The use of national collaborative to promote advanced practice registered nurse-led high-value care initiatives.

Published on Jul 29, 2020in Nursing Outlook2.833
· DOI :10.1016/J.OUTLOOK.2020.04.009
Ruth M. Kleinpell42
Estimated H-index: 42
(Vandy: Vanderbilt University),
April Kapu7
Estimated H-index: 7
(Vandy: Vanderbilt University)
+ 26 AuthorsYu Janet Wu1
Estimated H-index: 1
(University of Florida Health)
Abstract Background High-value healthcare focuses on improving healthcare to produce cost effective care, however limited information on the role of advanced practice registered nurses (APRNs) exists. Purpose This descriptive report describes APRN-led initiatives implemented as part of a national collaborative promoting the Choosing Wisely® campaign and high-value care measures. Method An APRN national collaborative focuses on developing and implementing high-value care initiatives. Monthly calls, podcasts, and a file sharing platform are used to facilitate the work of the national collaborative. Findings A total of 16 APRN teams from 14 states are participating and have implemented a number of initiatives to reduce unnecessary testing and treatments, promote appropriate antibiotic use, and promote optimal clinical practices such as mobility for hospitalized elderly patients, among others. Discussion A national collaborative has proven to be a successful way to engage APRN teams to focus on targeting high-value care and promoting evidence-based practices in clinical care.
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