Advanced Practice Registered Nurse

747 Words3 Pages
Description of the Sample Advanced Practice Registered Nurse (APRN) students from Frontier Nursing University (FNU) conducted a quality analysis survey of three (75%) family nurse practitioner clinics (outpatient practice) and one (25%) nurse-midwifery practice (community based hospital) in the United States. Among those practices, two (50%) of them were urban and the other two (50%) were suburban. There is a wide variety of clinical care models represented in this survey. Two (50%) of those sites are midwifery-led or APRN-led clinics where care is provided by APRNs/midwives unless the client requires a physician consultation. One (25%) of the practices is a shared practice model where care is provided by midwives/APRN and doctors, however caseloads are clearly distinguished between providers. The other one (25%) clinic is a combined practice model where care provided in combination with physicians, so that women may receive care from midwives/APRN or physicians, regardless of their risk status or medical needs. In reference to the Commission for the Accreditation of Birth Centers (CABC) and Joint Commission(JC) standards, two(50%) out of four sites are compliant with the standards. The midwifery-led/APRN lead model located in an urban community-based hospital of Iowa scored highest in Quality improvement/quality assurance within this cohort.(194) CABC Standards As far as compliance with CABC standards are concerned, only half (50%) of the sites surveyed met the standards and 50% did not meet it. The sites that met the standard (50%) had conducted a provider or interdisciplinary team meeting focused on clinical issues including review of literature, evidence based guidelines and chart or case review four to eight... ... middle of paper ... ...nt standards for the identified problem. The Collaborative model of care will be established across all the site. This model of care mandates that all the providers and corresponding patient consultants meet few times a year with the goal of meeting the healthcare needs of their patients. Collaboration will facilitate quality and enhancement of knowledge through sharing expertise (Health Resource and Service Administration(HRCA),2011; Area Health Education Center(AHEC), n.d.) (91) Conclusion Effective quality assurance and improvement program ensures improving quality of life and quality of care to the patient. The success of the set outcomes depends on each member of the healthcare team. The standard of care established by CABC, JC and other commissions will guide the institutions to set standards, establish goals and find tools to improve patient care.
Open Document