Impact of Nurse Practitioners on Hip Fracture Length of Stay

Impact of the Orthopaedic Nurse Practitioner role on acute hospital length of stay and cost‐savings for patients with hip fracture: A retrospective cohort study

“…On further investigation, we found the coding of diabetes changed during the study period. The type of procedure was also different between the groups, this was similar with another study (Holte et al., ) and they proposed this represented changing trends in the treatment of hip fractures and was most likely to be unrelated to the presence of the ONP. Nonetheless, it is important to note that the confounding effects of these differences between the groups were controlled for with the use linear regression modelling.…”

“…Previous studies (Collins et al., ; Hiza, ; Jarrett & Emmett, ; Morris, ) have shown using Nurse Practitioners for patients with trauma that is, any injured trauma patient, have led to decreased average LOS (Collins et al., ; Hiza, ; Jarrett & Emmett, ; Morris, ) and cost‐savings (Collins et al., ; Hiza, ) without increasing complications (Morris, ), or re‐admission (Morris, ) rates. We found only one study (Holte et al., ) that investigated the impact of the ONP on the care of hip fracture patients which similarly found adding Nurse Practitioners to the orthopaedic trauma team decreased patient LOS without increasing mortality rates.…”

“…We found only one study (Holte et al, 2015) that investigated the impact of the ONP on the care of hip fracture patients which similarly found adding Nurse Practitioners to the orthopaedic trauma team decreased patient LOS without increasing mortality rates.…”

“…Similarly, studies showed that using an ortho-geriatrician-led program for hip fracture patients was associated with improved outcomes in terms of acute hospital LOS (Biber et al, 2013;Gupta, 2014;Lynch, Shaban, & Massey, 2015) and mortality (Zeltzer et al, 2014). We found a few published studies (Collins, Miller, & Kapu, 2014;Hiza, 2015;Jarrett & Emmett, 2009;Morris, 2012) that investigated the role of the Trauma Nurse Practitioner however, we could only find one study (Holte, Sems, & Fruth, 2015)…”

“…We found a few published studies (Collins, Miller, & Kapu, ; Hiza, ; Jarrett & Emmett, ; Morris, ) that investigated the role of the Trauma Nurse Practitioner however, we could only find one study (Holte, Sems, & Fruth, ) that investigated the role of the ONP in the care of hip fracture patients. This United States study examined the role of the ONP, using a retrospective study of data from 2001 to 2005 (comparison group) with data from 2006 to 2010 (the intervention group).…”