ABSTRACT
BACKGROUND AND PURPOSE: Our aim was to provide the outcome of a structured Model of Care (MoC) Evaluation Tool (MCET), developed by an FAANP Best-practices Workgroup, that can be used to guide the evaluation of existing MoCs being considered for use in clinical practice. Multiple MoCs are available, but deciding which model of health care delivery to use can be confusing. This five-component tool provides a structured assessment approach to model selection and has universal application. METHODS: A literature review using CINAHL, PubMed, Ovid, and EBSCO was conducted. CONCLUSIONS: The MCET evaluation process includes five sequential components with a feedback loop from component 5 back to component 3 for reevaluation of any refinements. The components are as follows: (1) Background, (2) Selection of an MoC, (3) Implementation, (4) Evaluation, and (5) Sustainability and Future Refinement. IMPLICATIONS FOR PRACTICE: This practical resource considers an evidence-based approach to use in determining the best model to implement based on need, stakeholder considerations, and feasibility.
Subject(s)
Delivery of Health Care/methods , Evaluation Studies as Topic , Delivery of Health Care/standards , HumansABSTRACT
BACKGROUND: Nurse practitioners (NPs) have been registered in New Zealand (NZ) since 2002. This article describes a sample of their practices and outcomes across a variety of healthcare specialties. The PEPPA model was used as a guide for the organization of data, the discussion of findings, and recommendations for the future. METHODS: Two e-mailed surveys of registered NPs (including qualitative and quantitative data) were conducted by the professional organization, NPNZ in 2011 and 2012. CONCLUSIONS: After 10 years, NPs in NZ demonstrated efficient practice and have produced measurable improved healthcare outcomes. IMPLICATIONS FOR PRACTICE: NP practices are continuing to develop and are contributing to increased access to health care and improved health outcomes in NZ.