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Related Experiment Videos

Evaluating Emergency Nurse Practitioner services: a randomized controlled trial.

Mark A Cooper1, Grace M Lindsay, Sue Kinn

  • 1Accident Department, North Glasgow University Hospitals NHS Trust, Glasgow, UK. mark.a.cooper@clinmed.gla.ac.uk

Journal of Advanced Nursing
|December 11, 2002
PubMed
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Emergency Nurse Practitioners (ENPs) provide higher quality care and documentation than Senior House Officers (SHOs) for minor injuries. Patient satisfaction was greater with ENP-led care, with no difference in missed injuries.

Area of Science:

  • Emergency Medicine
  • Nursing Practice
  • Quality Improvement

Background:

  • Emergency Nurse Practitioners (ENPs) are increasingly managing minor injuries in UK Accident and Emergency departments.
  • There is a need for methods and tools to measure the quality of ENP-led care.
  • This study tested such tools in a randomized controlled trial.

Purpose of the Study:

  • To develop and test methods and tools for measuring the quality of ENP-led care.
  • To compare the quality of care provided by ENPs versus Senior House Officers (SHOs) for minor injuries.
  • To assess patient satisfaction and clinical outcomes in ENP-led care.

Main Methods:

  • A randomized controlled trial involving 199 patients with minor injuries.
  • Patients were randomized to either ENP-led care (n=99) or SHO-led care (n=100).

Related Experiment Videos

  • Quality was assessed via patient satisfaction questionnaires, a 'Documentation Audit Tool', and 1-month follow-up for return visits and missed injuries.

    • Main Results:

    • Patients reported higher satisfaction with ENP-led care, finding ENPs easier to talk to and more informative.
    • ENPs' clinical documentation quality was significantly higher than SHOs' (P < 0.001).
    • No significant differences were found in recovery times, symptoms, time off work, unplanned follow-up, or missed injuries between the groups.

    Conclusions:

    • The study demonstrated higher patient satisfaction and clinical documentation quality with ENP-led care compared to SHO-led care.
    • The developed methods and tools are suitable for measuring ENP-led care quality in A&E departments.
    • A larger study is needed to detect smaller differences in missed injury rates.