Ángela Jiménez-García MSC, RN, Genoveva Pérez-Romero MSC, RN, Cesar Hueso-Montoro PhD, MSC, RN, María Paz Garcia-Caro PhD, MSC, Rafael Montoya-Juárez PhD, MSC
{"title":"高级执业护士对基层急诊分诊的影响","authors":"Ángela Jiménez-García MSC, RN, Genoveva Pérez-Romero MSC, RN, Cesar Hueso-Montoro PhD, MSC, RN, María Paz Garcia-Caro PhD, MSC, Rafael Montoya-Juárez PhD, MSC","doi":"10.1016/j.jen.2024.11.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to compare the time spent on episodes seen by primary care emergency departments before (2017) and after (2019) the inclusion of an advanced practice nurse in patient classification.</div></div><div><h3>Methods</h3><div>Records from 3 primary care emergency departments in 2017 (n = 18,663) and 2019 (n = 22,632) were compared using Student <em>t</em> and chi-square tests. Waiting time for classification, classification time, and total time spent in the consultation area were compared for total episodes, levels of priority, reasons for consultation, and previous clinical processes.</div></div><div><h3>Results</h3><div>Mean waiting time decreased in 2019 for all episodes (<em>P</em> < .001), priorities IV (<em>P</em> < .001) and V (<em>P</em> < .001), respiratory (<em>P</em> < .001) and skin and subcutaneous tissue diseases (<em>P</em> = .015), and previous chronic processes (<em>P</em> = .042). Mean classification time increased in 2019 for all episodes (<em>P</em> < .001); priorities III (<em>P</em> < .001), IV (<em>P</em> < .001), and V (<em>P</em> = .045); several reasons for consultation, and previous processes. Mean total time spent in the consultation area decreased in 2019 for all (<em>P</em> = .002), priority V (<em>P</em> < .001), skin and subcutaneous tissue diseases (<em>P</em> = .010), and fever episodes (<em>P</em> = .021).</div></div><div><h3>Discussion</h3><div>The inclusion of nurses with advanced nursing practice roles reduces the waiting time and length of stay in the emergency department, but increases the classification time, which could be linked to early interventions.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 3","pages":"Pages 487-497"},"PeriodicalIF":2.3000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of the Advanced Practice Nurse in Triage of Primary Care Emergency Departments\",\"authors\":\"Ángela Jiménez-García MSC, RN, Genoveva Pérez-Romero MSC, RN, Cesar Hueso-Montoro PhD, MSC, RN, María Paz Garcia-Caro PhD, MSC, Rafael Montoya-Juárez PhD, MSC\",\"doi\":\"10.1016/j.jen.2024.11.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>This study aimed to compare the time spent on episodes seen by primary care emergency departments before (2017) and after (2019) the inclusion of an advanced practice nurse in patient classification.</div></div><div><h3>Methods</h3><div>Records from 3 primary care emergency departments in 2017 (n = 18,663) and 2019 (n = 22,632) were compared using Student <em>t</em> and chi-square tests. Waiting time for classification, classification time, and total time spent in the consultation area were compared for total episodes, levels of priority, reasons for consultation, and previous clinical processes.</div></div><div><h3>Results</h3><div>Mean waiting time decreased in 2019 for all episodes (<em>P</em> < .001), priorities IV (<em>P</em> < .001) and V (<em>P</em> < .001), respiratory (<em>P</em> < .001) and skin and subcutaneous tissue diseases (<em>P</em> = .015), and previous chronic processes (<em>P</em> = .042). Mean classification time increased in 2019 for all episodes (<em>P</em> < .001); priorities III (<em>P</em> < .001), IV (<em>P</em> < .001), and V (<em>P</em> = .045); several reasons for consultation, and previous processes. Mean total time spent in the consultation area decreased in 2019 for all (<em>P</em> = .002), priority V (<em>P</em> < .001), skin and subcutaneous tissue diseases (<em>P</em> = .010), and fever episodes (<em>P</em> = .021).</div></div><div><h3>Discussion</h3><div>The inclusion of nurses with advanced nursing practice roles reduces the waiting time and length of stay in the emergency department, but increases the classification time, which could be linked to early interventions.</div></div>\",\"PeriodicalId\":51082,\"journal\":{\"name\":\"Journal of Emergency Nursing\",\"volume\":\"51 3\",\"pages\":\"Pages 487-497\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Emergency Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0099176724003313\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"EMERGENCY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Emergency Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0099176724003313","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/21 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
Impact of the Advanced Practice Nurse in Triage of Primary Care Emergency Departments
Introduction
This study aimed to compare the time spent on episodes seen by primary care emergency departments before (2017) and after (2019) the inclusion of an advanced practice nurse in patient classification.
Methods
Records from 3 primary care emergency departments in 2017 (n = 18,663) and 2019 (n = 22,632) were compared using Student t and chi-square tests. Waiting time for classification, classification time, and total time spent in the consultation area were compared for total episodes, levels of priority, reasons for consultation, and previous clinical processes.
Results
Mean waiting time decreased in 2019 for all episodes (P < .001), priorities IV (P < .001) and V (P < .001), respiratory (P < .001) and skin and subcutaneous tissue diseases (P = .015), and previous chronic processes (P = .042). Mean classification time increased in 2019 for all episodes (P < .001); priorities III (P < .001), IV (P < .001), and V (P = .045); several reasons for consultation, and previous processes. Mean total time spent in the consultation area decreased in 2019 for all (P = .002), priority V (P < .001), skin and subcutaneous tissue diseases (P = .010), and fever episodes (P = .021).
Discussion
The inclusion of nurses with advanced nursing practice roles reduces the waiting time and length of stay in the emergency department, but increases the classification time, which could be linked to early interventions.
期刊介绍：
The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice.
The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics.
The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.
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