Nurse Practitioner and Physician Care Compared for Nonurgent Emergency Room Patients

Powers, Marjorie J.; Jalowiec, Anne; Reichelt, Paul A.

doi:10.1097/00006205-198402000-00006

Cited by 40 publications

(32 citation statements)

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“…Four randomised trials conducted in the United States (Powers et al, 1984), the UK (Cooper et al, 2002;Sakr et al, 1999) and Australia (Chang et al, 1999) have evaluated patient satisfaction with emergency nurse practitioners compared to medical staff in emergency care. Table 2 shows the search history and databases used in the review of the literature.…”

Section: Exclusion Criteriamentioning

confidence: 99%

“…The issue of better communication and quality and depth of information advice and information provided by ENPs was identified as a key factor in high patient satisfaction in several studies (Sandu et al, 2009;Thrasher and Purc-Stephenson, 2008;Megahy and Lloyd (2004); Cooper et al, 2002;Byrne et al, 2000a,b;Powers et al, 1984). Jarvis (2007) found that as the waiting time increased the service delivered by ENPs was more likely to be rated as very good rather than excellent.…”

Section: Patient Satisfaction With Non-medical Roles In Emergency Carementioning

confidence: 99%

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Evaluating new roles within emergency care: A literature review

Hoskins

2011

International Emergency Nursing

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Section: Exclusion Criteriamentioning

confidence: 99%

Section: Patient Satisfaction With Non-medical Roles In Emergency Carementioning

confidence: 99%

Evaluating new roles within emergency care: A literature review

Hoskins

2011

International Emergency Nursing

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“…Patient satisfaction was based on quality of care, which was equal between the NPs and the resident, and how well the NPs explained the procedures, which was better than physicians (14.3% for NPs, compared with 6.1% for residents). Reasons for patient dissatisfaction were unresolved problems (66% for NPs v. 26.7% for residents) and slow time to care by residents 22 Moser found that of 213 patients surveyed, 72.5% said that they would be willing to see an NP, although 21% of those people also expected to see a staff physician. Of the 12.1% who were unwilling to see an NP, 36% said they would never be willing and 81.2% said they would see an NP only if they had a different problem.…”

Section: Patient Satisfactionmentioning

confidence: 99%

A systematic review of the impact of nurse practitioners on cost, quality of care, satisfaction and wait times in the emergency department

Carter

Chochinov

2007

CJEM

155

125

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Introduction: US emergency personnel cared for 106% more patients in 1990 than they did in 1980, 1 and national emergency department census data show that 60%-80% of those patients presented with non-urgent or minor medical problems. The hiring of nurse practitioners (NPs) is one proposed solution to the ongoing overcrowding and physician shortage facing emergency departments (EDs). Methods: We conducted a systematic review of MEDLINE and Cinahl to find articles that discussed NPs in the ED setting, looking specifically at 4 key outcome measures: wait times, patient satisfaction, quality of care and cost effectiveness. Results: Although some questions remain, a review of the literature suggests that NPs can reduce wait times for the ED, lead to high patient satisfaction and provide a quality of care equal to that of a mid-grade resident. Cost, when compared with resident physicians, is higher; however, data comparing to the hiring additional medical professionals is lacking. Conclusion:The medical community should further explore the use of NPs, particularly in fast track areas for high volume departments. In rural areas, NPs could supplement overextended physicians and allow health centres to remain open when they might otherwise have to close. These strategies could improve access to care and patient satisfaction for selected urban and rural populations as well as make the best use of limited medical resources. RÉSUMÉIntroduction : Aux États-Unis, le personnel des services d'urgence a traité 106 % plus de patients en 1990 qu'en 1980, 1 et les données de recensement à l'échelle nationale sur les services d'urgence révèlent qu'entre 60 % et 80 % de ces patients présentaient des problèmes médicaux non urgents ou mineurs. Le recours à des infirmières praticiennes (IP) est une solution que l'on propose pour alléger la surcharge de travail et la pénurie de médecins dans les urgences. Méthodes : Nous avons fait une recension systématique des articles dans MEDLINE et Cinahl portant sur les IP dans les urgences, en s'attachant plus précisément à quatre mesures de résultats clés : les temps d'attente, la satisfaction des patients, la qualité des soins et la rentabilité des coûts. Résultats : Même si certaines questions restent en suspens, une recension des écrits nous indique

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“…[19][20][21][22][23][24][25][26][27][28] Given that between 40% and 55% of all ED visits involve non-urgent problems, 29 NPs have a potential role in the provision of primary care in the ED.…”

mentioning

confidence: 99%