Evaluating patient presentations for care delivered by emergency nurse practitioners : a retrospective analysis of 12 months

Jennings, Natasha, Mckeown, Emma, O'Reilly, Gerard, & Gardner, Glenn E. (2013) Evaluating patient presentations for care delivered by emergency nurse practitioners : a retrospective analysis of 12 months. Australasian Emergency Nursing Journal, 16(3), pp. 89-95.

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The delivery of quality patient care in the emergency department (ED) is emerging as one of the most important service indicators to be measured in health services today. The emergency nurse practitioner role was implemented as a service innovation in a Emergency & Trauma Centre (ETC), Melbourne, Australia, in July 2004 .The primary aim of the role was intended to enhance healthcare services, improve the efficiency and timely delivery of high quality care to patients.


To conduct a retrospective study of patient presentations at the ETC to obtain a profile of the characteristics of patients managed by emergency nurse practitioners. Specifically the objectives of the study were to:

1) examine the demographics of the patient population 2) evaluate data on emergency department service indicators for this patient cohort


All patients presenting to the ETC from January 01 2011 to December 31 2011 and managed by emergency nurse practitioners were included in the review. Data collection included baseline demographics, waiting times to be seen, length of stay, emergency department discharge diagnoses and referral patterns. Data were extracted and imported directly from the emergency department Patient Information System (Cerner log), for the specified time frame.


A total of 5212 patients were reviewed in the study period. The median age of patients was 35 years and 61% of patients were male. The most common discharge diagnosis was open wounds to hand/wrist. Waiting times to be seen by the emergency nurse practitioner were 14 minutes and length of stay for patients with a discharge disposition of home were 122 minutes.


This study has provided information on patient baseline characteristics and performance on important service indicators for this patient sample that will inform further research to evaluate specific outcomes of the emergency nurse practitioner service.

Impact and interest:

2 citations in Scopus
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ID Code: 62879
Item Type: Journal Article
Refereed: Yes
Keywords: Emergency nurse practitioner, Quality of care, Fast track, Emergency department
DOI: 10.1016/j.aenj.2013.05.005
ISSN: 1574-6267
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 Elsevier
Copyright Statement: This is the author’s version of a work that was accepted for publication in Australiasian Emergency Nursing Journal. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Australiasian Emergency Nursing Journal, [VOL 16, ISSUE 3, (2013)] DOI: 10.1016/j.aenj.2013.05.005
Deposited On: 25 Sep 2013 22:44
Last Modified: 09 Aug 2015 16:30

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