The Transitional Emergency Nurse Practitioner role: Implementation study and preliminary evaluation

Elsevier Ltd
Publication Type:
Journal article
Rogers Tessa and Fry Marg 2009, 'The Transitional Emergency Nurse Practitioner role: Implementation study and preliminary evaluation', Elsevier Ltd, vol. 12, no. NA, pp. 32-37.
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Background: An implementation study was undertaken to develop and employ Transitional Emergency Nurse Practitioners (TENPs) to address increased service demands. The TENP role was to be a new advanced practice role, which was based on a Nurse Practitioner (NP) framework. The implementation study provided a roadmap for the introduction of the new nursing role. The implementation study aimed to i) develop an integrated and supported Transitional Emergency Nurse Practitioner role; ii) provide a framework for practice and knowledge development; and, iii) undertake a six month preliminary evaluation of TENP work performance. Methods: The study describes the communication strategy, the consultative process for role definition, education, ongoing support structures and assessment and feedback mechanisms embedded in the implementation process. In addition, a six month mixed method preliminary evaluation was undertaken as part of the implementation plan. The preliminary evaluation included review of TENP managed patient groups; peer audit of TENP documentation; a senior emergency physician survey of TENP work performance; and, review of TENP investigations and referrals. Results: TENPs managed the care of, or were involved with, 2730 patients (10%) of which 68% (n = 1987) were in the `See and Treat¿ group and 32% (n = 721) were in the `Collaborative¿ (742) and `Consultative¿ (22) groups. TENPs managed an average of 20 patients per 15 hour work day. Work performance evaluation identified the role was safe and efficient and that staff supported the new role. Conclusions: The implementation study provided an effective framework for the introduction of a transitional nursing role based on a NP framework. The advanced role had made a significant contribution towards meeting local service needs.
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