How do we capture the emergency nurse practitioners’ contribution to value in health service delivery?
Natasha Jennings A E , Matthew Lutze B , Stuart Clifford C and Michael Maw DA Emergency and Trauma Centre, The Alfred Hospital, Commercial Road, Prahran, Vic. 3004, Australia.
B St George Hospital, Gray Street, Kogarah, NSW 2217, Australia. Email: Matthew.Lutze@health.nsw.gov.au
C Mudgee Health Service, Lewis Street, Mudgee, NSW 2850, Australia. Email: Stuart.Clifford@health.nsw.gov.au
D The MORDUN Group, PO Box 3253, Mornington, Vic. 3931, Australia. Email: michael.maw@themordungroup.com
E Corresponding author. Email: N.Jennings@alfred.org.au
Australian Health Review 41(1) 89-90 https://doi.org/10.1071/AH15155
Submitted: 5 May 2015 Accepted: 8 April 2016 Published: 26 May 2016
Abstract
The emergency nurse practitioner is now a well established and respected member of the healthcare team. Evaluation of the role has focused on patient safety, effectiveness and quality of care outcomes. Comparisons of the role continue to focus on cost, with findings based on incomplete and almost impossible to define, recognition of contribution to service delivery by paralleled practitioners. Currently there is no clear definition as to how nurse practitioners contribute to value in health service delivery. Robust and rigorous research needs to be commissioned taking into consideration the unique hybrid nature of the emergency nurse practitioner role and focusing on the value they contribute to health care delivery.
References
[1] Gardner A, Gardner GE, Middleton S, Della PR. The status of Australian nurse practitioners: the first national census. Aust Health Rev 2009; 33 679–89.| The status of Australian nurse practitioners: the first national census.Crossref | GoogleScholarGoogle Scholar | 20166918PubMed |
[2] Lowthian J, Cameron P. Improving timeliness while improving the quality of emergency department care. Emerg Med Australas 2012; 24 219–21.
| Improving timeliness while improving the quality of emergency department care.Crossref | GoogleScholarGoogle Scholar | 22672160PubMed |
[3] Fry M, Fong J. A 12-month prospective review of the impact of emergency transitional nurse practitioners in one metropolitan emergency department. 2009 CENA International Conference for Emergency Nursing. Australas Emerg Nurs J 2009; 12 164–5.
| A 12-month prospective review of the impact of emergency transitional nurse practitioners in one metropolitan emergency department. 2009 CENA International Conference for Emergency Nursing.Crossref | GoogleScholarGoogle Scholar |
[4] Australian Health Workforce Advisory Commitee. Health workforce planning and models of care in emergency departments. 2006. Available at: http://www.ahwo.gov.au/documents/Publications/2006/Health%20workforce%20planning%20in%20emergency%20departments.pdf [verified 11 September 2013].
[5] Council of Australian Governments. The National health reform agreement: national partnership agreement on improving public hospital services. 2014. Available at: http://www.federalfinancialrelations.gov.au/content/npa/health_reform/national-agreement.pdf [verified 1 October 2014].
[6] Kaplan RS, Porter M. How to solve the cost crisis in health care. 2011. Available at: https://hbr.org/2011/09/how-to-solve-the-cost-crisis-in-health-care [verified 17 March 2015].
[7] Jennings N, Clifford S, Fox A, O’Connell J, Gardner G. The impact of nurse practitioner services on cost, quality of care, satisfaction and waiting times in the emergency department: a systematic review. Int J Nurs Stud 2015; 6 421–35.
