Transparency and Advanced Practice Nurse Value on an Interprofessional Team by Time-Driven Activity-Based Costing
Melissa M. Davis, RN, MSN, ANP-BC, CNS, CNOR, RNFA, member STTI. For additional information, please contact the primary author at: firstname.lastname@example.org.
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Davis, Melissa M. by View
Popular Works for Davis, Melissa M. by Download
To address the current challenge in the United States of increasing access to high quality healthcare, healthcare systems must analyze and understand the value of their resources in terms of patient outcomes achieved per dollar expended (Kaplan & Porter, 2011). A review of the literature supports that advanced practice nurses (APN) are not only in a position to increase access to healthcare, but capable of improving patient care outcomes. There is little available evidence, however, that the APN decreases costs, or impacts value, in healthcare. For this retrospective, longitudinal study, the transparent methodology of Time-Driven Activity-Based Costing (TDABC), guided by the Participatory, Evidenced-based, Patient-focused Process for Advanced practice nursing (PEPPA) framework was used. This analysis was completed in conjunction with the SHBC/TDABC Analysis Study, to assess the value of care provided to a group of patients cared for by an interprofessional team of APN and physician, as compared to 2 different groups of patients, where each was cared for by a physician working alone. The results of this study support the inclusion of APNs on interprofessional teams and may objectively support healthcare policies and regulations impacting the APN’s ability to practice to the full extent of their education, ultimately affecting patient access to quality healthcare in theUnited States.
|Type||DNP Capstone Project|
|Review Type||Faculty Approved: Degree-based Submission|
|Evidence Level||Outcomes Research|
|Research Approach||Quantitative Research|
advanced practice nurse;
Time-Driven Activity-Based Costing;
|CINAHL Subject(s)||Advanced Nursing Practice;
Cost Benefit Analysis
|MESH Subject(s)||Patient Care Team|
|MESH Subject(s)||Patient Care Team|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subject.
Transition to a Student-Driven, Competency-Based Clinical Placement Model for Advanced Practice Registered Nurse Education Slaven-Lee, Pamela W.; Oermann, Marilyn H.; Nickitas, Donna M. Costello (2017-10-16)Advanced practice registered nursing programs must ensure clinical placements meet regulatory requirements, thus minimizing student, clinical site, and institutional risk by stipulating responsibilities and liabilities of ...
Trauma RN EJ Program: Advancing nursing practice and reducing IV team activations in the emergency department Khoshnevis, BrandeePoster presentationSession H presented Wednesday, October 2, 11:30 am-12:30 pmPurpose: PIV access in the ED can be challenging. Failed attempts often prompt RNs to place an order for Vascular Access Team (VAT). This delays ...
Teaching communication skills to advanced practice nursing (APN) students using linguistic-based communication training Mele, Cheryl; Dawson, Robin; Davis, Victoria; Gibbs, Shelli; Graham, CrystalThe focus of the presentation's content is to strengthen the function of the interdisciplinary teams and support families with effective communication training. Utilizing prescriptive, structured communication training for ...
Perceived Practice-Based Problems and Evidenced-Based Outcomes in Online Advanced Practice Nursing Students (APRN) Riccio, Patricia A.; Patton, Carol M. (2016-07-13)Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Purpose: This study sought to: 1) describe perceived nursing practice problems identified by online Advanced Practice Nursing (APRN) students, and, ...
Intergrating Simulation into TeamSTEPPS: A Tool to Promote Collaborative Practice in a Clinic Setting Francis-Johnson, Patricia G.; Caballero, Sandra; Decker, Sharon; Leal, Melissa S.; Whitcomb, Kathryn (2016-08-11)Poor communication between professionals has been identified as a major cause of care delay and poor team performance. Simulation-based activities have demonstrated the ability to facilitate collaboration and improve ...