Performance of Advanced Nurse Practitioners in Minor Trauma Patients

Choudhry, Nameer; Charlton, Caroline; Bodansky, David; Islam, Saif ul; Doherty, Jenna; Liversedge, Grace; Rathinam, Manickam; Sanchez-Ballester, Jordi

doi:10.1016/j.nurpra.2021.01.005

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Another 12 articles reflected on treatments conducted by APNs in various situations. Comparing physicians and APNs, studies highlight equal interventional approaches in adults and children (24,29,57,71,77). Patients in APN groups received their surfactant sooner (24), were intubated more quickly (24), were offered analgesia more often (69), and reported an increase in nursing support, visits and provided information (35,36,54).…”

Section: Interventional Approachesmentioning

confidence: 99%

The impact of advanced practitioners on patients in acute care—A mini review

Bauernfeind,

Fels,

Dahlmann

et al. 2024

Front. Disaster Emerg. Med.

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BackgroundAcute patient care is becoming increasingly complex due to various factors (e.g., demographic changes, multimorbidity, organizational changes). Educating healthcare professionals as advanced practitioners at Master's level is one response to these challenges. Meanwhile, there are several empirical insights into advanced roles.AimTo provide an overview on the impact of advanced practitioners on acute care patients' outcomes and safety.MethodsWe conducted a mini-review. Therefore, a systematic literature search was carried out in the four databases Medline, CINAHL, Cochrane Library, and PEDro. After four researchers screened the results and extracted the data independently, the included studies were analyzed thematically and clustered along patients' outcomes. The results are presented narratively.Results4,332 records were identified in the systematic search, and 67 articles were included in our review. Of these, the majority (n = 57) addressed the nursing profession. Advanced practitioners demonstrated an overall positive impact on acute care patients. They improved patients' vital signs, and reduced their mortality and adverse events (e.g., thrombosis, pneumonia, pressure injury). In addition, they shortened patients' length of stay and waiting times, and reduced admission rates. Patient satisfaction also increased after their implementation. When being compared to physicians, advanced practitioners in acute care demonstrated similar to equal patient outcomes and safety.ConclusionThe identified studies highlight the benefits of advanced practitioners for acute care patients. While most studies were conducted in emergency departments or intensive care units, further research concerning other acute settings (e.g., psychiatry) or clinical conditions (e.g., cognitive impairment) is recommended.

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