Little is known about the relationship between patient satisfaction with inpatient care and post-discharge outcomes. This study examined inpatient hospital satisfaction after a cardiac event and ...outcomes through 6 months post-discharge. We examined 327 cardiac patients from the Bridging the Discharge Gap Effectively database who completed a patient satisfaction survey about their hospital admission and had post-discharge outcomes data. Higher patient satisfaction with the discharge process correlated with fewer readmissions at 90 days post-discharge. Higher patient satisfaction with hospital staff management of personal issues correlated with fewer emergency department visits at 6 months post-discharge. Higher patient satisfaction with overall assessment of care and hospitalization correlated with lower mortality rate at 6 months post-discharge. Being nonwhite correlated with lower nursing care satisfaction. Associations between cardiac patient satisfaction and outcomes exist. In this population, higher patient satisfaction correlated with better outcomes. Patient satisfaction data may be able to inform areas for health system improvement.
Fibromuscular dysplasia (FMD) is a vascular disorder about which little has been known until recently. Patients with FMD may suffer from hypertension, aneurysms, or strokes, as well as symptoms ...associated with local artery damage. As a result of advances in vascular medicine and growing outcomes registries, we now have a better understanding of the FMD disease process and epidemiology. Nevertheless, the consequences of FMD on patients’ day-to-day experiences and mental health status are not well understood. The purpose of this study was to begin to identify and characterize the experiences of living with FMD from the perspective of the patient using qualitative inquiry. Interviews with 19 FMD patients (18 female, 1 male) were conducted, audio-recorded, transcribed verbatim, and content analyzed. Individuals with FMD reported a complex array of psychological, physical, emotional, social, and health care concerns, which may be underdiagnosed. Findings suggest new opportunities for enhancing patient care.
According to the American Association of Nurse Practitioners (AANP, 2015), NPs are becoming the health care provider of choice for millions of Americans, and NPs practice in a number of sub-specialty ...areas from allergy and immunology to urology. To maintain both national board certification and state licen-sure/certification, NPs must meet specific criteria, including continuing education requirements for both their national certification renewal as meeting the criteria to maintain authorization by state to practice as a N P. The APRN Consensus Model describes the nature of the education and accreditation requirements of the academic institution and program that educates NPs. According to the AANP (2020), three agencies in the United States accredit NP programs: the Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE), and the National League for Nursing Commission for Nursing Education Accreditation (CNEA). Crowe (2014) opined that this expansion of APNs into urology occurred without any academic curricula changes that formally incorporate didactic content. ...NPs working in urology environments or seeking to move into urology environments must pursue credible information from a variety of sources to deliver high-quality care to people with urologic conditions.
Interest in care transitions has intensified in light of emphasis placed on hospital readmissions. This study provides a comparative analysis of the costs of providing transitional care through a ...program for cardiac patients against hospital readmission costs. The advanced practice registered nurse-managed BRIDGE model reduced health care costs associated with readmissions that were in excess of program costs. On average, there was a per-patient savings of $4,944 in avoided readmissions within 30 days of hospital discharge. Over the duration of the program, this equates to a $306,537 savings in patients with acute coronary syndrome. Nurse practitioners have a unique, holistic, and supportive approach to providing care that may make them ideal for the transitional care setting.
The role of the nurse practitioner (NP) has expanded into specialty domains. This document proposes 24 competencies specific to the urology NP, which are also consistent with the recommendations of ...National Organization of Nurse Practitioner Faculties (NONPF) and compliment the American Urologic Association (AUA) 2014 white paper on the incorporation of advanced practice providers in urology practices. It describes three levels of practice and experience progression for the urology NP working with adult patients, independent of specific clinical setting. These urology-specific competencies supplement and complement the core competencies and population-focused competencies of generalist nurse practitioners.
The role of the nurse practitioner (NP) has rapidly expanded into specialty domains. This article offers 22 updated competencies specific to the NP working with adult urology patients. The ...competencies are mapped to the National Organization of Nurse Practitioner Faculties (NONPF) population-specific foci and the 2021 American Association of Colleges of Nursing (AACN) Essentials domains, and supplement the population-focused competencies and core competencies of generalist nurse practitioners. These urology NP competencies offer a framework for progression along a continuum of three levels of urology NP skill and experience when working with adult patients, independent of specific clinical setting. This represents further description of the nuances of specialized NP practice within the specialty of urology across the adult lifespan.
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