Effect of a Dedicated Orthopaedic Advanced Practice Provider in a Level I Trauma Center

Abstract

Economic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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

“…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)…”

“…This study clearly demonstrated a decreased acute hospital LOS after implementation of the ONP role. 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 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).…”

Implementation of advanced practice nursing for orthopaedic patients in the emergency care context – A study protocol for outcome studies

“…In previous research, researchers have found advanced practice nursing to be as good as or, in some cases, even better than physician‐led care (Cooper, Lindsay, Kinn, & Swann, ; Roche, Gardner, & Jack, ; Wilson, Zwart, Everett, & Kernick, ). Nurse‐led care has been shown to have a positive impact on wait times (Hiza, Gottschalk, Umpierrez, Bush, & Reisman, ; Jennings, Clifford, Fox, O'Connell, & Gardner, ), patient satisfaction (Cooper et al, ; Jennings et al, ; Martinez‐Gonzalez et al, ), and quality of care (Jennings et al, ; Martinez‐Gonzalez et al, ). Still, more research on the subject is needed (Jennings et al, ; Martinez‐Gonzalez et al, ).…”

“…Nurse-led care has been shown to have a positive impact on wait times (Hiza, Gottschalk, Umpierrez, Bush, & Reisman, 2015;Jennings, Clifford, Fox, O'Connell, & Gardner, 2015), patient satisfaction (Cooper et al, 2002;Jennings et al, 2015;Martinez-Gonzalez et al, 2014), and quality of care (Jennings et al, 2015;Martinez-Gonzalez et al, 2014). Still, more research on the subject is needed (Jennings et al, 2015;Martinez-Gonzalez et al, 2014).…”