An evaluation of the quality of Emergency Nurse Practitioner services for patients presenting with minor injuries to one rural urgent care centre in the UK: a descriptive study

Joseph McDevitt, Vidar Melby

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Aims and objectives. To evaluate the quality of the emergency nurse practitioner service provided to people presenting to a rural urgent care centre with minor injuries. The three objectives that were focused were an evaluation of the safety and effectiveness of the emergency nurse practitioner service, an assessment of patients’ satisfaction with the emergency nurse practitioner service and a determination of factors that may enhance the quality of the emergency nurse practitioner service.Background. Urgent care centres have become increasingly prevalent across the UK. Emergency nurse practitioner services at these rural urgent care centres remain largely unevaluated. This study attempts to redress this deficit by evaluating the quality of an emergency nurse practitioner service in relation to the care of patients presenting with minor injuries to a rural urgent care centre.Design. This descriptive study used a case-note review and a survey design with one open-ended exploratory question.Methods. Patient views were collected using a self-completed questionnaire and a data extraction tool to survey patients’ case notes retrospectively.Results. Despite comparatively low total length-of-stay times, most patients felt they had enough time to discuss things fully with the emergency nurse practitioner. Although emergency nurse practitioners routinely impart injury advice, feedback from some patients suggests a need for the provision of more in-depth information regarding their injury. The vast majority (973%) of patients felt that the quality of the emergency nurse practitioner service was of a high standard.Contrary to some other studies, the findings in this study indicate that patient satisfaction is not influenced by waiting times.Conclusions. Emergency nurse practitioners in rural urgent care centres have the potential to deliver a safe and effective quality service that is reflected in high levels of patient satisfaction.
LanguageEnglish
Pages523-535
JournalJournal of Clinical Nursing
Volume24
Issue number3-4
Early online date1 Jun 2014
DOIs
Publication statusPublished - 1 Feb 2015

Fingerprint

Nurse Practitioners
Ambulatory Care Facilities
Emergencies
Wounds and Injuries
Patient Satisfaction
Length of Stay
Patient Care
Safety

Keywords

  • emergency nurse practitioner
  • minor injuries
  • quality of care
  • urgent care centre

