Evaluating the quality of care delivered by an emergency department fast track unit with both nurse practitioners and doctors

Dinh, Michael; Walker, Andrew; Parameswaran, Ahilan; Enright, Nicholas

doi:10.1016/j.aenj.2012.09.001

Cited by 65 publications

(70 citation statements)

References 14 publications

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“…The majority of studies (n=7) aimed to examine patient satisfaction in relation to the role of or services provided by NPs or ANPs in EDs (Barr et al, 2000;Mabrook & Dale, 1998;Moser et al, 2004;Rhee & Dermyer, 1995;Thrasher & Purc-Stephenson, 2008;Wilson & Shifaza, 2008). Five studies examined patient satisfaction with the services provided by ENPs (Byrne et al, 2000;Chang et al, 1999;Cooper et al, 2002;Dinh et al, 2012a;Jennings et al, 2009). …”

Section: Study Characteristicsmentioning

confidence: 99%

“…Six studies examined patient satisfaction in relation to services provided in the ED and explored patient satisfaction with nurse-led-triage as one aspect of the study (Bruce et al, 1998;Dinh et al, 2012a;George et al, 1992;Jennings et al, 2009;Topacoglu et al, 2004).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…For instance, George et al (1992) compared patients' satisfaction between a nurse triaged and non-nurse triaged group. Chang et al (1999) and Dinh, et al, (2012a) compared satisfaction rates between patients who were triaged by ED nurses with those triaged by doctors. Similarly, Cooper et al (2002) compared satisfaction among patients triaged by a Senior House Officer (SHO) with those triaged by ED nurses.…”

Section: Study Characteristicsmentioning

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: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

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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“…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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“…Thus, they enhanced the quality of patient care. (3) At the hospital where this study was undertaken, after the conclusion of emergency care, the patients who need inpatient services are forwarded to clinical or surgical wards, depending on the availability of a bed. These hospital areas are characterized by having a defined number of beds whose occupation does not surpass the installed capacity.…”

Section: Introductionmentioning

confidence: 99%

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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Evaluating the quality of care delivered by an emergency department fast track unit with both nurse practitioners and doctors

Cited by 65 publications

References 14 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

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

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

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