Nurse practitioners
| Autor: | Freij, R, Fothergill, J |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Aged 80 and over Male Letter Adolescent Reproducibility of Results General Medicine Middle Aged Critical Care and Intensive Care Medicine Sensitivity and Specificity Diagnosis Differential Radiography Medical Staff Hospital Emergency Medicine Humans Wounds and Injuries Female Nurse Practitioners Child Emergency Service Hospital Aged Retrospective Studies |
| Zdroj: | Emergency Medicine Journal. 13:365-365 |
| ISSN: | 1472-0213 1472-0205 |
| Popis: | To compare nurse practitioners with senior house officers (SHOs) for their ability to request and interpret correctly a limited range of x ray views of patients attending a minor injuries unit.Retrospective analysis of case records.150 accident and emergency (AE) records with x ray requests were randomly selected from the SHOs' first, second, and third 2-month period of their 6-month appointments; 150 record cards were randomly selected from a nearby minor injuries unit over the same period. Copies of the records were reviewed blind and a decision made as to whether x ray requests were appropriate; x ray interpretation was compared with that of a consultant radiologist.106 x rays were taken on the MIU patients (71%) and 124 on the AE patients (83%). There was no statistically significant differences in the ability of the nurse practitioners and the SHOs to request and interpret appropriate x rays. In both groups the decision to carry out an x ray was considered appropriate in 70% of patients; x rays were positive in about one third. The sensitivity of radiological interpretation was 93% in both groups, and there were 2% missed positives.Appropriately trained nursae practitioners are at least as good as SHOs in recognising the need for an x ray and are as competent in their interpretation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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