Evaluation of the Role of the Pediatric Nurse Practitioner in an Inpatient Asthma Program

• Published in: Journal of pediatric health care 2008-09, Vol.22 (5), p.273-281
• Main Authors: Borgmeyer, Anne, MSN, RN, CPNP, AE-C, Gyr, Patricia M., MSN, RN, CPNP, AE-C, Jamerson, Patricia A., PhD, RN, CRA, Henry, Lisa D., MSN, APRN, BC
• Format: Article
• Language: English
• Subjects: Advanced Practice Nursing; Asthma; Asthma - nursing; Attitude of Health Personnel; Attitude to Health; Child; Cost-Benefit Analysis; Family - psychology; Hospital Charges - statistics & numerical data; Hospitals, Pediatric; Humans; inpatient asthma; Inpatients; Length of Stay - statistics & numerical data; Missouri; Models, Nursing; Nurse Practitioners - organization & administration; Nurse's Role; Nursing; Nursing Administration Research; Nursing Evaluation Research; Outcome Assessment (Health Care); Patient Readmission - statistics & numerical data; pediatric nurse practitioner role; Pediatric Nursing - organization & administration; Pediatrics; Personnel, Hospital - education; Personnel, Hospital - psychology; Program Evaluation; Surveys and Questionnaires
• ISSN: 0891-5245; 1532-656X
• DOI: 10.1016/j.pedhc.2007.07.004

Abstract Introduction In 1994, pediatric nurse practitioners (PNPs) at St. Louis Children's Hospital developed a program to improve the care of children admitted with asthma. In the Asthma Intervention Model, PNPs directly manage the care of children hospitalized with asthma and are instrumental in hospital-wide education. An evaluation study was conducted to measure effectiveness of this inpatient PNP role. Methods Attending physicians, interns, nurses, and families were surveyed regarding their perceptions of the PNPs as care manager and educator. A 16-item asthma knowledge test was administered to interns at the start and conclusion of their intern year. Length of stay, readmission rate, and cost were evaluated. Results PNPs were found to be effective in the inpatient asthma role by all participants. Significant gains were noted in intern knowledge and confidence in caring for asthma. Interns identified the PNPs as important contributors to their education. No significant differences occurred between interns and PNPs in length of stay, cost, readmissions, or severity of the condition of the asthma patients. Discussion PNPs in the inpatient asthma setting are effective care managers and educators.