- 96.5% of nurse practitioners prescribe and write an average of 19 prescriptions a day1
- Nurse practitioners serve as primary and specialty care providers, providing a blend of nursing and health care services to patients and families.2
- Nurse practitioners are reimbursed for patient care and were granted Medicare provider status in 1997 2
- Nurse practitioners accept and sign for samples 2
- Nurse practitioners diagnose and treat disease 2
- Nurse practitioners support compliance with clinical practice3
- Nurse practitioners support diabetes guidelines processes more than PAs or MDs4
- Nurse practitioners practice independently or in collaboration with physicians in all 50 states, but varies significantly from state to state5
- Nurse practitioners affect medication adherence
- Through disease management programs in blood coagulation clinics6
- Through patient call programs in community practice settings7
- In chronic cardiovascular disease8
- Through rheumatology clinical nurse specialist consultation, reporting high patient satisfaction9
- Nurse practitioners improve patient outcomes through nurse-led multidisciplinary teams
- Resulting in improved QOL and medication adherence in patients with intermittent claudication10
- Reporting significantly fewer deaths after 4.5 years in nurse-led clinics, than in the original intervention group and a trend toward fewer coronary events (for example, coronary deaths and non-fatal myocardial infarctions).11
- Nurse practitioners meet patients’ needs in a variety of primary care, acute care and specialty care settings12
- Nurse practitioners meet patients’ needs in a variety of primary care, acute care and specialty care settings13
- Patients report high satisfaction with nurse practitioner primary care compared to MD primary care14
- 280 Nurse Practitioners are independent clinicians with their own practice15
- This number is higher when you consider those NPs who practice within many long-term care settings where NPs are often the only prescriber on site
- The Cleveland Clinic Preventive Cardiology and Rehabilitation program has progressed toward an Advanced Practice Nurse-managed clinic for the past 5 years.16
- In a randomized trial of 1368 patients in a comparison of patients seeing NP’s or MD’s in 10 general practices17
- Generally, patients consulting nurse practitioners were significantly more satisfied with their care
- The number of prescriptions issued, investigations ordered, referrals to secondary care, and reattendances were similar between the two groups.
- Patients managed by nurse practitioners reported receiving significantly more information about their illnesses and, in all but one practice, their consultations were significantly longer.
1 AANP Member data,
http://www.aanp.org/NR/rdonlyres/0313B5B2-325A-4B66-A3C6-569902C3837E/0/AANPNPFactsLogo09.pdf
2 U.S. Bureau of Labor Statistics,
http://www.bls.gov/oco/ocos083.htm
3 Gracias et al. Critical Care Nurse Practitioners Improve Compliance with Clinical Practice Guidelines in “Semiclosed” Surgical Intensive Care Unit. J Nurs Care Qual 2008;23(4)338-344
4 Ohman-Strickland P et al . Quality of Diabetes Care in Family Medicine Practices Influence of Nurse Practitioners and Physicians Assistants. Ann Fam Med 2008;6:14-22
5 Pearson LJ. The Pearson Report AmJNursPract 2009;13(2)4-82
6 Huber C. et al. A Tool to Assess Compliance in Anticoagulation Management. AHRQ grant 2008
7 Cook et al. Telephone Counseling to Improve Osteoporosis Treatment Adherence: An Effectiveness Study in Community Practice Settings. Am J Med Quality;2007;22;445
8 Albert. Improving Medication Adherence in Chronic Cardiovascular Disease. Crit Care Nurse 2008;28:54-64
9 Homer et al. Providing patients with information about disease-modifying anti-rheumatic drugs: Individually or in groups? A pilot randomized controlled trial comparing adherence and satisfaction. Musco Care online 15Sep2008
10 Hatfield et al. Nurse-led risk assessment/management clinics reduce predicted cardiac morbidity and mortality in claudicants. J VascNurs 2008;26(4)118-122
11 Murchie,P et al. Running nurse-led secondary prevention clinics for coronary heart disease in primary care: qualitative study of health professionals' perspectives. Br J Gen Pract 2005; 55(516): 522–528
12 Adapted from AANP member database and survey,
http://www.aanp.org/NR/ rdonlyres/ D81E2397-5524-4AB7-8EC6152D5E2502AB/0/09ProspectusF.pdf
13 Adapted from AANP member database and survey,
http://www.aanp.org/NR/ rdonlyres/ D81E2397-5524-4AB7-8EC6152D5E2502AB/0/09ProspectusF.pdf
14 Horrocks S et al. Systematic Review of Whether Nurse Practitioners Working in primary Care Can Provide Equivalent Care to Doctors. BMJ 2002;324:819-23
15 Personal communication
16 Gambino, Katherine K et al. Transition Toward a Nurse Practitioner-Managed Clinic; The Journal of Cardiovascular Nursing: March/April 2009;24(2)pp 132-139
17 Kinnersley, P. et al. Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care; BMJ 2000; 320:1043-1048