Cite this

@article{8c07b372cce54b26aeea7d9b8ca287f2,
title = "An evaluation of the quality of Emergency Nurse Practitioner services for patients presenting with minor injuries to one rural urgent care centre in the UK: a descriptive study",
abstract = "Aims and objectives. To evaluate the quality of the emergency nurse practitioner service provided to people presenting to a rural urgent care centre with minor injuries. The three objectives that were focused were an evaluation of the safety and effectiveness of the emergency nurse practitioner service, an assessment of patients’ satisfaction with the emergency nurse practitioner service and a determination of factors that may enhance the quality of the emergency nurse practitioner service.Background. Urgent care centres have become increasingly prevalent across the UK. Emergency nurse practitioner services at these rural urgent care centres remain largely unevaluated. This study attempts to redress this deficit by evaluating the quality of an emergency nurse practitioner service in relation to the care of patients presenting with minor injuries to a rural urgent care centre.Design. This descriptive study used a case-note review and a survey design with one open-ended exploratory question.Methods. Patient views were collected using a self-completed questionnaire and a data extraction tool to survey patients’ case notes retrospectively.Results. Despite comparatively low total length-of-stay times, most patients felt they had enough time to discuss things fully with the emergency nurse practitioner. Although emergency nurse practitioners routinely impart injury advice, feedback from some patients suggests a need for the provision of more in-depth information regarding their injury. The vast majority (973{\%}) of patients felt that the quality of the emergency nurse practitioner service was of a high standard.Contrary to some other studies, the findings in this study indicate that patient satisfaction is not influenced by waiting times.Conclusions. Emergency nurse practitioners in rural urgent care centres have the potential to deliver a safe and effective quality service that is reflected in high levels of patient satisfaction.",
keywords = "emergency nurse practitioner, minor injuries, quality of care, urgent care centre",
author = "Joseph McDevitt and Vidar Melby",
note = "Reference text: Audit Commission (2001) Accident and Emergency. The Stationary Office, London. Audit Commission (2010) Making the Most of Frontline NHS Staff. The Stationary Office, London. Barr M, Johnston D & McConnell D (2000) Patient satisfaction with a new nurse practitioner service. Accident and Emergency Nursing 8, 144–147. Bickerton J, Davies J, Davies H, Apau D & Procter S (2012) Streaming primary urgent care: a prospective study. Primary Health Care Research and Development. 13, 142–152. Burley D (2011) Better communication in the emergency department. Emergency Nurse 19, 32–36. Burns N & Grove SK (1999) Understanding Nursing Research, 2nd edn. Saunders Company, London. Byrne G, Richardson M, Brunsdon J & Patel A (2000a) An evaluation of the care of patients with minor injuries in emergency settings. Accident and Emergency Nursing 8, 101–109. Byrne G, Richardson M, Brunsdon J & Patel A (2000b) Patient satisfaction with emergency nurse practitioners in A & E. Journal of Clinical Nursing 9, 83–93. Cameron PA, Joseph AP & McCarthy SM (2009) Access block can be managed. Medical Journal of Australia 190, 364–368. Charlton CR, Dearing KS, Berry JA & Johnstone MJ (2008) Nurse practitioners’ communication styles and their impact on patient outcomes: an integrated approach. Journal of the American Academy of Nurse Practitioners 20, 382–388. Cole FL, MacKey TA & Lindenberg J (2001) Wait time and satisfaction with care and service at a nurse practitioner managed clinic. Journal of the American Academy of Nurse Practitioners 13, 467–472. Collins K (1999) Developing patient satisfaction questionnaires. Nursing Standard 14, 37–38. Collis J (2010) Adverse effects of over-crowding on patient experience and care. Emergency Nurse 18, 34–39. Cooke MW, Wilson S & Pearson S (2002) The effect of a separate stream for minor injuries on accident and emergency department waiting times. Emergency Medicine Journal 19, 28–30. Cooke M, Fisher J, Dale J, McLeod E, Szczepura A, Walley P & Wilson S (2004) Reducing Attendances and Waits in Emergency Departments: A Systematic Review of Present Innovations. National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO), Coventry: Warwick Medical School, The University of Warwick. Cooper MA, Lindsey GM, Kinn S & Swann IJ (2002) Evaluating Emergency Nurse Practitioner services: a randomized controlled trial. Journal of Advanced Nursing 40, 721–730. Daewood M (2005) Patient centred care: lessons from the medical profession. Emergency Nurse 13, 22–27. Department of Health (1999) Clinical Governance: Quality in the New