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

13 Citations (Scopus)
243 Downloads (Pure)

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.
Original languageEnglish
Pages (from-to)523-535
JournalJournal of Clinical Nursing
Volume24
Issue number3-4
Early online date1 Jun 2014
DOIs
Publication statusPublished - 1 Feb 2015

Keywords

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

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