Patient satisfaction with emergency nurse practitioners in A & E

Authors

  • Geraldine Byrne BA, PhD, RGN, RNT,

    1. Principal Lecturer, Department of Nursing and Adult Health, Wright Building, University of Hertfordshire, College Lane, Hatfield AL10 9AB, Herts, UK,
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  • Marion Richardson BD, RGN, RCNT, RNT,

    1. Senior Lecturer, Department of Post-registration Nursing, Wright Building, University of Hertfordshire, College Lane, Hatfield AL10 9AB, Herts, UK,
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  • Julie Brunsdon BSc, RGN,

    1. Senior Sister (A & E)/Emergency Nurse Practitioner, Barnet & Chase Farm Hospitals NHS Trust, Wellhouse Lane, Barnet EN5 3DJ, Herts, UK,
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  • Asmita Patel BSc

    1. Research Assistant, Department of Nursing and Adult Health, Wright Building, University of Hertfordshire, College Lane, Hatfield AL10 9AB, Herts, UK
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Geraldine Byrne Dr Principal Lecturer, Department of Adult Nursing and Health, University of Hertfordshire, College Lane, AL10 9AB Hatfield, Herts, UK (e-mail: G.1.Byrne@herts.ac.uk).

Abstract

• In recent years the complex process of managing services for patients requiring emergency care has been increasingly under scrutiny and considerable diversity has arisen in the organization of emergency care in both hospital and community settings.

• One innovation which has been particularly widespread is the development of Emergency Nurse Practitioners (ENPs): experienced Accident and Emergency nurses who assume entire responsibility for patients with minor injuries, in emergency settings.

• The present paper reports on a study which compared patients’ satisfaction with care given by Emergency Nurse Practitioners with that provided by doctors and nurses working together in a traditional A & E.

• Patients were significantly more likely to have received health education and first aid advice from an ENP than from a doctor. They were also significantly more likely to have been given written instructions to take home and told whom to contact if they needed more help and advice following discharge. Those seen by an ENP also reported that they were subsequently significantly less worried about their health, than did patients seen in a traditional A & E.

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