NHS. NHS Executive, Leeds. Department of Health (2001) Reforming Emergency Care. Available at: www. dh.gov.uk/prodconsumdh/groups/dhdi-gitalassets/@dh/@en/documents/digital-asset/d4058836.pdf (accessed 20 April 2012). Department of Health (2006) Direction of Travel for Urgent Care: A Discussion Document. The Stationary Office, London. Department of Health (2007) Urgent Care Centres. Available at: www.dh.gov.uk/ en/Healthcare/Urgentandemergencycare/ DH_4123661 (accessed 23 January 2012). Department of Health (2008) High Quality Care for All: Next Stage Review Final Report. Available at: www.dh.gov.uk/ en/publicationsandstatistics/publications/ publicationspolicyandguidance/DH_085 825 (accessed 14 February 2010). Department of Health (2010a) Guidance for Access to Health Records Requests. The Stationary Office, London. Department of Health (2010b) A&E Clinical Quality Indicators – Data definitions. The Stationary Office, London. Department of Health (2011) Equity and Excellence: Liberating the NHS. The Stationary Office, London. Department of Health (2012) Urgent and Emergency Care. Available at: www. dh.gov.uk/health/category/policy-areas/ nhs/urgent-and-emergency-care/ (accessed 27 January 2012). Department of Health and Social Care (2011) Transforming Your Care – A Review of Health and Social Care in Northern Ireland. DHSC, Belfast. Department of Health, Social Services and Public Safety (2011) Quality 2020 – A 10-Year Quality Strategy for Health and Social Care in Northern Ireland. DHSSPS, Belfast. Dierick-van Daele ATM, Mtesemakers JFM, Derckx EWCC, Spreeuwenberg C & Vrijhoef HJM (2009) Nurse practitioners substituting for general practitioners: randomized controlled trial. Journal of Advanced Nursing 65, 391–401. Dunlop M (1999) Health promotion as an ENP: is it possible? Emergency Nurse 7, 35–38. Edwards PJ, Roberts I, Clarke MJ, DiGuiseppi C, Wentz R, Kwan I & Pratap S (2009) Methods to increase response to postal and electronic questionnaires. The Cochrane Database of Systematic Reviews, Issue 3, Available at: www.onlinelibrary.wiley.com/doi/10.1002/14651858.MR000008.pub4/pdf (accessed 19 January 2012). Ezra DG, Mellington F, Cugnoni H & Westcott M (2005) Reliability of ophthalmic accident and emergency referrals: a new role for the emergency nurse practitioner? Emergency Medicine Journal 22, 696–699. Fisher J (2006) Developing the A&E nurse practitioner role. Emergency Nurse 13, 26–31. Foot C & Fitzsimons B (2011) The policy and practice of measuring patient experience. Nursing Management 18, 18–19. Fotheringham D, Dickie S & Cooper M (2011) The evolution of the role of the Emergency Nurse Practitioner in Scotland: a longitudinal study. Journal of Clinical Nursing 20, 2958– 2967. Green A & Davis S (2005) Towards a predictive model of patient satisfaction with nurse practitioner care. Journal of the American Academy of Nurse Practitioners 17, 139–148. Hoskins R (2011) Evaluating new roles within emergency care: a literature review. International Emergency Nursing 19, 125–140. Jarvis M (2007) Satisfaction guaranteed? Emergency Nurse 14, 34–37. Jennings N, Lee G, Chao K & Keating S (2009) A survey of patient satisfaction in a metropolitan Emergency Department: comparing nurse practitioners and emergency physicians. International Journal of Nursing Practice 15, 213–218. Knudtson N (2000) Patient satisfaction with nurse practitioner service in a rural setting. Journal of the American Academy of Nurse Practitioners 12, 405–412. Kuan WS & Mahadevan M (2009) Emergency unscheduled returns: can we do better? Singapore Medical Journal 50, 1068–1071. Leufer T & Cleary-Holdforth J (2009) Evidence-based practice: improving patient outcomes. Nursing Standard 23, 35–39. van der Linden C, Reijnen R & de Vos R (2010) Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor injury and illness. Journal of Emergency Nursing 36, 311–316. Locker T, Mason S, Wardrope J & Walters S (2005) Targets and moving goalposts: changes in waiting times in a UK emergency department. Emergency Medicine Journal 22, 710–714. Martin J (2008) Access to urgent care: looking to the future. Practice Nursing 19, 166–167. Matthews R (2010) Involving patients in service improvement. Nursing Management 16, 16–19. McLaren P (2005) The evolution of the nurse practitioner. Evidence-Based Healthcare and Public Health 9, 265– 266. Megahy A & Lloyd M (2004) Managing minor injuries. Emergency Nurse 12, 14–16. Morgan DL (2007) Paradigms lost and pragmatism: methodological implications of combining qualitative and quantitative methods. Journal of Mixed Methods Research 1, 48–76. National Health Service (2007) A Framework for Action. Available at: www.nhs history.net/darzilondon.pdf (accessed 20 January 2012). National Health Service (2010) A Service Delivery Model for Urgent Care Centres: Commissioning Advice for PCTs. Available at: www.londonhp.nhs.uk/wp-content/uploads/2011/03/Urgent-care-centres-delivery-model.pdf (accessed 31 January 2012). National Health Service Information Centre (2012) The Information Centre. Available at: www.ic.nhs.uk/statistics-and-data-collections/hospital-care/acci dent-and-emergency-hospital-episode-statistics-hes/provisional-accident-and-emergency-quality-indicators-for-england –experimental-statistics-by-provider-for-January-2012 (accessed 25 July 2012). National Health Service Scotland (2010) The Healthcare Quality Strategy for NHS Scotland. The Scottish Government, Edinburgh. National Health Service Wales (2005) Designed for Life: Creating World Class Health and Social Care for Wales in the 21st Century. Welsh Assembly Government, Cardiff. Nunez S, Hexdall A & Aguirre-Jaime A (2006) Unscheduled returns to the emergency department: an outcome of medical errors. Quality & Safety in Health Care 15, 102–108. Organ K, Chinnick P, Higginson I, Stan-hope B, Hoskins R & Benger J (2005) Evaluating the introduction of a paediatric emergency nurse practitioner service. Emergency Nurse 13, 8–11. Pallant J (2010) SPSS Survival Manual: A Step by Step Guide to Data Analysis Using SPSS for Windows, 4th edn. Open University Press, Maidenhead. Parker N (2010) Developing a social enter-prise through right to request. Emergency Nurse 18, 20–21. Paxton F & Heaney D (1997) Minor injuries units: evaluating patients’ perceptions. Nursing Standard 12, 45– 47. Perry C, Thurston M, Killey M & Miller J (2005) The nurse practitioner in primary care: alleviating problems of access? British Journal of Nursing 14, 225–259. Rahmqvist M & Bara AC (2010) Patient characteristics and quality dimensions related to patient satisfaction. International Journal for Quality in Health Care 22, 86–92. Ritchie L, Daewood M & Sprules V (2004) Meeting the challenge: an evaluation of the ENP clinic. Emergency Nurse 12, 10–13. Royal College of Nursing (2010) Advanced Nurse Practitioners – An RCN Guide to the Advanced Nurse Practitioner Role, Competences and Programme Accreditation. Royal College of Nursing, London. Royal College of Nursing (2011) Informed Consent in Health and Social Care Research – RCN Guidance for Nurses, 2nd edn. Royal College of Nursing, London. Ryan K & Rahman A (2012) Examining factors influencing patient satisfaction with nurse practitioners in rural urgent care centres. Journal of the American Academy of Nurse Practitioners 24, 77–81. Sakr M, Angus J, Perrin J, Nixon C, Nicholl J & Wardrope J (1999) Care of minor injuries by emergency nurse practitioners or junior doctors: a randomised controlled trial. Lancet 354, 1319–1326. Sakr M, Kendall R, Angus J, Saunders A, Nicholl J & Wardrope J (2003) Emergency nurse practitioners: a three part study in clinical and cost effectiveness. Emergency Medicine Journal 20, 158– 163. Sidani S (2008) Effects of patient centred care on patient outcomes: an evaluation. Research and Theory for Nursing Practice 22, 24–35. SPSS (2008) SPSS for Windows. (Version 15.0). SPSS Inc., Chicago, IL. Swann G, Roberts M, Whotton E & Hewitt S (2003) Minor and major patients- what can be done? Emergency Nurse. 11, 33–36. Tachakra S & Deboo P (2001) Comparing performance of ENPs and SHOs. Emergency Nurse 9, 36–39. Taylor DM & Cameron PA (2000) Dis-charge instructions for emergency department patients: what should we provide? Journal of Accident and Emergency Medicine 17, 86–90. Thompson W & Meskell P (2012) Evaluation of an advanced nurse practitioner (emergency care) – an Irish perspective. The Journal for Nurse Practitioners 8, 200–205. Thompson DA & Yarnold PR (1995) Relating patient satisfaction to wait time perceptions and expectations: the disconfirmation paradigm. Academic Emergency Medicine 2, 1057–1062. Thrasher C & Purc-Stephenson R (2008) Patient satisfaction with nurse practitioner care in emergency departments in Canada. Journal of the American Academy of Nurse Practitioners 20, 231–237. Touch e Ross (1994) Evaluation of Nurse Practitioner Pilot Project. NHS Executive South Thames, London. UKCC (1992) The Scope of Professional Practice. United Kingdom Central Council for Nursing, Midwifery & Health Visiting, London. Wallis M, Hooper J, Kerr D, Lind J & Bost N (2009) Effectiveness of an advanced practice emergency nurse role in a minor injuries unit. The Australian Journal of Advanced Nursing 27, 21–28. Walsh R (2001) Patient satisfaction with Emergency Nurse Practitioners. Emergency Nurse 8, 23–29. Williams A & Jones M (2006) Patients’ assessments of consulting a nurse practitioner: the time factor. Journal of Advanced Nursing 53, 188–195. Wilson A & Shifaza F (2008) An evaluation of the effectiveness and accept-ability of nurse practitioners in an adult emergency department. International Journal of Nursing Practice 14, 149–156.",
year = "2015",
month = "2",
day = "1",
doi = "10.1111/jocn.12639",
language = "English",
volume = "24",
pages = "523--535",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
number = "3-4",

