An evaluation of the impact of advanced nurse practitioner triage and clinical intervention for medically expected patients referred to an acute National Health Service hospital.

Autor:	Moxham, Lucy, McMahon‐Parkes, Kate
Předmět:	LENGTH of stay in hospitals HOSPITAL admission & discharge MEDICAL records MEDICAL referrals NATIONAL health services NURSING specialties PATIENTS STATISTICAL sampling SEPSIS MEDICAL triage COMMUNITY-acquired pneumonia HUMAN services programs RETROSPECTIVE studies DATA analysis software PATIENTS' attitudes DESCRIPTIVE statistics ACQUISITION of data methodology MANN Whitney U Test NURSING interventions
Zdroj:	Journal of Clinical Nursing (John Wiley & Sons, Inc.); Oct2020, Vol. 29 Issue 19/20, p3679-3686, 8p
Abstrakt:	Aims and objectives: To evaluate the impact of advanced nurse practitioner triage on the management of medically expected patients referred to an acute National Health Service hospital. The objectives of the study were to determine whether advanced nurse practitioner triage reduced waiting times and hospital admissions and expedited essential investigations and treatments. Background: The effectiveness of employing advanced nurse practitioners to meet service demands has been widely studied in emergency departments and critical care units. However, no studies have evaluated the impact advanced nurse practitioners can have on the management of medically expected patients, who have been referred to hospital because they are acutely unwell and require immediate medical intervention. Design: A pre‐ and postimplementation evaluation. Method: The Revised Standards for Quality Improvement Reporting Excellence guidelines were used as a framework to guide the triaging role of advanced nurse practitioners. The charts of patients attending before and after the implementation of the advanced nurse practitioner triage role were retrospectively analysed. Results: The implementation of advanced nurse practitioner triage for medically expected patients saw a statistically significant reduction in the length of time patients have to wait to be seen. There were also significant improvements in timings to diagnosis and treatment of patients presenting with conditions such as sepsis or community‐acquired pneumonia. Additionally, patient admissions to hospital were reduced, as advanced nurse practitioners instead streamed a number of patients to ambulatory care for same day treatment and/or medical follow‐up. Conclusions: Advanced nurse practitioner triage has made significant improvements to the efficiency and effectiveness of care and management of medically expected patients who were referred to acute hospital settings. Relevance to practice: Utilisation of advanced nurse practitioner triage in the ambulatory care setting is an effective method by which to streamline and improve the management of medically expected patients. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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