Document Detail


Analysis of three advanced practice roles in emergency nursing.
MedLine Citation:
PMID:  23217655     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: There are many Emergency Department (ED) demand management systems that include advanced practice emergency nursing roles. The aim of this study is to examine and compare three advanced emergency nursing practice roles: ED Fast Track, Clinical Initiatives Nurse (CIN) and Rapid Intervention and Treatment Zone (RITZ).
METHOD: A descriptive exploratory approach was used to conduct this study at an urban district hospital in Melbourne, Australia. The study participants were patients managed in each of the three systems with advanced practice emergency nursing roles: Fast Track, CIN and RITZ.
RESULTS: There were a total of 551 patients: 195 Fast Track patients, 163 CIN managed patients and 193 RITZ patients. CIN managed patients were older (p<0.001), with higher levels of clinical urgency (p<0.001), and higher hospital admission rates (p<0.001). CIN managed patients had shorter waiting time for nursing care (p=0.001) and lower incidence of medical assessment within the time associated with their triage category (p<0.0001). ED LOS for discharged patients was significantly longer for CIN managed patients (p<0.001). CIN managed patients had a significantly higher incidence of electrocardiography (p<0.001), blood glucose measurement (p<0.001), intravenous cannulation (p<0.001), pathology testing (p<0.001), and analgesia administration (p<0.001) when compared to Fast Track and RITZ patients.
CONCLUSIONS: Advanced practice roles in emergency nursing can have different applications in the ED context. Clarity about role intent and scope of practice is important and should inform educational preparation and teams within which these roles operate.
Authors:
Julie Considine; Elspeth Lucas; Roslyn Payne; Matthew Kropman; Helen E Stergiou; Herman Chiu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australasian emergency nursing journal : AENJ     Volume:  15     ISSN:  1574-6267     ISO Abbreviation:  Australas Emerg Nurs J     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101270281     Medline TA:  Australas Emerg Nurs J     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  219-28     Citation Subset:  IM; N    
Copyright Information:
Copyright © 2012 College of Emergency Nursing Australasia Ltd. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Deakin University - Northern Health Clinical Partnership, School of Nursing, Deakin University, 221 Burwood Hwy, Burwood, Victoria 3125, Australia. Electronic address: julie.considine@nh.org.au.
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