}

TY - JOUR

T1 - An evaluation of the quality of Emergency Nurse Practitioner services for patients presenting with minor injuries to one rural urgent care centre in the UK: a descriptive study

AU - McDevitt, Joseph

AU - Melby, Vidar

N1 - Reference text: Audit Commission (2001) Accident and Emergency. The Stationary Office, London. Audit Commission (2010) Making the Most of Frontline NHS Staff. The Stationary Office, London. Barr M, Johnston D & McConnell D (2000) Patient satisfaction with a new nurse practitioner service. Accident and Emergency Nursing 8, 144–147. Bickerton J, Davies J, Davies H, Apau D & Procter S (2012) Streaming primary urgent care: a prospective study. Primary Health Care Research and Development. 13, 142–152. Burley D (2011) Better communication in the emergency department. Emergency Nurse 19, 32–36. Burns N & Grove SK (1999) Understanding Nursing Research, 2nd edn. Saunders Company, London. Byrne G, Richardson M, Brunsdon J & Patel A (2000a) An evaluation of the care of patients with minor injuries in emergency settings. Accident and Emergency Nursing 8, 101–109. Byrne G, Richardson M, Brunsdon J & Patel A (2000b) Patient satisfaction with emergency nurse practitioners in A & E. Journal of Clinical Nursing 9, 83–93. Cameron PA, Joseph AP & McCarthy SM (2009) Access block can be managed. Medical Journal of Australia 190, 364–368. Charlton CR, Dearing KS, Berry JA & Johnstone MJ (2008) Nurse practitioners’ communication styles and their impact on patient outcomes: an integrated approach. Journal of the American Academy of Nurse Practitioners 20, 382–388. Cole FL, MacKey TA & Lindenberg J (2001) Wait time and satisfaction with care and service at a nurse practitioner managed clinic. Journal of the American Academy of Nurse Practitioners 13, 467–472. Collins K (1999) Developing patient satisfaction questionnaires. Nursing Standard 14, 37–38. Collis J (2010) Adverse effects of over-crowding on patient experience and care. Emergency Nurse 18, 34–39. Cooke MW, Wilson S & Pearson S (2002) The effect of a separate stream for minor injuries on accident and emergency department waiting times. Emergency Medicine Journal 19, 28–30. Cooke M, Fisher J, Dale J, McLeod E, Szczepura A, Walley P & Wilson S (2004) Reducing Attendances and Waits in Emergency Departments: A Systematic Review of Present Innovations. National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO), Coventry: Warwick Medical School, The University of Warwick. Cooper MA, Lindsey GM, Kinn S & Swann IJ (2002) Evaluating Emergency Nurse Practitioner services: a randomized controlled trial. Journal of Advanced Nursing 40, 721–730. Daewood M (2005) Patient centred care: lessons from the medical profession. Emergency Nurse 13, 22–27. Department of Health (1999) Clinical Governance: Quality in the New NHS. NHS Executive, Leeds. Department of Health (2001) Reforming Emergency Care. Available at: www. dh.gov.uk/prodconsumdh/groups/dhdi-gitalassets/@dh/@en/documents/digital-asset/d4058836.pdf (accessed 20 April 2012). Department of Health (2006) Direction of Travel for Urgent Care: A Discussion Document. The Stationary Office, London. Department of Health (2007) Urgent Care Centres. Available at: www.dh.gov.uk/ en/Healthcare/Urgentandemergencycare/ DH_4123661 (accessed 23 January 2012). Department of Health (2008) High Quality Care for All: Next Stage Review Final Report. Available at: www.dh.gov.uk/ en/publicationsandstatistics/publications/ publicationspolicyandguidance/DH_085 825 (accessed 14 February 2010). Department of Health (2010a) Guidance for Access to Health Records Requests. The Stationary Office, London. Department of Health (2010b) A&E Clinical Quality Indicators – Data definitions. The Stationary Office, London. Department of Health (2011) Equity and Excellence: Liberating the NHS. The Stationary Office, London. Department of Health (2012) Urgent and Emergency Care. Available at: www. dh.gov.uk/health/category/policy-areas/ nhs/urgent-and-emergency-care/ (accessed 27 January 2012). Department of Health and Social Care (2011) Transforming Your Care – A Review of Health and Social Care in Northern