Abstract
In international studies, researchers have concluded that advanced practice nursing in the acute care context has a positive impact on the quality of patient treatment and safety, patient satisfaction, patient flow, and wait times and that advanced practice nurses demonstrate the high-quality deliverance of care and treatment. The implementation of advanced practice nursing models in acute care, where the role is not well known, is a challenging process. The importance of adult-gerontology acute care advanced practice nurses is increasing, and the overall objective of this role is the diagnosis and management of disease and the promotion of the health for patients with acute, critical, and complex chronic health conditions, across the continuum of healthcare services.
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References
American Association of Colleges of Nursing (2012) Adult-gerontology acute care nurse practitioner competencies. Washington, DC. https://w.ww.aacnnursing.org/Portals/42/AcademicNursing/pdf/Adult-Gero-ACNP-Competencies-2012.pdf. Accessed 14 Aug 2020
Begley C, Elliott N, Lalor J, Coyne I, Higgins A, Comiskey CM (2013) Differences between clinical specialist and advanced practitioner clinical practice, leadership, and research roles, responsibilities, and perceived outcomes (the SCAPE study). J Adv Nurs 69(6):1323–1337. https://doi.org/10.1111/j.1365-2648.2012.06124.x
Boman E, Egilsdottir Ö, Levy-Malmberg R, Fagerström L (2019) Nurses’ understanding of a developing nurse practitioner role in the Norwegian emergency care context: a qualitative study. Nord J Nurs Res 39(1):47–54
Boman E, Levy-Malmberg R, Fagerström L (2020a) Differences and similarities in scope of practice between registered nurses and nurse specialists in emergency care—an interview study. Scand J Caring Sci 34(2):492–500. https://doi.org/10.1111/scs.12753
Boman E, Duvaland E, Gaarde K, Leary A, Fagerström L (2020b) Implementation of advanced practice nursing for orthopedic patients in the emergency care context—a study protocol for outcome studies. J Adv Nurs 76(4):1069–1076. https://doi.org/10.1111/jan.14299
Boman E, Gaarde K, Levy-Malmberg R, Wong Yuet FK (2021a) Using the PEPPA framework to develop the nurse practitioner role in emergency care: critical reflections. Nord J Nurs Res. https://doi.org/10.1177/2057158520988478.
Boman E, Duvaland E, Gaarde K, Leary A, Fagerström L (2021b) Implementation of advanced practice nursing for minor orthoped injuires in the emergency care context—a non-inferiority study. Int J Nurs Stud. Accessed 2 Mar 2021
Byrne G, Richardson M, Brunsdon J, Patel A (2000) Patient satisfaction with emergency nurse practitioners in A and E. J Clin Nurs 9(1):83–93. https://doi.org/10.1046/j.1365-2702.2000.00351.x
Chavez KS, Dwyer AA, Ramelet AS (2018) International practice settings, interventions and outcomes of nurse practitioners in geriatric care: a scoping review. Int J Nurs Stud 78:61–75. https://doi.org/10.1016/j.ijnurstu.2017.09.010
Cooper MA, Lindsay GM, Kinn S, Swann IJ (2002) Evaluating emergency nurse practitioner services. A randomized controlled trial. J Adv Nurs 40(6):721–730. https://doi.org/10.1046/j.1365-2648.2002.02431.x
Eikeland OJ, Fotland SSL, Raknes G, Vakttårnprosjektet HS (2019) Epidemiologiske data frå legevakt. Samlerapport 2018. Rapport nr. 3–2019. Nasjonalt kompetansesenter for legevaktmedisin, NORCE, Norwegian Research Centre, Bergen. https://norceresearch.brage.unit.no/norceresearch-xmlui/handle/11250/2625989. Accessed 9 Mar 2020
Elder E, Johnston AN, Crilly J (2015) Review article: systematic review of three key strategies designed to improve patient flow through the emergency department. Emerg Med Australas 27(5):394–404. https://doi.org/10.1111/1742-6723.12446
Fagerström L (ed) (2019) Avansert klinisk sykepleie, Gyldendal akademisk, Oslo
