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"Emergency Nurse Practitioner"

(no author information available yet)
This is one of four X-ray self-assessment texts for emergency nurse practitioners (ENPs) and reporting radiographers.
August 17, 2016: Nursing Standard
Leah Bowen, Alison Shaw, Mark D Lyttle, Sarah Purdy
BACKGROUND: Rates of unplanned paediatric admissions are persistently high. Many admissions are short-stay events, lasting less than 48 hours. OBJECTIVE: This qualitative research explores factors that influence clinical decision making in the paediatric ED (PED) for children under 5 attending with acute respiratory conditions, focusing on how management decisions adapt with increasing experience. METHOD: Semi-structured interviews were conducted with 15 PED clinicians (doctors, emergency nurse practitioners and registered nurses) with varying levels of experience in paediatric emergency medicine (PEM), emergency medicine or paediatrics...
August 5, 2016: Emergency Medicine Journal: EMJ
Sarah Morton, Agnieszka Igantowicz, Shamini Gnani, Azeem Majeed, Geva Greenfield
OBJECTIVE: Urgent care centres (UCCs) co-located within an emergency department were developed to reduce the numbers of inappropriate emergency department admissions. Since then various UCC models have developed, including a novel general practitioner (GP)-led UCC that incorporates both GPs and emergency nurse practitioners (ENPs). Traditionally these two groups do not work alongside each other within an emergency setting. Although good teamwork is crucial to better patient outcomes, there is little within the literature about the development of a team consisting of different healthcare professionals in a novel healthcare setting...
2016: BMJ Open
Natasha Jennings, Matthew Lutze, Stuart Clifford, Michael Maw
The emergency nurse practitioner is now a well established and respected member of the healthcare team. Evaluation of the role has focused on patient safety, effectiveness and quality of care outcomes. Comparisons of the role continue to focus on cost, with findings based on incomplete and almost impossible to define, recognition of contribution to service delivery by paralleled practitioners. Currently there is no clear definition as to how nurse practitioners contribute to value in health service delivery...
May 26, 2016: Australian Health Review: a Publication of the Australian Hospital Association
(no author information available yet)
No abstract text is available yet for this article.
April 2016: Advanced Emergency Nursing Journal
(no author information available yet)
The emergency nurse practitioner (ENP) role has developed significantly over the past two decades. Although the role has been evaluated in respect of outcomes, patient satisfaction and safety, there is no research exploring what motivates senior nurses to undertake a role with greater clinical responsibility and exposure to greater legal risk, but little financial reward.
April 8, 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Clare Bryson
Over the past few years, emergency nursing has introduced new roles to allow nurses to practise at advanced levels. The well established emergency nurse practitioner role, which focuses on patients with minor illnesses and injuries, is being expanded and remodelled, partly to fill the gap created by the decline in the number of emergency medicine doctors. One emergency department in Scotland has introduced an extended nursing role called the acute nurse practitioner, which enables nurses to work at an extended level in the majors area of the department...
March 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Geva Greenfield, Agnieszka Ignatowicz, Shamini Gnani, Medhavi Bucktowonsing, Tim Ladbrooke, Hugh Millington, Josip Car, Azeem Majeed
OBJECTIVES: General practitioner (GP)-led urgent care centres were established to meet the growing demand for urgent care. Staff members working in such centres are central in influencing patients' choices about which services they use, but little is known about staff perceptions of patients' motives for attending urgent care. We hence aimed to explore their perceptions of patients' motives for attending such centres. DESIGN: A phenomenological, qualitative study, including semistructured interviews...
2016: BMJ Open
Denise Ramponi, Mary Jo Cerepani
Finger dislocations are common injuries that are often managed by emergency nurse practitioners. A systematic physical examination following these injuries is imperative to avoid complications. Radiographic views, including the anteroposterior, lateral, and oblique views, are imperative to evaluate these finger dislocations. A dorsal dislocation of the proximal interphalangeal (PIP) joint is the most common finger dislocation type often easily reduced. A volar PIP dislocation can often be difficult to reduce and may result in finger deformity...
October 2015: Advanced Emergency Nursing Journal
Sophie Blakemore
No abstract text is available yet for this article.
