DNP Role Development for Doctoral Advanced Nursing Practice, Second Edition

3: THE EVOLUTION OF ADVANCED PRACTICE NURSING ROLES ■ 91

TABLE 3.1 Sample of Studies Examining Influence of Disciplinary Underpinnings on
NP Practice Outcomes

Authors Design Related Findings

Benkert, Hollie,

Nordstrom,

Wickson, and Bins-

Emerick (2009)

Descriptive-

correlational

African American subjects with moderate

cultural mistrust of European Americans; high

satisfaction/ moderate trust of NPs

Benkert, Barkauskas,

Pohl, Corser,

Tanner, Wells, and

Nagelkirk (2002)

Descriptive Low- income African American subjects with

significantly higher trust scores for NPs vs. MDs;

no significant difference in mistrust or satisfaction

between providers; significant higher trust

scores for clinicians in nurse- managed vs. jointly

managed clinics

Castro (2009) Descriptive-

correlational

Latina (female) subjects seen at least once by

an NP clinician; all NP clinicians had cultural

proficiency, competence, or awareness; no

clinicians with cultural incompetence; higher NP

cultural competence score correlated with higher

patient satisfaction scores; higher time spent with

provider correlated with higher satisfaction

Donohue (2003) Descriptive,

naturalistic

Middle- aged female subjects described resources

expected and received from NP encounters;

resources included services, information,

support, time, respect, reassurance, affirmation,

reinforcement, trust

Green and Davis

(2005)

Predictive

modeling

Predictors of patient satisfaction and relationships

among NP demographic characteristics,

components of Caring Behaviors Inventory,

patient satisfaction measures; all NPs with high

CBI scores; no differences between male and

female; no significant relationships among CBI

components and satisfaction

Hayes (2007) Descriptive- mixed

method

Patients aged 18– 86 years receiving NP care; 86%

female; high satisfaction with NP communication

and style of interaction; high recall of instructions;

intention to adhere to treatment plan very likely;

themes connected with intention to follow

treatment plan: trust, expertise, concern for own

health

Kotzer (2005) Descriptive survey Advanced practice nurses in tertiary pediatric

setting; 59% in NP role; 21% in combined CNS/

NP role. Primary job functions: education/

guidance/ counseling, care coordination, direct

care

Kozlowski, Lusk,

and Melnyk (2015)

Pre- experimental

single group pre/

post

PNP’s in primary care using evidence- based

COPE model; decreased anxiety symptoms and

improved anxiety measures in children aged

8– 13 years

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