Advanced Practice Nurses' Perspectives on the Use of Health Optimization Strategies for Managing Chronic Disease Among Older Adults in Different Care Settings: Pushing the Boundaries of Self-Management Programs

This study examines the intention of advanced practice nurses (APNs) to utilize health optimization programs (HOPs) for addressing clients' chronic disease in various work settings (i.e., nursing homes or other care settings). A paper-based survey was administered to 270 APNs at a continuing ed...

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Bibliographic Details
Published in:Geriatric nursing (New York) 2011-11, Vol.32 (6), p.429-438
Main Authors: Dickerson, Justin B., Smith, Matthew Lee, Dowdy, Diane M., McKinley, Ashley, Ahn, SangNam, Ory, Marcia G.
Format: Article
Language:English
Subjects:
Adult
Advanced practice nurses
Advanced Practice Nursing
Bayes Theorem
Chi-Square Distribution
Chronic Disease - nursing
Chronic illnesses
Chronic sickness
Confidence intervals
Female
Geriatric Nursing
Geriatrics
Health
Humans
Male
Middle Aged
Nursing
Nursing care
Nursing Homes
Optimization
Polls & surveys
Self Care
Surveys and Questionnaires
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Summary:This study examines the intention of advanced practice nurses (APNs) to utilize health optimization programs (HOPs) for addressing clients' chronic disease in various work settings (i.e., nursing homes or other care settings). A paper-based survey was administered to 270 APNs at a continuing education conference to determine their intentions to refer patients to HOPs for chronic disease management. APNs working in nursing homes were 0.23 times as likely to utilize HOPs for management of their patients' chronic disease compared with their counterparts working in other care settings (odds ratio = 0.23, confidence interval = 0.06–0.80, P = .021). APNs who had previously used a HOP for management of their patients' chronic disease were 5.2 times as likely to do so again relative to those who had not previously used a HOP for management of their patients' chronic disease (odds ratio = 5.17, confidence interval = 1.78–14.99, P = .002). Educational and organizational interventions are recommended to disseminate further HOPs for chronic disease in nursing home settings as part of an overall health optimization strategy.
ISSN:0197-4572
1528-3984
DOI:10.1016/j.gerinurse.2011.09.001