Ireland. DHSC, Belfast. Department of Health, Social Services and Public Safety (2011) Quality 2020 – A 10-Year Quality Strategy for Health and Social Care in Northern Ireland. DHSSPS, Belfast. Dierick-van Daele ATM, Mtesemakers JFM, Derckx EWCC, Spreeuwenberg C & Vrijhoef HJM (2009) Nurse practitioners substituting for general practitioners: randomized controlled trial. Journal of Advanced Nursing 65, 391–401. Dunlop M (1999) Health promotion as an ENP: is it possible? Emergency Nurse 7, 35–38. Edwards PJ, Roberts I, Clarke MJ, DiGuiseppi C, Wentz R, Kwan I & Pratap S (2009) Methods to increase response to postal and electronic questionnaires. The Cochrane Database of Systematic Reviews, Issue 3, Available at: www.onlinelibrary.wiley.com/doi/10.1002/14651858.MR000008.pub4/pdf (accessed 19 January 2012). Ezra DG, Mellington F, Cugnoni H & Westcott M (2005) Reliability of ophthalmic accident and emergency referrals: a new role for the emergency nurse practitioner? Emergency Medicine Journal 22, 696–699. Fisher J (2006) Developing the A&E nurse practitioner role. Emergency Nurse 13, 26–31. Foot C & Fitzsimons B (2011) The policy and practice of measuring patient experience. Nursing Management 18, 18–19. Fotheringham D, Dickie S & Cooper M (2011) The evolution of the role of the Emergency Nurse Practitioner in Scotland: a longitudinal study. Journal of Clinical Nursing 20, 2958– 2967. Green A & Davis S (2005) Towards a predictive model of patient satisfaction with nurse practitioner care. Journal of the American Academy of Nurse Practitioners 17, 139–148. Hoskins R (2011) Evaluating new roles within emergency care: a literature review. International Emergency Nursing 19, 125–140. Jarvis M (2007) Satisfaction guaranteed? Emergency Nurse 14, 34–37. Jennings N, Lee G, Chao K & Keating S (2009) A survey of patient satisfaction in a metropolitan Emergency Department: comparing nurse practitioners and emergency physicians. International Journal of Nursing Practice 15, 213–218. Knudtson N (2000) Patient satisfaction with nurse practitioner service in a rural setting. Journal of the American Academy of Nurse Practitioners 12, 405–412. Kuan WS & Mahadevan M (2009) Emergency unscheduled returns: can we do better? Singapore Medical Journal 50, 1068–1071. Leufer T & Cleary-Holdforth J (2009) Evidence-based practice: improving patient outcomes. Nursing Standard 23, 35–39. van der Linden C, Reijnen R & de Vos R (2010) Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor injury and illness. Journal of Emergency Nursing 36, 311–316. Locker T, Mason S, Wardrope J & Walters S (2005) Targets and moving goalposts: changes in waiting times in a UK emergency department. Emergency Medicine Journal 22, 710–714. Martin J (2008) Access to urgent care: looking to the future. Practice Nursing 19, 166–167. Matthews R (2010) Involving patients in service improvement. Nursing Management 16, 16–19. McLaren P (2005) The evolution of the nurse practitioner. Evidence-Based Healthcare and Public Health 9, 265– 266. Megahy A & Lloyd M (2004) Managing minor injuries. Emergency Nurse 12, 14–16. Morgan DL (2007) Paradigms lost and pragmatism: methodological implications of combining qualitative and quantitative methods. Journal of Mixed Methods Research 1, 48–76. National Health Service (2007) A Framework for Action. Available at: www.nhs history.net/darzilondon.pdf (accessed 20 January 2012). National Health Service (2010) A Service Delivery Model for Urgent Care Centres: Commissioning Advice for PCTs. Available at: www.londonhp.nhs.uk/wp-content/uploads/2011/03/Urgent-care-centres-delivery-model.pdf (accessed 31 January 2012). National Health Service Information Centre (2012) The Information Centre. Available at: www.ic.nhs.uk/statistics-and-data-collections/hospital-care/acci dent-and-emergency-hospital-episode-statistics-hes/provisional-accident-and-emergency-quality-indicators-for-england –experimental-statistics-by-provider-for-January-2012 (accessed 25 July 2012). National Health Service Scotland (2010) The Healthcare Quality Strategy for NHS Scotland. The Scottish Government, Edinburgh. National Health Service Wales (2005) Designed for Life: Creating