An evaluation of the nurse practitioner role in a major rural emergency department
| Autor: | Esther Chang, Margaret Dennis, John Daly, Joe McGirr, Anne O’Donoghue, Lynne Hemmings, Anne Hawkins, Kerin Fielding |
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| Rok vydání: | 1999 |
| Předmět: |
District nurse
Adult Male medicine.medical_specialty Adolescent Hospitals Rural Poison control Wounds Nonpenetrating law.invention Patient satisfaction Nursing Randomized controlled trial law Acute care medicine Humans Nurse Practitioners Child General Nursing Aged Primary Health Care business.industry Forearm Injuries Emergency department Middle Aged Patient Satisfaction Family medicine Workforce Customer satisfaction Female New South Wales business Emergency Service Hospital Qualitative research Leg Injuries |
| Zdroj: | Journal of advanced nursing. 30(1) |
| ISSN: | 0309-2402 |
| Popis: | The purpose of this pilot study was to investigate whether nurse practitioners are able to provide a level of primary health service applicable to remote/isolated settings in wound management and treatment of blunt limb trauma. It was hypothesized that there would be no significant difference in the quality of care, or the level of client satisfaction, provided by the medical officers and the nurse practitioners in the study. Two groups participated in the study, nurse practitioners and medical officers. The study used a randomized trial design. Data were collected using quantitative and qualitative methods. Two hundred and thirty-two clients participated in the study. Of this number 63 were supervised cases in the pilot trial. In the randomized trial participants were distributed between nurse practitioners and medical officers (n = 169), of which 91 were randomized to medical officers and 78 to nurse practitioners. Telephone interviews were conducted to evaluate client satisfaction. The majority of study participants were surveyed for client satisfaction (n = 132). This represents approximately 78% of the randomized sample and multivariate analysis was carried out on the data. Study results indicate that there were no significant differences between the two groups in relation to client satisfaction. Very positive outcomes of treatment were consistent across groups in the study. The study also found that there was strong support for the role of the nurse practitioner in the rural emergency setting. Recommendations include further research to measure the efficacy of nurse practitioners utilizing the selected competencies in remote/isolated settings. |
| Databáze: | OpenAIRE |
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