StemScientific
 
StemScientific

Mission

  • Recognize and support the roles of nurse practitioners and nurses as they continue to evolve, particularly concerning prescribing, patient counseling, and medication adherence.
  • To act as a conduit for focused dissemination of information from pharmaceutical companies about disease and appropriate pharmaceutical use to address the needs of nurses and nurse practitioners involved in patient care.

NUCLEUS Advisors

Members of Our Advisory Board

Did You Know?

  • 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.

References

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

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

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