[Correction added on 01 September 2014, after first online publication: The University was previously omitted and has now been added.]
A protocol for a pragmatic randomized controlled trial evaluating outcomes of emergency nurse practitioner service
Article first published online: 31 MAR 2014
© 2014 John Wiley & Sons Ltd
Journal of Advanced Nursing
Volume 70, Issue 9, pages 2140–2148, September 2014
How to Cite
2014) A protocol for a pragmatic randomized controlled trial evaluating outcomes of emergency nurse practitioner service. Journal of Advanced Nursing 70(9), 2140–2148. doi: 10.1111/jan.12386, & (
Trial registration details: Australian and New Zealand Clinical Trials Registry dated 18th August 2013, ACTRN 12613000933752.
- Issue published online: 11 AUG 2014
- Article first published online: 31 MAR 2014
- Manuscript Accepted: 15 FEB 2014
- National Health and Medical Research Council
- clinical trial;
- nurse practitioner;
To evaluate emergency nurse practitioner service effectiveness on outcomes related to quality of care and service responsiveness.
Increasing service pressures in the emergency setting have resulted in the adoption of service innovation models; the most common and rapidly expanding of these is the emergency nurse practitioner. The delivery of high quality patient care in the emergency department is one of the most important service indicators to be measured in health services today. The rapid uptake of emergency nurse practitioner service in Australia has outpaced the capacity to evaluate this model in outcomes related to safety and quality of patient care.
Pragmatic randomized controlled trial at one site with 260 participants.
This protocol describes a definitive prospective randomized controlled trial, which will examine the impact of emergency nurse practitioner service on key patient care and service indicators. The study control will be standard emergency department care. The intervention will be emergency nurse practitioner service. The primary outcome measure is pain score reduction and time to analgesia. Secondary outcome measures are waiting time, number of patients who did not wait, length of stay in the emergency department and representations within 48 hours.
Scant research enquiry evaluating emergency nurse practitioner service on patient effectiveness and service responsiveness exists currently. This study is a unique trial that will test the effectiveness of the emergency nurse practitioner service on patients who present to the emergency department with pain. The research will provide an opportunity to further evaluate emergency nurse practitioner models of care and build research capacity into the workforce.