Emergency care services in the UK are receiving increasing numbers of patients presenting with a wide range of problems, from life-threatening conditions to minor injury or illness. All patients seeking emergency care need to be assessed and classified to prioritise those who have the most urgent problems and are in need of immediate care. This article provides an overview of triage within an emergency care setting. It explores the development of triage and describes the nationally recognised Manchester Triage System. The professional and legal responsibilities of the triage nurse are also discussed.
Advanced clinical practitioners are in demand in primary care. This study looked at the experiences of participants in a hub and spoke training model using a qualitative approach Background: Advanced clinical practitioners (ACPs) have been fundamental in ensuring the provision of expert care, resulting in an increase in demand in primary care. This demand has incentivised innovation in approaches to education, to maximise the benefits of training with limited resources and harnessing the expertise in the workforce. Aim: To develop a method of educating and supervising advanced clinical practitioners in training (ACPiTs) in primary care settings situated in a novel hub and spoke environment. Methods: A qualitative approach with close methodological links to the philosophical work of Heidegger was used to capture the nature of existence and reality in the hub and spoke environment. Results: Three main themes emerged from the study: support; supervision; and vision. Conclusion: The hub and spoke format of training is a useful alternative to traditional methods in developing practitioners who work in a bespoke yet broad practice environment, such as primary care.
A master of science degree course in advanced practice (health and social care) was launched at the University of Salford in 2005 to prepare students for advanced practice roles as part of a workforce modernisation strategy for the north west of England. The development needs of qualified advanced practitioners (APs) and the effects of their roles on service outcomes are difficult to capture; therefore, a study was undertaken to evaluate the longer term effects of the programme and address some of these gaps in knowledge. This article reports the results of the study, which focused on the effects of education in the workplace and found that APs apply their learning in the workplace and can demonstrate its impact on services. Results also suggest that APs are more effective when they have supportive managers with a clear vision for the role in a service area and who develop the roles based on skill and service need.
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