The advanced clinical nurse a new model of practice: Meeting the challenge of peak activity periods

Nursing praxis, compassionate caring and interpersonal relations: An observational study

“…The goal of the CIN role was to achieve timely and appropriate patient care and with other ED team members to provide co-ordinated care. [4][5][6] The high paced, complex nature of the ED means that nurses' work closely with their patients and colleagues in a context that involves high emotions and tensions. The practice of compassionate caring in nursing praxis entails negotiating the relationship between physical and emotional well-being.…”

Extending the nursing role in Emergency Departments: Challenges for Australia

“…The implementations of benchmarks or key performance indicators have been enforced, requiring each hospital to meet pre-determined standards regarding waiting times and ED length of stay. 2,4,25 For example, within the UK there is a four-hour length of stay benchmark for all patients who present to the ED. Similarly, NSW has an eight hour length of stay benchmark, and require that a pre-determined percentile of patients are seen within their Australian Triage Score (ATS) ( Table 3).…”

“…10,34 Others however saw the role as a method in delaying the ENP because the APN role was not differentiated by remuneration and to some extent remained under the control of the medical profession. There was also concern that the role would become task orientated rather than focused on patient care 2 and that the nurse would be seen as a mini doctor or a medical substitute during times of doctor shortages. 6 A generic role description and a proposed scope of practice were developed by the Advisory Group.…”

“…Published by Elsevier Ltd. All rights reserved. doi: 10.1016/j.aenj.2007.11.003 developing and expanding in relation to scope and complexity of practice 1,2 and there is a growing recognition of increased autonomy in decision-making and patient management. 3 These changes in clinical practice are occurring worldwide and have resulted from the ever-increasing public and political demands, and the simultaneous shrinking of the medical and nursing workforce.…”