A 12-month evaluation of the impact of Transitional Emergency Nurse Practitioners in one metropolitan Emergency Department

Fry, M; Fong, J; Asha, S; Arendts, G

A 12-month evaluation of the impact of Transitional Emergency Nurse Practitioners in one metropolitan Emergency Department

Fry, M

Fong, J Asha, S Arendts, G

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Publication Type:: Journal Article
Citation:: Australasian Emergency Nursing Journal, 2011, 14 (1), pp. 4 - 8
Issue Date:: 2011-02-01

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Field	Value	Language
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096	en_US
dc.contributor.author	Fong, J	en_US
dc.contributor.author	Asha, S	en_US
dc.contributor.author	Arendts, G	en_US
dc.date.issued	2011-02-01	en_US
dc.identifier.citation	Australasian Emergency Nursing Journal, 2011, 14 (1), pp. 4 - 8	en_US
dc.identifier.issn	1574-6267	en_US
dc.identifier.uri	http://hdl.handle.net/10453/18649
dc.description.abstract	Objective: To meet increasing work demand, the NSW government funded Transitional Emergency Nurse Practitioner (TENP) roles which would work within a Nurse Practitioner (NP) framework. The role provided opportunity for experienced nurses to, develop advanced practice skills, manage a range of patient conditions and injuries. Therefore, the aims of this study were to: (i) describe patient demographics and conditions managed within the TENP model; (ii) examine the efficiency and safety of TENP management; and (iii) evaluate the impact of the TENP role on the delivery of emergency services. Design: A 12-month prospective observational study was conducted to evaluate the implementation of a TENP model. Setting: A 550 bed University Referral Hospital St George Hospital providing around 50,000 admissions and 770,000 outpatient treatments annually to a catchment population of 250,000. Subjects: Patients presenting with minor injuries and illnesses to one metropolitan emergency department (ED). The majority of patients seen were in triage categories 3, 4 and 5. Results: Ten percent ( n= 5249) of ED patients were managed by TENPs. For the TENP patients the mean time to be seen was 38. min. Within the model for the " See & Treat" patient group the mean time to be seen was 53. min (median 38. min). For the " collaborative" group the mean time was 47. min (median 24. min). Length of stay (LOS) for individual diagnostic groups identified TENP patients had a shorter or equal LOS to medical staff patients. Conclusion: The study demonstrated that TENPs provide timely, efficient and appropriate patient management. The role has led to increased recognition of nursing expertise along with acceptance by colleagues and peers for the contribution TENPs make to ED services. © 2010 College of Emergency Nursing Australasia Ltd.	en_US
dc.relation.ispartof	Australasian Emergency Nursing Journal	en_US
dc.relation.isbasedon	10.1016/j.aenj.2010.10.001	en_US
dc.subject.classification	Nursing	en_US
dc.title	A 12-month evaluation of the impact of Transitional Emergency Nurse Practitioners in one metropolitan Emergency Department	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	14	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
dc.location.activity	Sydney, NSW, Australia
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	14	en_US

Abstract:

Objective: To meet increasing work demand, the NSW government funded Transitional Emergency Nurse Practitioner (TENP) roles which would work within a Nurse Practitioner (NP) framework. The role provided opportunity for experienced nurses to, develop advanced practice skills, manage a range of patient conditions and injuries. Therefore, the aims of this study were to: (i) describe patient demographics and conditions managed within the TENP model; (ii) examine the efficiency and safety of TENP management; and (iii) evaluate the impact of the TENP role on the delivery of emergency services. Design: A 12-month prospective observational study was conducted to evaluate the implementation of a TENP model. Setting: A 550 bed University Referral Hospital St George Hospital providing around 50,000 admissions and 770,000 outpatient treatments annually to a catchment population of 250,000. Subjects: Patients presenting with minor injuries and illnesses to one metropolitan emergency department (ED). The majority of patients seen were in triage categories 3, 4 and 5. Results: Ten percent ( n= 5249) of ED patients were managed by TENPs. For the TENP patients the mean time to be seen was 38. min. Within the model for the " See & Treat" patient group the mean time to be seen was 53. min (median 38. min). For the " collaborative" group the mean time was 47. min (median 24. min). Length of stay (LOS) for individual diagnostic groups identified TENP patients had a shorter or equal LOS to medical staff patients. Conclusion: The study demonstrated that TENPs provide timely, efficient and appropriate patient management. The role has led to increased recognition of nursing expertise along with acceptance by colleagues and peers for the contribution TENPs make to ED services. © 2010 College of Emergency Nursing Australasia Ltd.

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