Nurse practitioner clinical settings key to delivery of patient-centered care

March 19, 2020

PHILADELPHIA (March 18, 2020) - It's long been understood that care that respects and integrates the wants, needs, and preferences of patients results in higher ratings of satisfaction and improved health outcomes. Yet, several barriers still often impede the delivery of patient-centered care. A new study from the University of Pennsylvania School of Nursing (Penn Nursing) shows that organizational supports for nurse practitioners (NPs) can enhance their ability to deliver patient-centered care.

By surveying more than 1,700 NPs in four states, the investigators learned that NPs who work in good practice environments were significantly more likely to integrate patient preferences into care compared to those working in a mixed or poor environment. Good practice environments included adequate resources and better relationships with healthcare team members and administration. In these environments, NPs worked more autonomously and were enabled to guide care that was tailored and relevant to the individual, family, or community, the research shows.

"The delivery of patient-centered care is dependent on each healthcare team member practicing to the top of their license," says Penn Nursing's J. Margo Brooks Carthon, PhD, RN, FAAN, Associate Professor and lead investigator of the study. "Organizations that constrain NP practice fall counter to the innovative models of care delivery that emphasize maximizing the value of team members across all levels of the delivery system."

Addressing organizational culture represents an actionable strategy that can help facilitate NP delivery of patient-centered care. "We emphasize the organizational supports offered in NP clinical settings because, unlike the size or location of practices, clinical environments represent modifiable aspects of healthcare organizations," says Brooks Carthon.
The study's findings have been published in the Journal for Nurse Practitioners in an article titled "Supportive Clinical Practice Environments Associated with Patient-Centered Care." Co-investigators of the study include Linda Aiken, PhD, FAAN, FRCN; Heather Brom, PhD, APRN; Marguerite Daus, BSN, RN, all of Penn Nursing; Lusine Poghosyan, PhD, MPH, RN, FAAN, of Columbia University; and Barbara Todd, DNP, ACNP-BC, FAANP, FAAN, of Penn Nursing and the Hospital of the University of Pennsylvania.

About the University of Pennsylvania School of Nursing

The University of Pennsylvania School of Nursing is one of the world's leading schools of nursing. For the fifth year in a row, it is ranked the #1 nursing school in the world by QS University and is consistently ranked highly in the U.S. News & World Report annual list of best graduate schools. Penn Nursing is currently ranked # 1 in funding from the National Institutes of Health, among other schools of nursing, for the third consecutive year. Penn Nursing prepares nurse scientists and nurse leaders to meet the health needs of a global society through innovation in research, education, and practice. Follow Penn Nursing on: Facebook, Twitter, LinkedIn, & Instagram.

University of Pennsylvania School of Nursing

Related Nursing Articles from Brightsurf:

Dismantling structural racism in nursing
Confronting the uncomfortable reality of systemic racism - the system that creates and maintains racial inequality in every facet of life for people of color - is having a national heyday.

MU School of Nursing programs help nursing homes respond to COVID-19
As the coronavirus pandemic continues to put a strain on health care systems, nursing homes have become overburdened with the challenge of keeping both patients and staff safe and healthy.

Palliative nursing's role during COVID-19 and beyond
As a rapid influx of patients overwhelmed health systems during the coronavirus pandemic, palliative nurses played dual roles supporting patients, patient families, and colleagues.

Calling for nursing support amid COVID-19 pandemic
There are close to 28 million nurses around the world who comprise a global workforce that delivers about 90 percent of primary healthcare, including frontline response to the COVID-19 pandemic.

Nursing research informs response to COVID-19 pandemic
Nursing research has an important influence on evidence-based health care practice, care delivery, and policy.

Designing better nursing care with robots
Robots are becoming an increasingly important part of human care, according to researchers based in Japan.

A work patch for better nursing home care
A research team, including a Purdue University work-life balance expert, studied work schedules in nursing home facilities and found a patching approach could benefit patients and staff.

Nursing science could help reduce firearm violence and its impact
Firearm violence is a significant public health problem worldwide. In the United States, firearms are used to kill almost 100 people daily.

A nursing perspective on the opioid crisis
Addictions nursing specialists have a unique role to play in caring for patients, families, and communities affected by the crisis.

Nursing notes can help indicate whether ICU patients will survive
Researchers at the University of Waterloo have found that sentiments in the nursing notes of health care providers are good indicators of whether intensive care unit (ICU) patients will survive.

Read More: Nursing News and Nursing Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to