An evaluation of the quality of Emergency Nurse Practitioner services for patients presenting with minor injuries to one rural urgent care centre in the UK: a descriptive study

McDevitt, Joseph; Melby, Vidar

doi:10.1111/jocn.12639

Cited by 25 publications

(17 citation statements)

References 56 publications

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“…). Also other models, like emergency nurse practitioner service for patients with minor injuries, are implemented and although promising rarely evaluated (McDevitt & Melby ). These developments fuel the need for more evaluation of NPs offering out‐of‐hours care.…”

Section: Discussionmentioning

confidence: 99%

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Substitution of general practitioners by nurse practitioners in out‐of‐hours primary care: a quasi‐experimental study

Biezen¹,

Schoonhoven

Wijers³

et al. 2016

Journal of Advanced Nursing

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Aim. To provide insight into the impact of substituting general practitioners with nurse practitioners in out-of-hours services on: (1) the number of patients; and (2) general practitioners' caseload (patient characteristics, urgency levels, types of complaints). Background. General practitioners' workload during out-of-hours care is high, and the number of hours they work out-of-hours has increased, which raises concerns about maintaining quality of care. One response to these challenges is shifting care to nurse practitioners. Design. Quasi-experimental study comparing differences between and within outof-hours teams: experimental, one nurse practitioner and four general practitioners; control, five general practitioners. Methods. Data of 12,092 patients from one general practitioners cooperative were extracted from medical records between April 2011 and July 2012. Results. The number of patients was similar in the two study arms. In the experimental arm, the nurse practitioner saw on average 16Á3% of the patients and each general practitioner on average 20Á9% of the patients. General practitioners treated more older patients; higher urgency levels; and digestive, cardiovascular and neurological complaints. Nurse practitioners treated more patients with skin and respiratory complaints. Substitution did not lead to a meaningful increase of general practitioners' caseload. Conclusion. The results show that nurse practitioners can make a valuable contribution to patient care during out-of-hours. The patients managed and care provided by them is roughly the same as general practitioners. In areas with a shortage of general practitioners, administrators could consider employing nurses who are competent to independently treat patients with a broad range of complaints to offer timely care to patients with acute problems.

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Section: Discussionmentioning

confidence: 99%

“…). In addition, research in emergency care shows that NPs provide a valuable, safe and effective service (McDevitt & Melby , McDonnell et al . , Pirret et al .…”

Section: Introductionmentioning

confidence: 99%

Substitution of general practitioners by nurse practitioners in out‐of‐hours primary care: a quasi‐experimental study

Biezen¹,

Schoonhoven

Wijers³

et al. 2016

Journal of Advanced Nursing

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“…This is consistent with the literature demonstrating that patients were very satisfied with NP health care services. [15,16,21,22,30,32,[34][35][36] Furthermore over 98% of participants would seek the services of a NP in the future. The findings also indicate that rapport building, accessibility, flexibility with scheduling and consistency of health care provider, contributed to patient satisfaction which corresponds with research findings.…”

Section: Discussionmentioning

confidence: 99%

“…The relationship with the primary health provider was reported as having the greatest significance to patient satisfaction with respect and trust reported as significant factors. [10][11][12] Several studies in Australia, United Kingdom, United States and Canada [13][14][15][16][17][18][19] reported that patients are satisfied with the care received from NPs. The authors cite satisfaction related to NP communication increased especially when education was provided on disease prevention, health promotion and chronic disease management.…”

Section: Literature Reviewsmentioning

confidence: 99%

Patient satisfaction with nurse practitioner care in Newfoundland and Labrador

Emberley-Burke

Meadus

Twomey

2018

CNS

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Objective: The aim of the study was to determine the level of patient satisfaction with health care provided by Nurse Practitioners (NPs) in Newfoundland and Labrador (NL), in primary health care settings. Methods: This is a descriptive study. 155 adult patients (N = 155) were recruited from the four regional health authorities (RHAs) throughout NL who employed NPs in a primary health care setting. A 47-item questionnaire called the Nurse Practitioner Satisfaction Survey (NPSS) was given to patients after receiving care from a NP. Results: Over 93% of the participants agreed or strongly agreed with their degree of satisfaction of care provided by the NP. Patients who visited the NP one to five times in the past year reported higher levels of satisfaction. No significant differences based upon marital status, gender or ethnicity were found. Conclusions: Patient satisfaction was rated as high for care provided by NPs with over 98% of participants reporting they would seek the services of a NP in the future. The majority of the participants would recommend the NP to others seeking health care services. This study describes patient satisfaction with NP care and highlights NPs as valued providers of care in rural and urban primary health care settings. Identified narrative themes were timely access to care, NP knowledge, trust, and provider consistency. NPs should seek ways to ensure they work to their full scope of practice to meet the needs of the population and increase their presence in primary health care settings.

