
In order to enhance care for high-risk patients, many health systems are implementing intensive outpatient programs, often with advanced practice nurses taking the lead. We sought to examine the effects of 1 such nurse practitioner--led program on end-of-life care for patients in the Veterans Affairs health care system. Patients enrolled in the intensive program had higher rates of hospice referral (74%) compared with patients enrolled in standard primary care (44%) (P = .025). Nurse practitioner--led intensive outpatient primary care may increase hospice referrals for high-risk patients near end-of-life.
Journal Subset:
Blind Peer Reviewed; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA
Special Interest:
Military/Uniformed Services; Palliative Care/Hospice
ISSN:
1555-4155
MEDLINE Info:
NLM UID: 101264817
Entry Date:
20170526
Revision Date:
20190212
DOI:
http://dx.doi.org/10.1016/j.nurpra.2017.01.007 
Accession Number:
123121506