Evaluating patient presentations for care delivered by emergency nurse practitioners in an urban Emergency Department: A retrospective 5-year data analysis
Tracks
Concurrent Stream 2
| Thursday, October 17, 2024 |
| 11:50 AM - 12:10 PM |
| Tuscan Room |
Overview
Sok Mun Yuen
Speaker
Sok Mun Yuen
Alfred Health
Evaluating patient presentations for care delivered by emergency nurse practitioners in an urban Emergency Department: A retrospective 5-year data analysis
11:50 AM - 12:10 PMAbstract
Background: Rising demand for healthcare services, an aging population, and increasing healthcare costs have significantly strained Australian Emergency Departments (ED). In response, solutions to enhance the efficiency and accessibility of ED healthcare services have been explored. The emergency nurse practitioner (ENP) role, introduced as an innovative service in a busy metropolitan ED July 2004, had a primary aim of enhancing healthcare services while improving timely delivery of high-quality care. However, the ED landscape has changed, and the ENP model has evolved. In this presentation, we demonstrate that the ENP model meets service indicators, and actively contributes to efficient service provision.
Aim: The primary aim of this study was to retrospectively examine patients clinically managed by the ENPs. Specifically, the objectives of the study were to: (1) examine the demographics of the patient population and (2) evaluate data on emergency department service indicators for this patient cohort.
Method: A descriptive exploratory design was used for this study. All patients managed by ENPs from June 30, 2018, to June 30, 2023, were included in the review. Data collection included baseline demographics, time to be seen, length of stay, NEAT target performances, and ED discharge diagnoses. Data was extracted and imported directly from the ED patient information system (Cerner log), for the specified time frame.
Results: Data findings supported the fact that ENPs positively impacted the ED service provision. Not only meeting important organizational service indicators and improving patient outcomes, the ENPs offered a service model that emphasized health promotion, interdisciplinary education provision, and holistic patient care.
Conclusion: The ED landscape has changed, as has the ENP role since initial implementation. This study demonstrates the ENP model significantly contributes to healthcare service provision in a busy ED and is attributed to enhancing understanding of how the role can sustainably influence ED service provision.
Aim: The primary aim of this study was to retrospectively examine patients clinically managed by the ENPs. Specifically, the objectives of the study were to: (1) examine the demographics of the patient population and (2) evaluate data on emergency department service indicators for this patient cohort.
Method: A descriptive exploratory design was used for this study. All patients managed by ENPs from June 30, 2018, to June 30, 2023, were included in the review. Data collection included baseline demographics, time to be seen, length of stay, NEAT target performances, and ED discharge diagnoses. Data was extracted and imported directly from the ED patient information system (Cerner log), for the specified time frame.
Results: Data findings supported the fact that ENPs positively impacted the ED service provision. Not only meeting important organizational service indicators and improving patient outcomes, the ENPs offered a service model that emphasized health promotion, interdisciplinary education provision, and holistic patient care.
Conclusion: The ED landscape has changed, as has the ENP role since initial implementation. This study demonstrates the ENP model significantly contributes to healthcare service provision in a busy ED and is attributed to enhancing understanding of how the role can sustainably influence ED service provision.
Biography
Sok Mun Yuen, is Nurse Practitioner at NPLS, Alfred and Eastern Health. Mun has more than 25 years' experience in Emergency Nursing. Mun began her nursing career in Malaysia, moved to the UK and went on to train as a nurse practitioner. Since 2009, Mun has been practicing in Melbourne. Mun is passionate about health accessibility, delivering care that transcends language or cultural barriers and, most recently, clinical ethics. Aside from being a basketball mum, Mun indulges in Tai Chi, Aikido and trains for the annual Barbarian Challenge.