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“…w USA, Kanadzie, Australii, Wielkiej Brytanii, Irlandii, Południowej Afryce [18,20,21]. Pracę pielęgniarek w tych punktach opieki cechuje bezpieczeństwo, efektywność i wysoki poziom satysfakcji pacjenta, a głównymi jej wyznacznikami są: uzyskiwanie wyczerpujących informacji na temat urazu, krótki czas oczekiwania, dogodność dostępu do usług [21,22]. Równo-cześnie wykazano wysoką dokładność diagnostyczną pielę-gniarek ratunkowych oraz prawidłowość zastosowanego leczenia [23,24].…”

Section: Analizy Statystyczneunclassified

Analysis of the patients’ with minor injuries attendance to the Emergency Department

Szwamel¹,

Kurpas²

2016

fmpcr

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A -przygotowanie projektu badania, B -zbieranie danych, C -analiza statystyczna, D -interpretacja danych, E -przygotowanie maszynopisu, F -opracowanie piśmiennictwa, G -pozyskanie funduszy Wstęp. Brak skutecznych rozwiązań systemowych w zakresie opieki podstawowej i długi czas oczekiwania na konsultację w ramach ambulatoryjnej opieki specjalistycznej są przyczyną zgłoszeń do SOR pacjentów nie wymagających zastosowania procedur ratowniczych. Możliwość szybkiego dotarcia do SOR oraz nieograniczony dostęp pacjenta do świad-czeń opieki zdrowotnej finansowanych ze środków publicznych zwiększają prawdopodobieństwo zgłaszania się do SOR pacjentów w przypadkach niepilnych. Cel pracy. Analiza zgłaszalności do SOR pacjentów z niewielkimi urazami. Materiał i metody. Badanie objęło 155 pacjentów Kędzierzyńsko-Kozielskiego SOR z niewielkimi urazami. Zastosowano sondaż diagnostyczny z wykorzystaniem autorskiego kwestionariusza ankiety. Wyniki. Pacjenci z niewielką urazowością to najczęściej osoby w wieku 11-40 lat (66,7%; 100) zgłaszające się do SOR samodzielnie (92,7%; 139), najczęściej z urazami kończyn (72,7%; 109) powstałymi wskutek upadku, potknięcia, poślizgnięcia, uderzenia (78,7%; 118) w czasie trzech godzin od wystąpienia urazu (57,3%; 87) z umiarkowanie nasilonymi dolegliwościa-mi. Badani sądzą, że niewielkie urazy wymagają diagnostyki radiologicznej (38,7%; 58) i konsultacji specjalistycznej (34%; 51), a SOR jest najbardziej właściwym miejscem do ich leczenia (45,3%; 68). Nie podejmowanie przez tych pacjentów leczenia w POZ (85,3%; 128) nie jest tożsame z niedowierzaniem pacjenta w możliwości leczenia przez lekarza rodzinnego (OR = 1,46 przy 95% CI [0,52; 4,55]; p = 0,49). Wnioski. Istotna jest edukacja pacjentów na temat roli SOR w systemie ochrony zdrowia, możliwości zaopatrywania niewielkich urazów w POZ, samoopieki i samopielęgnacji w zakresie postępowania w przypadku niewielkiej urazowości oraz szkodliwego wpływu nadmiaru promieni RTG na ludzki organizm. Słowa kluczowe: podstawowa opieka zdrowotna, oddział ratunkowy, urazy.Background. The lack of effective system solutions in the field of primary care, long waiting times for outpatient consultation in the framework of specialist care are the cause of those patient's applications to ED who do not require the use of emergency procedures. The ability to quickly get to ED and unrestricted patient access to health care services financed from public funds increase the likelihood of reporting to ED by the patients in non-urgent cases. Objectives. Analysis of the patient's attendance with minor injuries to ED. Material and methods. 155 patients of ED in Kędzierzyn-Koźle were examined by a diagnostic survey based on a copyright questionnaire. Results. Patients with minor injuries are generally people aged 11-40 years (66.7%; 100) self-referred to ED (92.7%; 139), with injuries of the extremities (72.7%; 109) that arise from falling, tripping, slipping, impaction (78.7%;118) during three hours of the onset of injury (57.3%; 87) with moderate symptoms. Respondents believ...

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An evaluation of the quality of Emergency Nurse Practitioner services for patients presenting with minor injuries to one rural urgent care centre in the UK: a descriptive study

Abstract: This study provides some evidence to support the continued expansion of the emergency nurse practitioner service in rural settings in the UK.

Cited by 25 publications

References 56 publications

Substitution of general practitioners by nurse practitioners in out‐of‐hours primary care: a quasi‐experimental study

Substitution of general practitioners by nurse practitioners in out‐of‐hours primary care: a quasi‐experimental study

Patient satisfaction with nurse practitioner care in Newfoundland and Labrador

Analysis of the patients’ with minor injuries attendance to the Emergency Department

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