Abstract:
AIMS AND OBJECTIVES:The aim of this study was to evaluate the impact of the introduction of Emergency Nurse Practitioner Candidates (ENPC) on waiting times and length of stay of patients presenting to a major urban Emergency Department (ED) in Melbourne, Australia. BACKGROUND:As part of a Victorian state funded initiative to improve patient outcomes, the role of the Emergency Nurse Practitioner has been developed. The integration and implementation of this role, is not only new to the Alfred Emergency and Trauma Centre but to EDs in Melbourne, Australia, with aims of providing holistic and comprehensive care for patients. DESIGN:A retrospective case series of all patients with common ED diagnostic subgroups were included. The ENPC group (n = 572) included all patients managed by the ENPC and the Traditional Model (TM) group (n = 2584) included all patients managed by the traditional medical ED model of care. Outcome measures included waiting times and length of stay. RESULTS:Statistically significant differences were evident between the two groups in waiting times and length of stay in the ED. The overall median waiting time for emergency patients to be seen by the ENPC was less than for the TM group [median (IQR): ENPC 12 (5.5-28) minutes; TM 31 (11.5-76) minutes (Wilcoxon p < 0.001)]. Length of stay in the ED was also significantly reduced in the ENPC group [median (IQR): ENPC 94 (53.5-163.5) minutes; TM 170 (100-274) minutes (Wilcoxon p < 0.001)]. The comparison of overall waiting times for ENPC shifts vs. non-ENPC shifts revealed significant differences [median (IQR): ENPC rostered 24 (9-52) minutes; ENPC not rostered 33 (13-80.5) minutes (Wilcoxon p < 0.001)]. CONCLUSIONS:This study has demonstrated that ENPCs implementation in Melbourne, Australia were associated with significantly reduced waiting times and length of stay for emergency patients. Emergency Nurse Practitioners should be considered as a potential long term strategy to manage increased service demands on EDs. Relevance to clinical practice. This study is the first in Australia with a significant sample size to vigorously compare ENPC waiting times and length of stay outcomes with the TM model of care in the ED. The study suggests that ENPCs can have a favourable impact on patient outcomes with regard to waiting times and length of stay.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Jennings N,O'Reilly G,Lee G,Cameron P,Free B,Bailey Mdoi
10.1111/j.1365-2702.2007.02038.xsubject
Has Abstractpub_date
2008-04-01 00:00:00pages
1044-50issue
8eissn
0962-1067issn
1365-2702pii
JCN2038journal_volume
17pub_type
杂志文章abstract:AIMS:To explore the risk factors and management of falls in people with intellectual disabilities and develop evidence-based recommendations. BACKGROUND:Falling is a common cause of physical injury and impaired quality of life in people with intellectual disability. Risk factors for falls and falls prevention have bee...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2009.03174.x
更新日期:2010-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim was to systematically review evidence about the effectiveness of in-home community nurse-led interventions for older persons with, or at risk of, mental health disorders, to inform best practice nursing care with this focus. The primary review question was 'How effective are in-home communit...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2008.02287.x
更新日期:2008-06-01 00:00:00
abstract::Recent sociological research in the field of lay health and illness beliefs is reviewed and discussed in the light of nursing practice in health promotion. How the findings might deepen nurses' understanding of difficulties in adhering to desired health behaviours is outlined. The distinctions between 'public' and 'pr...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.1994.tb00409.x
更新日期:1994-11-01 00:00:00
abstract:AIMS:To explore nurses' perceived facilitators and barriers to assessing for alcohol use in Taiwan. BACKGROUND:Excessive alcohol use has been associated with health, social and legal problems. Helping health care providers to detect and treat hazardous or harmful drinkers is an important worldwide issue. DESIGN:A cro...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02590.x
更新日期:2009-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore how patients adapt to their changed body and life within the first year of receiving bariatric surgery. BACKGROUND:Bariatric surgery is used to treat severely obese patients. Most studies investigating the postsurgery period are about weight loss related issues. However, few studies have...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14616
更新日期:2018-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the perceptions and experiences of perioperative nurses and Certified Registered Nurse Anaesthetists (CRNAs) in robotic-assisted laparoscopic surgery (RALS). The objective was to identify the factors that affect nursing care of patients who undergo robotic-assisted laparoscopic surgery (R...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15053
更新日期:2020-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To assess the impact of a Twitterchat focusing on antimicrobial resistance and it is feasibility for integration within a nursing prelicensure research methods class. BACKGROUND:Antimicrobial resistance is one of the greatest threats to global health and food security. Consequently, developing a gl...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15185
更新日期:2020-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To validate a tool for patient evaluation of nurse practitioners. BACKGROUND:The roles of nurse practitioners in family practice settings are health promotion and routine follow-up of patients with chronic diseases. So far, several tools for patient evaluation of nurse practitioners have been devel...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12377
更新日期:2014-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to test the psychometric properties--validity and reliability--of the Greek version of Kogan's Old People scale. BACKGROUND:The ageing of the population in most of the developed world and in Greece, challenge-nursing care, therefore, nursing education needs to be updated a...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01229.x
更新日期:2005-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of the study was to examine the effectiveness of a psychoeducation intervention based on Peplau's approach, including problem-solving compared with intervention with medication on post-traumatic stress disorder (PTSD) symptoms and coping of earthquake survivors. BACKGROUND:Post-traumatic re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02047.x
更新日期:2008-03-01 00:00:00
abstract:AIMS AND OBJECTIVE:To critically review the evidence relating to the management of agitation within the Adult Critical Care Unit environment and identify any risks and benefits of current management strategies. BACKGROUND:Admission to an Adult Critical Care Unit can be traumatic and potentially life altering for the p...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14258
更新日期:2018-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:The objective of this study was to explore the extent to which several antecedents explained the uncertainty of men who were undergoing the watchful waiting management option for prostate cancer. BACKGROUND:Uncertainty plays a significant role in explaining various outcomes in the chronically ill. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01138.x
