Date of Award


Document Type

Open Access Thesis

Degree Name

Master of Arts in Nursing (MAN)



First Advisor

Joyce P. Miller RN DNP

Second Advisor

Joyce B. Perkins RN, PHD


Health care organizations are creating innovative patient care models to deal with the rapidly changing healthcare environment. Implementation of the Affordable Care Act has led to reduced revenue for healthcare organizations and placed an impetus on quality. For healthcare providers to continue to practice, they must change their model of care. An allergy clinic in a large Midwestern healthcare organization created acare model which capitalizes on the unique skillset that nurses possess. Nurses in the care model contact the patient before their visit, assess patient needs, and follow-up with the patient in a post-consult nurse visit. The care model has shown great promise in reducing the itinerary Iength of patients as well as decreasing the need for physicians to order additional tests and consults as part of the visit. The care model is an example of nurses expanding their scope while practicing at the fullest extent of their licensure.


SC 11.MAN.2014.Theobald.B