The clinical initiative nurse: Extending the role of the emergency nurse, who benefits?

College of Emergency Nursing Australasia Inc
Publication Type:
Journal Article
Australasian Emergency Nursing Journal, 2005, 8 (1), pp. 9 - 12
Issue Date:
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Introduction and aim: In 2002, the New South Wales (NSW) Government provided funding to implement a new emergency nursing role, the clinical initiative nurse (CIN), that would target waiting patients. The aims of this study were to evaluate the impact of the clinical initiative nurse role and to identify the areas for change in the role. Methodology: The evaluation of the CIN role included data obtained from the Emergency Department Information System (EDIS) and a 22-item questionnaire examining role function, professional practice and role satisfaction. Results: There were 55 emergency nurses in the CIN role. CINs triaged 4793 patients and undertook 22,912 episodes of patient care on 9366 patients. The questionnaire response rate was 68% (n = 26). Sixteen (62%) nurses perceived that the role offered greater opportunity for clinical and professional advancement, while 10 (38%) did not. Twenty-three (88%) reported the need for additional clinical guidelines to assist in understanding the role function and independence and 11 (42%) reported the need to extend the scope of CIN practices, while 15 (58%) did not. All CINs perceived the need to have a dedicated orientation program for the role.
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