Finnbakk E, Skovdahl K, Blix ES, Fagerström L (2012) Top-level managers’ and politicians’ worries about future care for older people with complex and acute illnesses—a Nordic study. Int J Older People Nurs 7(2):163–172
Furlong E, Smith R (2005) Advanced nursing practice. Policy, education and role development. J Clin Nurs 14(9):1059–1066. https://doi.org/10.1111/j.1365-2702.2005.01220.x
Gaarde K, Svahn H, Nylund S (2019) Ny sykepleiekompetanse i norske akuttmattak. In: Fagerström L (ed) Avansert klinisk sykepleie, Gyldendal akademisk, Oslo, pp 148–160
Gerontological Advanced Practice Nurses Association (2012) https://www.gapna.org. Accessed 2 Sept 2020
Greenwood-Ericksen MB, Kocher K (2019) Trends in emergency department use by rural and urban populations in the United States. JAMA Netw Open 2(4):e191919. https://doi.org/10.1001/jamanetworkopen.2019.1919
Griffin M, Melby V (2006) Developing an advanced nurse practitioner service in emergency care. Attitudes of nurses and doctors. J Adv Nurs 56(3):292–301. https://doi.org/10.1111/j.1365-2648.2006.04025.x
Hamric AB, Hanson CM, Tracy MF, O’Grady ET (2014) Advanced practice nursing. An integrative approach, 5th edn. Elsevier, St. Louis, MO
Holm Hansen E, Zakariassen E, Hunskaar S (2009) Sentinel monitoring of activity of out-of-hours services in Norway in 2007: an observational study. BMC Health Serv Res 9:123. https://doi.org/10.1186/1472-6963-9-123
Holm Hansen E, Boman E, Bing-Jonsson P, Fagerström L (2020) Introducing Nurse Practitioners into Norwegian Primary Health Care – experiences and learning. Res Theory Nurs Pract: An International Journal, 34(1):21–34. https://doi.org/10.1891/1541-6577.34.1.21
Holm Hansen E, Boman E, Fagerstrom L (2021a) Perception of the implementation of the nurse practitioner role in a Norwegian out-of-hours primary clinic: an email survey among healthcare professionals and patients. Nord J Nurs Res 41(1):54–60. https://doi.org/10.1177/2057158520964633
Holm Hansen E, Boman E, Fagerström L (2021b) Nurse practitioner role in Norwegian out-of-hours emergency primary clinic—a qualitative study. Manuscript in progress
Hravnak M, Guttendorf J, Kleinpell RM, Widmar B, Magdic KS (2019) The adult-gerontology acute care nurse practitioner. In: Tracy MF, O’Grady ET (eds) Advanced practice nursing an integrative approach. Elsevier, St. Louis, MO, pp 406–435
Jennings N, O’Reilly G, Lee G, Cameron P, Free B, Bailey M (2008) Evaluating outcomes of the emergency nurse practitioner role in a major Urban Emergency Department, Melbourne, Australia. J Clin Nurs 17(8):1044–1050. https://doi.org/10.1111/j.1365-2702.2007.02038.x
Jennings N, Clifford S, Fox AR, O’Connell J, Gardner G (2015) 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 52(1):421–435. https://doi.org/10.1016/j.ijnurstu.2014.07.006
Juliebø V, Bjøro K, Krogseth M, Skovlund E, Ranhoff AH, Wyller TB (2009) Risk factors for preoperative and postoperative delirium in elderly patients with hip fracture. J Am Geriatr Soc 57(8):1354–1361. https://doi.org/10.1111/j.1532-5415.2009.02377.x
Kleinpell RM (2005) Acute care nurse practitioner practice. Results of a 5-year longitudinal study. Am J Crit Care 14(3):211
Krogseth M, Wyller TB, Engedal K, Juliebø V (2011) Delirium is an important predictor of incident dementia among elderly hip fracture patients. Dement Geriatr Cogn Disord 31(1):63–70. https://doi.org/10.1159/000-322-591
Krogseth M, Wyller TB, Engedal K, Juliebø V (2013) Delirium is a risk factor for institutionalization and functional decline in older hip fracture patients. J Psychosom Res 76(1):68–74. https://doi.org/10.1016/j.jpsychores.2013.10.006
Li J, Westbrook J, Callen J, Georgiou A, Braithwaite J (2013) The impact of nurse practitioners on care delivery in the emergency department: a multiple perspectives qualitative study. BMC Health Serv Res 13:356. https://doi.org/10.1186/1472-6963-13-356
Lindblad E, Hallman EB, Gillsjö C, Lindblad U, Fagerström L (2010) Experiences of the new role of advanced practice nurses in Swedish primary health care. A qualitative study. Int J Nurs Pract 16(1):69–74. https://doi.org/10.1111/j.1440-172X.2009.01810.x
