Document Type

Dissertation

Degree

Doctor of Nursing Practice

Major

Nursing

Date of Defense

12-7-2012

Graduate Advisor

Dawn Lee Garzon, PhD, CPNP, FAANP

Committee

Dr. Shelly Hanko, PhD

Susan Kendig

Angela Ames-Powers

Abstract

The primary objective of this project was to develop a survey to determine provider receptiveness to referring patients to an advanced practice registered nurse-(APRN) managed center for the diagnosis and management of Attention Deficit/Hyperactivity Disorder (ADHD). A secondary aim of this project was to develop a business plan for the center, provided feedback from the survey was determined to be supportive. Physicians were more likely to use ADHD clinical guidelines (65%) in their practice and expressed greater comfort managing ADHD. Only 50% of APRNs use the clinical practice guidelines and 50% reported they were uncomfortable diagnosing and managing ADHD. Almost 70% of physicians and 100% of APRNs expressed a willingness to refer to an ADHD specialty center. However, when asked if they would refer to an APRN-managed ADHD specialty center, those percentages fell to 33.3% for physicians and 87.5% for APRNs. Since there was insufficient community support for this type of center, a business plan for the center was not developed. Despite the professional advance of APRNs in recent years, further work is needed. Research should be done to establish why clinical practice guidelines are not being used consistently to diagnose and manage ADHD in this group and to further explore APRNs’ discomfort diagnosing and managing ADHD. Finally, further work is needed to explore and explain the finding that physicians in this sample expressed a willingness to refer to an ADHD specialty center for the diagnosis and management of ADHD, but not to a center managed by an APRN.

Included in

Nursing Commons

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