September 2015: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Johanna Lloyd-Rees
INTRODUCTION: The Emergency Nurse Practitioner (ENP) role has become established over the last two decades within emergency care. This role has developed to meet the rising demands of healthcare, combat the continuing medical workforce shortfall and address targets around healthcare delivery within emergency care. The ENP role has been widely evaluated in terms of patient satisfaction, safety and outcome. To date there is no published literature exploring what drives senior nurses to undertake this role which involves additional clinical responsibility and educational preparation for no increase in pay...
January 2016: International Emergency Nursing
Stewart S W Chan, N K Cheung, Colin A Graham, Timothy H Rainer
OBJECTIVES: Access block refers to the delay caused for patients in gaining access to in-patient beds after being admitted. It is almost always associated with emergency department overcrowding. This study aimed to identify evidence-based strategies that can be followed in emergency departments and hospital settings to alleviate the problem of access block and emergency department overcrowding; and to explore the applicability of these solutions in Hong Kong. DATA SOURCES: A systematic literature review was performed by searching the following databases: CINAHL, Cochrane Database of Systematic Reviews, EMBASE, MEDLINE (OVID), NHS Evidence, Scopus, and PubMed...
August 2015: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Natasha Jennings, Glenn Gardner, Gerard O'Reilly, Biswadev Mitra
OBJECTIVES: The rapid uptake of nurse practitioner (NP) services in Australia has outpaced evaluation of this service model. A randomized controlled trial was conducted to compare the effectiveness of NP service versus standard medical care in the emergency department (ED) of a major referral hospital in Australia. METHODS: Patients presenting with pain were randomly assigned to receive either standard ED medical care or NP care. Primary investigators were blinded to treatment allocation for data analyses...
June 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
(no author information available yet)
No abstract text is available yet for this article.
April 2015: Advanced Emergency Nursing Journal
(no author information available yet)
This descriptive study explores patients' perceptions of safety, satisfaction and quality of the emergency nurse practitioner (ENP) service in a rural urgent care centre.
April 2015: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
C Rey-Bellet Gasser, M Gehri, C Yersin
Consultations in the Paediatric Emergency Department (PED) continue to climb regularly. Emergency Nurse Practitioner consultations have long been created in the English speaking countries. Since January 2013, an indepen- dent nurse consultation, under delegated medical responsibility, exists in the multidisciplinary PED of the Children's Hospital of Lausanne. The mean consultation time is the same as the medical consultation and the overall waiting time hasn't decreased yet. But a well definite working frame, a systematic approach, as well as the continual medical supervision possibility, make it a safe, efficient and appreciated consultation, by both patients and professionals...
January 14, 2015: Revue Médicale Suisse
Tina E Roche, Glenn Gardner, Peter A Lewis
INTRODUCTION: Chest pain is common in emergency department (ED) patients and represents a considerable burden for rural health services. Health services reforms to improve access to care need appropriately skilled and supported clinicians in the delivery of safe and effective care, including the use of emergency nurse practitioners (ENPs). Despite increasing use of ENPs, little is known about the safety and quality of the service in the rural ED context. The aims of this study are (1) to examine the safety and quality of the ENP service model in the provision of care in the rural environment and (2) to evaluate the effectiveness of the service in the management of patients presenting with undifferentiated chest pain...
2015: BMJ Open
Natasha Jennings, Stuart Clifford, Amanda R Fox, Jane O'Connell, Glenn Gardner
AIMS: To provide the best available evidence to determine the impact of nurse practitioner services on cost, quality of care, satisfaction and waiting times in the emergency department for adult patients. BACKGROUND: The delivery of quality care in the emergency department is emerging as one of the most important service indicators in health delivery. Increasing service pressures in the emergency department have resulted in the adoption of service innovation models: the most common and rapidly expanding of these is emergency nurse practitioner services...
January 2015: International Journal of Nursing Studies
Fiona Caswell, Craig Brown
As the roles of emergency nurse practitioners expand, more patients with minor injuries are being managed independently by nursing staff. Injuries to the foot and ankle are common among such patients, and X-rays are frequently performed to aid their diagnoses. Some of these fractures and dislocations are subtle and difficult to identify, so practitioners must adopt a structured approach to reading X-rays. This article describes some of these injuries and offers advice, including X-ray illustrations, on how to identify them...
October 2014: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Mike Paynter
EMPLOYMENT OPPORTUNITIES for emergency nurse practitioners (ENPs) have never been better. Over the past few years, they have been sought and recruited by acute NHS trusts for emergency departments, community trusts managing minor injury and urgent care services, and ambulance trusts.
October 2014: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
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