A 12-month evaluation of the impact of Transitional Emergency Nurse Practitioners in one metropolitan Emergency Department

Fry, Margaret; Fong, Joanna; Asha, Stephen Edward; Arendts, Glenn

doi:10.1016/j.aenj.2010.10.001

Cited by 21 publications

(20 citation statements)

References 10 publications

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“…The most prevalent model evaluated within the literature is the Emergency Nurse Practitioner (ENP) role. Despite slight role variations across nations, ENPs generally assume the responsibility for patients presenting with minor injuries or illnesses, and operate within throughput management systems such as Fast‐Track and See‐and‐Treat . Studies on ENP models of care consistently report reduced waiting times (WT) and length of stay (LOS) for lower acuity patients, and increased patient satisfaction .…”

Section: Resultsmentioning

confidence: 99%

“…Studies on ENP models of care consistently report reduced waiting times (WT) and length of stay (LOS) for lower acuity patients, and increased patient satisfaction . Evidence also suggests ENPs offer improved quality of care (reduced errors causing adverse events, lower unplanned re‐presentation rates), improved continuity of care, and less staff turnover when compared to Senior House Officers (SHOs) . Two opposing opinions, but no cost benefit analyses, exist regarding the value of ENPs.…”

Section: Resultsmentioning

confidence: 99%

“…Many innovative operational models of care have been trialled to assist with minimising ED throughput inefficiencies. Fast‐Track systems are useful models of care for dealing with a large number of lower acuity patients presenting with minor injuries or illnesses . Also known as Ambulatory areas, See‐and‐Treat Services, Minor‐Injury‐Units and Rapid‐Intervention‐and‐Treatment‐Zones they typically operate over hours convenient to negotiated workforce agreements rather than consumer demand and are staffed by a varying mix of medical officers and ENPs .…”

Section: Resultsmentioning

confidence: 99%

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Review article: Emergency department models of care in the context of care quality and cost: A systematic review

Wylie

Crilly

Toloo

et al. 2015

Emerg Medicine Australasia

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To identify current ED models of care and their impact on care quality, care effectiveness, and cost. A systematic search of key health databases (Medline, CINAHL, Cochrane, EMbase) was conducted to identify literature on ED models of care. Additionally, a focused review of the contents of 11 international and national emergency medicine, nursing and health economic journals (published between 2010 and 2013) was undertaken with snowball identification of references of the most recent and relevant papers. Articles published between 1998 and 2013 in the English language were included for initial review by three of the authors. Studies in underdeveloped countries and not addressing the objectives of the present study were excluded. Relevant details were extracted from the retrieved literature, and analysed for relevance and impact. The literature was synthesised around the study's main themes. Models described within the literature mainly focused on addressing issues at the input, throughput or output stages of ED care delivery. Models often varied to account for site specific characteristics (e.g. onsite inpatient units) or to suit staffing profiles (e.g. extended scope physiotherapist), ED geographical location (e.g. metropolitan or rural site), and patient demographic profile (e.g. paediatrics, older persons, ethnicity). Only a few studies conducted cost-effectiveness analysis of service models. Although various models of delivering emergency healthcare exist, further research is required in order to make accurate and reliable assessments of their safety, clinical effectiveness and cost-effectiveness.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Review article: Emergency department models of care in the context of care quality and cost: A systematic review

Wylie

Crilly

Toloo

et al. 2015

Emerg Medicine Australasia

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“…While NPs are a recent development in Australia, the body of literature on their implementation and effectiveness in Australian settings has grown rapidly with evidence largely reflecting international findings. Australian studies on NPs in emergency departments and residential care facilities have reported improved access to health services and high levels of patient satisfaction and shown similar processes of care for NPs as those described for MDs (Dinh, Walker, Parameswaran, & Enright, ; Fry, Fong, Asha, & Arendts, ; Jennings, Lee, Chao, & Keating, ; Joanna Briggs Institute ). Other research has focused on describing the specific roles and work activities undertaken by NPs in Australia across different fields of practice.…”

Section: Introductionmentioning

confidence: 94%

Implementing two nurse practitioner models of service at an Australian male prison: A quality assurance study

Wong

Wright

Santomauro

et al. 2017

Journal of Clinical Nursing

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“…It can be argued that many of these presentations can be avoided if improved access to primary care is available. Waiting times for medical treatment would be reduced if public uptake of care offered by other professionals, including nurse practitioners (NP) increased (Fry, Fong, Asha, & Arendts, ). Nonetheless, there is a lack of understanding of the NP’s full scope of practice (Allnutt et al, ), which results in many individuals only seeking treatment from an NP in case of minor illness or injury (Larkin & Hooker, ; Wilson & Shifaza, ).…”

Section: Introductionmentioning

confidence: 99%

Reasons for choosing or refusing care from a nurse practitioner: Results from a national population‐based survey

Craswell

Dwyer

2019

Journal of Advanced Nursing

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Aim To understand the public's willingness or lack thereof, to be seen and treated by a nurse practitioner (NP) as the first point of contact when accessing healthcare services. Design This cross‐sectional, population‐based survey study used computer assisted telephone interviewing to elicit public opinions on the topic. Methods Data were collected in July and August 2015 from calls randomly placed to Australian households. Survey questions were developed from previous surveys and pilot tested. Summative content analysis was used to analyse open‐ended responses. Results Most respondents were always, or in some situations, willing to receive care from a nurse practitioner. The main themes identified from those willing to be seen by a nurse practitioner in any situation were, (a) appropriately qualified nurse practitioners, (b) the knowledge and experience to refer on if necessary. Description of situations from those unwilling to be seen by a nurse practitioner related to concern about appropriate care in a life‐threatening condition. Conclusion Respondents unwilling to consider any care from a nurse practitioner or care in an emergency situation, reveal a lack of understanding of their role in the wider healthcare team. As the number of nurse practitioners increase, professional groups and community awareness programmes should be focused on explaining and promoting their essential role. Impact This study addresses the increasing healthcare requirements of ageing populations through understanding acceptance by society to the provision of care from health professionals other than medical practitioners. Most respondents were willing to be seen by a nurse practitioner for all or most of their healthcare needs. Lack of understanding of their scope of practice and role in the wider healthcare team, particularly in emergency situations, was reflected in responses. Those who would refuse care from a NP were in the minority. Appropriateness and acceptability of the roles of health professionals to provide quality care collaboration need consideration by policy makers.

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A 12-month evaluation of the impact of Transitional Emergency Nurse Practitioners in one metropolitan Emergency Department

Cited by 21 publications

References 10 publications

Review article: Emergency department models of care in the context of care quality and cost: A systematic review

Review article: Emergency department models of care in the context of care quality and cost: A systematic review

Implementing two nurse practitioner models of service at an Australian male prison: A quality assurance study

Reasons for choosing or refusing care from a nurse practitioner: Results from a national population‐based survey

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