| Learning Objective #1: Identify data collection issues within a very mobile, young population | |||
| Learning Objective #2: Re-assess the role of the RN in the primary care/disease prevention clinic |
Objective: 1.Determine if a Primary Care Nurse Liason (PCNL) model of health promotion/disease prevention coordination increases quality outcomes and cost- effectiveness over that of usual care for active duty soldiers. 2. Determine the risk factor and chronic disease profile of active duty soldiers.
Design: A two group, randomized comparative posttest design
Population, Sample, Setting, Years: Between November 1999 and February 2001 a sample of 2,130 active duty soldiers newly assigned to one US Army base were voluntarily enrolled in the study.
Intervention: The PCNL met with each subject to review responses on a health self-assessment tool to identify areas of potential risk or chronic disease. Preventive healthcare guidelines were followed in recommending maintenance examinations, screening tests, and adult immunizations. Risk reduction protocols were designed for specific counseling or for use by the primary care provider.
Outcome Variables: Access, utilization, patient satisfaction, and clinical effectiveness were measures of outcomes.
Methods: Upon entry into the study the subjects were assigned to the experimental (n=1311) or control group (n=819). The experimental group was given an appointment with the PCNL for the intervention. One year following the anniversary date of the enrollment measures of service utilization were extracted from the Ambulatory Data System (ADS) and each subject was mailed a self-report survey on risk reduction services.
Findings: Prevention service utilization for the experimental group was significantly higher (p<.001) than the control group.
Conclusion: Professional nursing intervention in the ambulatory setting results in increased delivery and consumption of preventive services.
Implications: These findings support the integration of a holistic assessment and plan of care into the primary care model and demonstrate that the professional nurse is effective in the assessment and implementation of a plan of comprehensive primary and preventive ambulatory care.
Back to Health Promotion
Back to 15th International Nursing Research Congress
Sigma Theta Tau International
July 22-24, 2004