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Multidisciplinary team attitudes to an advanced nurse practitioner service in an emergency department.

Authors
  • Ruiz, Lorena Medina1
  • 1 Emergency department, Dartford and Gravesham NHS Trust, Dartford, England.
Type
Published Article
Journal
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
Publication Date
Jan 03, 2020
Volume
28
Issue
1
Pages
33–42
Identifiers
DOI: 10.7748/en.2018.e1793
PMID: 30277346
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The aim of this study was to examine an emergency department's (ED) multidisciplinary teams' (MDTs) attitudes towards an advanced nurse practitioner (ANP) service. The ED in question is not the author's place of work. A Likert-type questionnaire was used to gain a total attitude score (TAS), which was analysed in relation to participants' gender, age, professional background, level of education and years of experience in the ED, as well as previous and current contact with emergency nurse practitioners and/or ANPs. A total of 115 questionnaires were distributed, and respondents included doctors, nurses, managers, pharmacists, radiographers and a physiotherapist. Participants provided qualitative data to explain their choices, and were asked to describe positive and negative aspects of an ANP service. The data were analysed using a mixed-methods approach. The TASs were generally positive and there were no statistical differences between the professional groups, although there was some resistance from participants. Overall, the MDT believes the ANP service will improve patient care, waiting times, team divisions and patients' experiences in the ED if the roles and responsibilities are clearly defined and communicated. In addition, the service should receive enough funding to ensure its sustainability and appropriate supervision by a senior doctor should be made available. © 2018 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

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