Lome B, Stalnaker A, Carlson K, Kline M, Sise M (2010) Nurse practitioners—the core of our trauma service. J Trauma Nurs 17(2):80–81. https://doi.org/10.1097/JTN.0b013e3181e735c6
McClellan CM, Cramp F, Powell J, Benger JR (2013) A randomised trial comparing the cost effectiveness of different emergency department healthcare professionals in soft tissue injury management. BMJ Open 3(1). https://doi.org/10.1136/bmjopen-2012-001-116
McDevitt J, Melby V (2015) An evaluation of the quality of emergency nurse practitioner services for patients presenting with minor injuries to one rural urgent care Centre in the UK. A descriptive study. J Clin Nurs 24(3–4):523–535. https://doi.org/10.1111/jocn.12639
McDonnell A, Goodwin E, Kennedy F, Hawley K, Gerrish K, Smith C (2015) An evaluation of the implementation of advanced nurse practitioner (ANP) roles in an acute hospital setting. J Adv Nurs 71(4):789. https://doi.org/10.1111/jan.12558
Morley C, Unwin M, Peterson GM, Stankovich J, Kinsman L (2018) Emergency department crowding: A systematic review of causes, consequences and solutions. PLoS One 13(8):e0203316. https://doi.org/10.1371/journal.pone.0203316
Newhouse RP, Stanik-Hutt J, White KM, Johantgen M, Bass EB, Zangaro M, Wilson RF, Fountain L, Steinwachs DM, Heindel L, Weiner JP (2011) Advanced practice nurse outcomes 1990–2008. A systematic review. Nurs Econ 29(5):230
Pirret AM, Neville SJ, La Grow SJ (2015) Nurse practitioners versus doctors diagnostic reasoning in a complex case presentation to an acute tertiary hospital: a comparative study. Int J Nurs Stud 52(3):716–726. https://doi.org/10.1016/j.ijnurstu.2014.08.009
Sakr M, Kendall R, Angus J, Saunders A, Nicholl J, Wardrope J (2003) Emergency nurse practitioners. A three part study in clinical and cost effectiveness. Emerg Med J 20(2):158. https://doi.org/10.1136/emj.20.2.158
Schretzman D, Strumpf NE (2002) Principles guiding care of older adults. In: Cotter VT, Strumpf NE (eds) Advanced practice nursing with older adults clinical guidelines. McGraw-Hill, New York, pp 5–25
Seale C, Andersson E, Kinnersley P (2005) Comparison of GP and nurse practitioner consultations. An observational study. Br J Gen Pract 55:938–943
The American Association of Colleges of Nursing (2016) Adult-Gerontology Acute Care And Primary Care NP Competencies. Adult-Gero-NP-Comp-2016.pdf (aacnnursing.org)
The APRN Consensus Work Group and the National Council of State Boards of Nursing APRN Advisory Committee (2008) Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education. www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf. Accessed 2 Sept 2020
Thompson S, Moorley C, Barratt J (2017) A comparative study on the clinical decision-making processes of nurse practitioners vs. medical doctors using scenarios in a secondary care environment. J Adv Nurs 73(5):1097–1110. https://doi.org/10.1111/jan.13206
Tye CC, Ross FM (2000) Blurring boundaries. Professional perspectives of the emergency nurse practitioner role in a major accident and emergency department. J Adv Nurs 31(5):1089–1096. https://doi.org/10.1046/j.1365-2648.2000.01380.x
Velt KB, Cnossen M, Rood PPM, Steyerberg EW, Polinder S, Lingsma HF (2018) Emergency department overcrowding: a survey among European neurotrauma centres. Emerg Med J 5(7):447–448. https://doi.org/10.1136/emermed-2017-206796
Welle-Nilsen LK, Morken T, Hunskaar S, Granas AG (2011) Minor ailments in out-of-hours primary care: an observational study. Scand J Prim Health Care 29:39–44. https://doi.org/10.3109/02813432.1186/1472-6963-9-123
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Fagerström, L.M. (2021). Advanced Practice Nursing in Acute Care. In: A Caring Advanced Practice Nursing Model . Advanced Practice in Nursing. Springer, Cham. https://doi.org/10.1007/978-3-030-53555-1_8
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