Abstract

The United States of America, as the richest nation in the world, must determine how to allocate more resources toward health promotion, prevention, and the public health of its citizens. This exploratory study investigates the phenomenon of the advanced practice nurse as healthcare clinician for improved implementation of clinical and community preventive services. Multiple case study is the qualitative method used to examine the voice of nurse practitioners in three practice settings, and to hear the national perspective from six nurse members of the U.S. Preventive Services Task Force. A nursing—health services research (N-HSR) paradigm became the foundation for a conceptual framework that included four stakeholders: researchers, payers, the public, and clinicians. The focus of this project was the advanced practice nurse (APN) clinician working in federally qualified community health centers, nurse managed centers, and retail health clinics. Five assertions are listed as conclusions; each calling for evidenced based change from the topics of health care delivery systems, health care providers, health care consumers, a new approach to preventive interventions, and a challenge for the APN and profession. Advanced practice nurses in particular are ideal candidates to deliver a new, more comprehensive brand of care that starts with, but goes well beyond, conventional medical practice. If nursing can be the profession most responsive to change at this pivotal point in healthcare reform, then nursing can be poised to welcome and lead the changes that are expected and demanded by the public. Advanced practice nurses are positioned to become peerless prevention specialists that can result in the ultimate goals of consumer behavior change, disease risk reduction, promotion of good health practices, cost transparency and control, and improved delivery systems that achieve health equity.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3362617; ProQuest document ID: 305160133. The author still retains copyright.

Author Details

Eva A. Meyers, PhD, FNP-C, RN

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Qualitative Research

Keywords:

Preventive Services, Good Health Practices, Nurse Practitioners

Advisor

Aja Lesh

Second Advisor

Martha Carey

Third Advisor

Constance Brehm

Degree

PhD

Degree Grantor

Azusa Pacific University

Degree Year

2009

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2023-03-28

Full Text of Presentation

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