Evaluating outcomes of the emergency nurse practitioner role in a major urban emergency department, Melbourne, Australia

Jennings, Natasha; O’Reilly, Gerard; Lee, Geraldine; Cameron, Peter; Free, Belinda; Bailey, Michael

doi:10.1111/j.1365-2702.2007.02038.x

Cited by 70 publications

(80 citation statements)

References 20 publications

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“…Findings suggest that there is wide variation in the terms used to define the role of nurses involved in triage services, depending on the geographical location of the ED. For instance, in the UK (Byrne, 2000;Cooper, 2002;Dinh, 2012) and Australia (Jennings et al, 2009, Jennings et al, 2008 nurses involved in triage services include triage nurses and ENPs. Nurses providing the same service in USA and Canada are known as ANPs or NPs (Barr et al, 2000;Chang et al 1999;Mabrook & Dale, 1998;Moser et al, 2004;Rhee & Dermyer, 1995;Thrasher & Purc-Stephenson, 2008;Wilson & Shifaza, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…Whilst triage in ED, was previously undertaken by physicians, these services (for most conditions) can now be provided by experienced nurses such as Nurse Practitioners (NPs), Advanced Nurse Practitioner (ANP), and Emergency Nurse Practitioner (ENP). These specialist nurses are able to independently triage, treat and mange at least 30% of the patients presenting in EDs with a wide range of injuries and health problems (Byrne, 2000;Carter, 2007;Jennings, 2008). In this paper, the term ED nurse may be used to refer to all these different roles.…”

Section: Introductionmentioning

confidence: 99%

“…Evidence suggests that factors such as the overall environment of an ED, duration of waiting times (Lee & Jennings, 2006;Jennings et al, 2008;Taylor & Benger, 2004) and acuity of a patient's condition can affect the patient's or the accompanying person's satisfaction with the ED services. However, research exploring patient satisfaction with nurse-led-triage in the ED is still scarce and demonstrates inconsistent results, making it difficult to ascertain which factors contribute to better patient satisfaction as there is a lack of clarity about roles and scope of practice of nurses, who can perform triage, in various settings (Schellein, Ludwig-Pistor, Bremerich, 2008;Chan & Chau, 2005).…”

Section: Introductionmentioning

confidence: 99%

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A review of factors affecting patient satisfaction with nurse led triage in emergency departments

Rehman

Ali

2016

International Emergency Nursing

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Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. Nurse led Triage 1 A Review of Factors Affecting Patient Satisfaction with Nurse Led Triage in Emergency Departments

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A review of factors affecting patient satisfaction with nurse led triage in emergency departments

Rehman

Ali

2016

International Emergency Nursing

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“…Australian evaluations of public NPs have focused on outcome measures such as waiting and treatment times (Considine, Kropman, & Stergiou, 2010;Considine et al, 2006;Jennings et al, 2013;Jennings et al, 2008); patient satisfaction (Jenningset al, 2009;Wilson & Shifaza, 2008); and comparisons with doctors (Dinh et al, 2013;Dinh et al, 2012;Jennings et al, 2009;Lee et al, 2014). The body of NP evidence confirms that NPs provide a high quality of care, which is important in ensuring patient safety and enhancing confidence in NP services.…”

Section: Evaluations Of Australian Np Public Models Of Carementioning

confidence: 99%

Preparing a Realist Evaluation to Investigate the Impact of Privately Practising Nurse Practitioners on Patient Access to Care in Australia

Currie¹,

Chiarella²,

Buckley³

2015

IJN

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Background: Evaluation of privately practising nurse practitioner (PPNP) services in Australia is an important issue, because the sustainability of viable health services requires that they are underpinned by sound research. As part of ongoing work in relation to the evaluation of PPNP services, the authors plan to use realist evaluation (RE) to explore, not only whether PPNP services increase patient's access to care, but also the means by which they achieve (or do not achieve) this outcome. RE is a complex methodology and its application requires careful preparation. Objective: To present the application of the RE methodology to an evaluation of PPNP services of health care in Australia. Method: This paper explores the philosophical underpinnings of RE and articulates the steps taken in preparing to apply RE to an evaluation of PPNP services in Australia. Discussion: RE is a complex methodology to understand and apply. There is an absence of documented detail in terms of how to apply RE to ensure that the evaluation is truly 'realist'. Yet making the choice to apply RE to evaluations of PPNP services in Australia and overseas holds many advantages, primarily because of RE's emphasis upon the context in which health care is delivered and how and why the context relates to the outcomes produced. This paper will contribute to the emerging dialogue on how to apply RE to evaluations of health care and will assist those considering using RE.

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“…There is abundant evidence that NPs provide care that is of an equal quality to that of medical practitioners. [27][28][29] Collaboration is already an intrinsic component of registered nurse standards for practice. 30 Therefore, mandating collaborative arrangements seems both superfluous and potentially counter-productive to the establishment of much needed community and primary care services.…”

Section: Impact Of Collaborative Arrangements On Patient Access To Carementioning

confidence: 99%

Collaborative arrangements and privately practising nurse practitioners in Australia: results from a national survey

Currie

Chiarella

Buckley

2017

Aust. Health Review

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Objective. Since the introduction of legislative changes in 2010, services provided by privately practising nurse practitioners (PPNPs) in Australia have been eligible for subsidisation through the Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS). To provide eligible services, PPNPs must collaborate formally with a medical practitioner or an entity that employs medical practitioners. This paper provides data from a national survey on these collaborative arrangements in Australia. The aim of the study was to evaluate the impact of PPNP services on patient access to care in Australia.Methods. PPNPs in Australia were invited to complete an electronic survey. Quantitative data were analysed using descriptive statistics, whereas qualitative data were analysed using thematic analysis. Seventy-three surveys were completed.Results. Ninety-three per cent of participants reported having a collaborative arrangement in place. Frequency of communication ranged from daily (27%) to never (1%). Participants reported that collaborative arrangements facilitate learning, patient care and offer support to PPNPs. However, for some PPNPs, organising a formal collaborative arrangement is demanding because it is dependent on the availability and willingness of medical practitioners and the open interpretation of the arrangement. Only 19% of participants believed that collaborative arrangements should be a prerequisite for PPNPs to access the MBS and PBS.Conclusion. Although there are benefits to collaborative arrangements, there is also concern from PPNPs that mandating such arrangements through legislation presents a barrier to establishing PPNP services and potentially reduces patient access to care. Collaboration with medical practitioners is intrinsic to nursing practice. Thus, legislating for collaborative arrangements is unnecessary, because it makes the normal abnormal.What is known about the topic? To access the MBS and PBS, PPNPs are required by law to have a collaborative arrangement with a medical practitioner or entity that employs medical practitioners. To date, the effects of these collaborative arrangements on PPNP services in Australia have not been known. What does the paper add? This paper provides unique data from a national survey on collaborative arrangements between PPNPs and medical practitioners in Australia. What are the implications for practitioners? Although there are benefits to collaborative arrangements, there is also concern that mandating such arrangements presents a barrier to establishing PPNP services and potentially reduces patient access to care.

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Evaluating outcomes of the emergency nurse practitioner role in a major urban emergency department, Melbourne, Australia

Cited by 70 publications

References 20 publications

A review of factors affecting patient satisfaction with nurse led triage in emergency departments

A review of factors affecting patient satisfaction with nurse led triage in emergency departments

Preparing a Realist Evaluation to Investigate the Impact of Privately Practising Nurse Practitioners on Patient Access to Care in Australia

Collaborative arrangements and privately practising nurse practitioners in Australia: results from a national survey

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