更新日期:2005-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate whether gender, age and their interaction affect health-related quality of life and overall health status following kidney transplantation. BACKGROUND:Some investigators have examined the main effects of gender and/or age on health-related quality of life following kidney transplantatio...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01745.x
更新日期:2008-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To test latent constructs of social influences, contraceptive attitude and self-efficacy for contraception as a causal model of contraceptive intention among adolescents and to search for possible gender differences in the causal model of contraceptive intention. BACKGROUND:A greater understanding ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02088.x
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Caring for families in home care is a growing part of Swedish district nurses' professional work. District nurses' facilitative and constraining beliefs about families guide the extent to which families are acknowledged and engaged in the care. AIMS AND OBJECTIVES:The aim of the study was to explore distric...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2004.01024.x
更新日期:2004-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:The research aims to illuminate the essential elements of the role of the clinical placement co-ordinator. BACKGROUND:Clinical placement co-ordinators were introduced to Irish health-care settings to support the clinical learning of nursing students after the ending of the apprenticeship model of n...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01768.x
更新日期:2007-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To understand the process of adaptation to dependency in older adults and their families. BACKGROUND:Dependency and family care giving are attracting the attention of policymakers, service providers and researchers. DESIGN:An interpretative synthesis of qualitative studies has been conducted. MET...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04207.x
更新日期:2012-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aims of this integrative literature review are to define the role of a preoperative nurse and to describe the main components and hypothetical outcomes of a preoperative nursing care structure before a surgical patient arrives to an elective procedure. BACKGROUND:The development of medical care...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13448
更新日期:2017-04-01 00:00:00
abstract::The aim of the study was to investigate how adolescents, parents and school staff look upon different agents' responsibilities in relation to the goal 'a tobacco-free generation'. This study was part of a larger study and used a descriptive, cross-sectional three-group design with questionnaires as the means of data c...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00543.x
更新日期:2001-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To consider to what extent intramuscular injection technique can be described to remain entrenched in ritualistic practice and how evidence-based practice should be considered and applied to the nursing practice of this essential skill. BACKGROUND:The notion of rituals within nursing and the value ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12627
更新日期:2014-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe the perceived burden on parents of children with severe or moderate haemophilia and the impact of sociodemographic aspects and the child's medical condition on this. BACKGROUND:Parents of children with haemophilia face a multitude of demands. The child needs frequent intravenous injecti...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.15003
更新日期:2019-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this systematic review was to assess the outcome of acupuncture treatment prior to surgery in order to avoid or minimise postoperative nausea and vomiting. BACKGROUND:The symptoms of nausea and/or vomiting remain a huge problem for many patients after surgery. There is much debate around...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2012.04114.x
更新日期:2012-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:This paper aims to explore the concept of risk in pregnancy. BACKGROUND:Notions of risk and 'not knowing' have always surrounded pregnant women, although in the last two decades trends of increased consumer confidence and midwifery activism have together promoted a greater appreciation of pregnancy...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02480.x
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:The importance of interdisciplinary collaboration has been attested to by a number of authors. Some have suggested that Nurse Practitioners (NPs) may be able to improve collaboration between doctors and nurses, but this assertion does not appear to have been researched. AIMS AND OBJECTIVES:To investigate do...
journal_title:Journal of clinical nursing
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1046/j.1365-2702.2003.00827.x
更新日期:2004-01-01 00:00:00
abstract:AIM:The present study aimed at examining the factorial structure of the Chinese version of the State Anxiety Scale (Short form), using exploratory and confirmatory analyses. BACKGROUND:The factorial structure of the short form of the Chinese version of the State Anxiety Scale for Children has neither been examined by ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02284.x
更新日期:2008-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To gain in-depth knowledge of patients' experiences of the consultation processes at a multidisciplinary atrial fibrillation outpatient clinic in a university hospital in Denmark. BACKGROUND:Atrial fibrillation is the most common cardiac arrhythmia associated with morbidity and mortality if not dia...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13951
更新日期:2018-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:This article is a report of an analysis of the concept of dying with dignity. BACKGROUND:Dignity is an important component of providing care for dying patients and their families. Nevertheless, given that this concept is poorly defined, concept analysis is one of the best ways to define and clarify...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13143
更新日期:2016-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:This is a follow-up study to investigate the long-term effects of a holistic care programme for the rehabilitation of persons with serious mental illness. Perception of help from the programme and factors relating to the outcomes of the programme will also be studied. BACKGROUND:This psychiatric re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03622.x
更新日期:2011-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To develop sustainable resources and activity in one hospital to encourage, support and build research activity and innovation among nurses and midwives. BACKGROUND:Much resource is spent internationally to enable nurses and midwives to critique and quote research papers. The evidence suggests that...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03936.x
更新日期:2012-06-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe, interpret and synthesise the current research findings on the impact of the Early Warning Score and Rapid Response Systems on nurses' competence in identifying and managing deteriorating patients in general hospital wards. BACKGROUND:As patient safety initiatives designed to ensure the...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14239
更新日期:2018-04-01 00:00:00