The impact of nurse practitioner services on cost, quality of care, satisfaction and waiting times in the emergency department: A systematic review

Jennings, Natasha; Clifford, Stuart; Fox, Amanda; O’Connell, Jane; Gardner, Glenn

doi:10.1016/j.ijnurstu.2014.07.006

Cited by 216 publications

(157 citation statements)

References 31 publications

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“…Supporting an expanded SOP for NPs is an extensive body of evidence that has consistently demonstrated comparable performance between NPs and PCPs on clinical outcomes, including reduction of symptoms, improvement in health and functional status, and mortality (Naylor & Kurtzman, 2010;Paradise, Dark, & Bitler, 2011). In addition, patients seen by NPs generally report higher satisfaction (Jennings, Clifford, Fox, Oconnell, & Gardner, 2015).…”

Section: Introductionmentioning

confidence: 97%

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

et al. 2016

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a b s t r a c tBackground: One proposed strategy to expand primary care capacity is to use nurse practitioners (NPs) more effectively in health care delivery. However, the ability of NPs to provide care to the fullest extent of their education is moderated by state scope-of-practice (SOP) regulations. Purpose: The purpose of this study was to examine the impact of state SOP regulations on the following three key issues: (a) NP workforce, (b) access to care and health care utilization, and (c) health care costs. Methods: Systematic review. Results/Discussion: States granting NPs greater SOP authority tend to exhibit an increase in the number and growth of NPs, greater care provision by NPs, and expanded health care utilization, especially among rural and vulnerable populations. Our review indicates that expanded NP practice regulation can impact health care delivery by increasing the number of NPs in combination with easing restrictions on their SOP. Conclusions: Findings show promise that removing restrictions on NP SOP regulations could be a viable and effective strategy to increase primary care capacity.

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Section: Introductionmentioning

confidence: 97%

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

et al. 2016

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“…(22) Concerning the satisfaction attributes, a study developed in public and private hospitals in Ethiopia refers that cleaning is one of the determinants of satisfaction at public hospitals. (23) In this study, the patients' satisfaction with the cleaning team attributes obtained lower means in relation to the other attributes for the two groups analyzed, with statistically significant differences between them.…”

Section: Discussionmentioning

confidence: 54%

A satisfação dos pacientes segundo a forma de internação em hospital universitário

Molina

Moura

2016

Acta paul. enferm.

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Objective: To analyze the patients' satisfaction according to the form of hospital stay at a teaching hospital. Methods: Cross-sectional study involving 366 patients over 18 years of age, hospitalized at clinical and surgical wards between January and June 2014, whose outcome was discharge within 15 and 30 days. The Mann-Whitney test was applied to analyze independent samples for intergroup comparison. Results: In total, 99.4% of the patients hospitalized through the emergency service and 98.4% of the inpatients were satisfied and highly satisfied, with mean satisfaction rates of 5.66 and 5.55, respectively. The mean satisfaction score was higher on all attributes for the emergency group. The intergroup comparison of the Nursing team attributes and general satisfaction did not demonstrate statistical significance. Conclusion: The patients' high level of satisfaction with the health service evidenced the quality of care at the teaching hospital from the patient's perspective. The same high assessment of the satisfaction with nursing was found between the groups. ResumoObjetivo: Analisar a satisfação dos pacientes de acordo com a forma de internação em hospital universitário. Métodos: Estudo transversal realizado com 366 pacientes com mais de 18 anos, internados em unidades clínicas e cirúrgicas no período de janeiro a junho de 2014, cujo desfecho tenha sido a alta entre 15 e 30 dias. Teste Mann-Whitney foi realizado para analisar amostras independentes para comparação entre os grupos. Resultados: Estiveram satisfeitos e muito satisfeitos com o atendimento recebido 99,4% dos pacientes internados pela emergência e 98,4% dos internados pela admissão, apresentando médias de satisfação de 5,66 e 5,55, respectivamente. A média de satisfação foi mais elevada em todos os atributos para o grupo da emergência. A comparação entre grupos dos atributos da equipe de Enfermagem e satisfação geral não demonstrou significância estatística. Conclusão: O elevado nível de satisfação dos pacientes com o serviço de saúde evidenciou a qualidade assistencial prestada no hospital universitário, na perspectiva do paciente. Destacou-se igual e elevada avaliação da satisfação com enfermagem entre os grupos.

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“…The The nurse's activities at the Emergency service go beyond their role as a multidisciplinary team manager when their practice is acknowledged as a facilitator of health actions 19 . Nevertheless, the function as "facilitator" can also be considered a bad posture, as the nurses get burdened when they make efforts to prepare the care environment for the execution of other professionals' health actions while leaving aside their own work.…”

Section: The Nurse As a Facilitator Of Multidisciplinary And Humanizementioning

confidence: 99%

Nursing Practice at a Psychiatric Emergency Service: Evaluation Using Fourth Generation Assessment

Buriola

Kantorski

Sales³

et al. 2016

Texto contexto - enferm.

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Qualitative study that used the framework of Fourth Generation Assessment and aimed to apprehend the perception of professionals, users and family members, about the nurse's practice at a psychiatric emergency service. Data were collected from February to June 2014, involving with 15 professionals, nine users and six family members. In the data collection, non-participant observation, participant observation and individual interviews were held, using hermeneutic-dialectic circle, with analysis by the constant comparative method. The results were grouped into two main themes: The nurse as a facilitator of multidisciplinary and humanized care and; activity accumulation: limitation for nurses to work at the psychiatric emergency service. It was concluded that the use of Fourth Generation Assessment reveals the empowerment of stakeholders as protagonists of change and that the nurse's practice is essential for the humanization of care and the dynamics of multidisciplinary work.

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The impact of nurse practitioner services on cost, quality of care, satisfaction and waiting times in the emergency department: A systematic review

Cited by 216 publications

References 31 publications

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

A satisfação dos pacientes segundo a forma de internação em hospital universitário

Nursing Practice at a Psychiatric Emergency Service: Evaluation Using Fourth Generation Assessment

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