World Class Health and Social Care for Wales in the 21st Century. Welsh Assembly Government, Cardiff. Nunez S, Hexdall A & Aguirre-Jaime A (2006) Unscheduled returns to the emergency department: an outcome of medical errors. Quality & Safety in Health Care 15, 102–108. Organ K, Chinnick P, Higginson I, Stan-hope B, Hoskins R & Benger J (2005) Evaluating the introduction of a paediatric emergency nurse practitioner service. Emergency Nurse 13, 8–11. Pallant J (2010) SPSS Survival Manual: A Step by Step Guide to Data Analysis Using SPSS for Windows, 4th edn. Open University Press, Maidenhead. Parker N (2010) Developing a social enter-prise through right to request. Emergency Nurse 18, 20–21. Paxton F & Heaney D (1997) Minor injuries units: evaluating patients’ perceptions. Nursing Standard 12, 45– 47. Perry C, Thurston M, Killey M & Miller J (2005) The nurse practitioner in primary care: alleviating problems of access? British Journal of Nursing 14, 225–259. Rahmqvist M & Bara AC (2010) Patient characteristics and quality dimensions related to patient satisfaction. International Journal for Quality in Health Care 22, 86–92. Ritchie L, Daewood M & Sprules V (2004) Meeting the challenge: an evaluation of the ENP clinic. Emergency Nurse 12, 10–13. Royal College of Nursing (2010) Advanced Nurse Practitioners – An RCN Guide to the Advanced Nurse Practitioner Role, Competences and Programme Accreditation. Royal College of Nursing, London. Royal College of Nursing (2011) Informed Consent in Health and Social Care Research – RCN Guidance for Nurses, 2nd edn. Royal College of Nursing, London. Ryan K & Rahman A (2012) Examining factors influencing patient satisfaction with nurse practitioners in rural urgent care centres. Journal of the American Academy of Nurse Practitioners 24, 77–81. Sakr M, Angus J, Perrin J, Nixon C, Nicholl J & Wardrope J (1999) Care of minor injuries by emergency nurse practitioners or junior doctors: a randomised controlled trial. Lancet 354, 1319–1326. Sakr M, Kendall R, Angus J, Saunders A, Nicholl J & Wardrope J (2003) Emergency nurse practitioners: a three part study in clinical and cost effectiveness. Emergency Medicine Journal 20, 158– 163. Sidani S (2008) Effects of patient centred care on patient outcomes: an evaluation. Research and Theory for Nursing Practice 22, 24–35. SPSS (2008) SPSS for Windows. (Version 15.0). SPSS Inc., Chicago, IL. Swann G, Roberts M, Whotton E & Hewitt S (2003) Minor and major patients- what can be done? Emergency Nurse. 11, 33–36. Tachakra S & Deboo P (2001) Comparing performance of ENPs and SHOs. Emergency Nurse 9, 36–39. Taylor DM & Cameron PA (2000) Dis-charge instructions for emergency department patients: what should we provide? Journal of Accident and Emergency Medicine 17, 86–90. Thompson W & Meskell P (2012) Evaluation of an advanced nurse practitioner (emergency care) – an Irish perspective. The Journal for Nurse Practitioners 8, 200–205. Thompson DA & Yarnold PR (1995) Relating patient satisfaction to wait time perceptions and expectations: the disconfirmation paradigm. Academic Emergency Medicine 2, 1057–1062. Thrasher C & Purc-Stephenson R (2008) Patient satisfaction with nurse practitioner care in emergency departments in Canada. Journal of the American Academy of Nurse Practitioners 20, 231–237. Touch e Ross (1994) Evaluation of Nurse Practitioner Pilot Project. NHS Executive South Thames, London. UKCC (1992) The Scope of Professional Practice. United Kingdom Central Council for Nursing, Midwifery & Health Visiting, London. Wallis M, Hooper J, Kerr D, Lind J & Bost N (2009) Effectiveness of an advanced practice emergency nurse role in a minor injuries unit. The Australian Journal of Advanced Nursing 27, 21–28. Walsh R (2001) Patient satisfaction with Emergency Nurse Practitioners. Emergency Nurse 8, 23–29. Williams A & Jones M (2006) Patients’ assessments of consulting a nurse practitioner: the time factor. Journal of Advanced Nursing 53, 188–195. Wilson A & Shifaza F (2008) An evaluation of the effectiveness and accept-ability of nurse practitioners in an adult emergency department. International Journal of Nursing Practice 14, 149–156.

