Research Study: Nurse Practitioners as Staff Leaders for Patient Care

1074 Words5 Pages
Watts et al. (2009) conducted a qualitative case -review, which evaluated the strengths of utilizing nursing-practitioner led, multidisciplinary teams in the treatment of chronic conditions. This study reviewed shared medical appointments (SMA’s) in patients with chronic care issues (diabetes, hypertension, heart failure) where the nurse practitioner acted as the team leader. The researchers compared their skills with the chronic care model (CCM), which includes self-management, decision support, delivery system design, clinical information systems, community resources, and organizational support. All staff and a convenience sampling of patients were interviewed to evaluate the chronic care model as it related to the nurse practitioner. The findings of this case review were that the skill set of the nurse practitioners met all of the requirements of the CCM, they exceled at assisting patients with self-management, decision support, and delivery system design. There is no apparent bias in this study, however significant limitations of this study do exist. They include the following: there are no details related to the number of patients or staff interviewed, or what specifically the interview questions entailed, nor any background data on the interviewees (gender, age, race, etc.) which may have also been useful when evaluating the results. There is also no timeframe for when these interactions occurred, how many practices it spanned, or where in the country it occurred. Reliability and validity are questionable for these reasons as well. Overall, the researchers found that the nurse practitioners excelled in providing continuity of care, collaboration between team members, healthcare preventions, eliminating barriers, and ... ... middle of paper ... ...AANP, 2013). This supports the need for the main concern of this paper by citing additional research proving evidence of the quality and cost-effectiveness of nurse practitioner’s care not only in relation to direct patient costs, but also in relation to the low cost of education and compensation. While there may be some perceived bias as this organization represents nurse practitioners, the paper relies heavily on peer-reviewed data to make it’s case, this is the paper’s greatest strength. No obvious limitations were noted. The information presented in these two very different documents highlights two opposing forces that impact the use of nurse practitioners to lower cost, the Pennsylvania State Law for the scope of practice (and the imposed limitations) and the AANP’s overwhelming evidence that such restrictions prove a disservice to healthcare and patients.
Open Document