PY - 2015/2/1

Y1 - 2015/2/1

N2 - Aims and objectives. To evaluate the quality of the emergency nurse practitioner service provided to people presenting to a rural urgent care centre with minor injuries. The three objectives that were focused were an evaluation of the safety and effectiveness of the emergency nurse practitioner service, an assessment of patients’ satisfaction with the emergency nurse practitioner service and a determination of factors that may enhance the quality of the emergency nurse practitioner service.Background. Urgent care centres have become increasingly prevalent across the UK. Emergency nurse practitioner services at these rural urgent care centres remain largely unevaluated. This study attempts to redress this deficit by evaluating the quality of an emergency nurse practitioner service in relation to the care of patients presenting with minor injuries to a rural urgent care centre.Design. This descriptive study used a case-note review and a survey design with one open-ended exploratory question.Methods. Patient views were collected using a self-completed questionnaire and a data extraction tool to survey patients’ case notes retrospectively.Results. Despite comparatively low total length-of-stay times, most patients felt they had enough time to discuss things fully with the emergency nurse practitioner. Although emergency nurse practitioners routinely impart injury advice, feedback from some patients suggests a need for the provision of more in-depth information regarding their injury. The vast majority (973%) of patients felt that the quality of the emergency nurse practitioner service was of a high standard.Contrary to some other studies, the findings in this study indicate that patient satisfaction is not influenced by waiting times.Conclusions. Emergency nurse practitioners in rural urgent care centres have the potential to deliver a safe and effective quality service that is reflected in high levels of patient satisfaction.

AB - Aims and objectives. To evaluate the quality of the emergency nurse practitioner service provided to people presenting to a rural urgent care centre with minor injuries. The three objectives that were focused were an evaluation of the safety and effectiveness of the emergency nurse practitioner service, an assessment of patients’ satisfaction with the emergency nurse practitioner service and a determination of factors that may enhance the quality of the emergency nurse practitioner service.Background. Urgent care centres have become increasingly prevalent across the UK. Emergency nurse practitioner services at these rural urgent care centres remain largely unevaluated. This study attempts to redress this deficit by evaluating the quality of an emergency nurse practitioner service in relation to the care of patients presenting with minor injuries to a rural urgent care centre.Design. This descriptive study used a case-note review and a survey design with one open-ended exploratory question.Methods. Patient views were collected using a self-completed questionnaire and a data extraction tool to survey patients’ case notes retrospectively.Results. Despite comparatively low total length-of-stay times, most patients felt they had enough time to discuss things fully with the emergency nurse practitioner. Although emergency nurse practitioners routinely impart injury advice, feedback from some patients suggests a need for the provision of more in-depth information regarding their injury. The vast majority (973%) of patients felt that the quality of the emergency nurse practitioner service was of a high standard.Contrary to some other studies, the findings in this study indicate that patient satisfaction is not influenced by waiting times.Conclusions. Emergency nurse practitioners in rural urgent care centres have the potential to deliver a safe and effective quality service that is reflected in high levels of patient satisfaction.

KW - emergency nurse practitioner

KW - minor injuries

KW - quality of care

KW - urgent care centre

UR - http://onlinelibrary.wiley.com/doi/10.1111/jocn.12639/abstract;jsessionid=B45FD164C3E04CB312253B5689DB5C36.f04t04

U2 - 10.1111/jocn.12639

DO - 10.1111/jocn.12639

M3 - Article

VL - 24

SP - 523

EP - 535

JO - Journal of Clinical Nursing

T2 - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 3-4

ER -