dc.contributor.author | Greaves, Tanya | |
dc.contributor.author | Mitchell, Marion | |
dc.contributor.author | Zhang, Ping | |
dc.contributor.author | Crilly, Julia | |
dc.date.accessioned | 2017-06-14T06:28:03Z | |
dc.date.available | 2017-06-14T06:28:03Z | |
dc.date.issued | 2017 | |
dc.identifier.issn | 1755-599X | |
dc.identifier.doi | 10.1016/j.ienj.2016.12.005 | |
dc.identifier.uri | http://hdl.handle.net/10072/339839 | |
dc.description.abstract | Objective: This study aimed to evaluate the impact of an Emergency Department Ambulance Offload
Nurse (EDAOLN) role on patient and health services outcomes in one Queensland Emergency
Department (ED).
Methods: A retrospective study of all ED presentations (n = 21,454) made to a tertiary hospital ED in
Queensland, Australia, during July 9, 2012 – November 2, 2012; 39 days before (T1), during (T2) and after
(T3) the introduction of the trial of an EDAOLN role. The primary outcome of interest was time to be seen
by a clinician.
Results: Demographic and clinical profiles of ED presentations made during each of the time periods were
relatively similar. Time to be seen improved marginally during the trial period of the EDAOLN (T1: 34 min
vs. T2: 31 min, p = 0.002). The proportion of hospital admissions and those who did not wait differed
between T1 and T2 (lower during T2 vs. T3). Most outcomes were not sustained when the role was
removed (i.e. T2 vs. T3), and most returned close to baseline (i.e. T1 vs. T3).
Conclusions: As part of a health services framework designed to improve timely access to emergency care,
an EDAOLN may be one of several options to consider. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofpagefrom | 39 | |
dc.relation.ispartofpageto | 44 | |
dc.relation.ispartofjournal | International Emergency Nursing | |
dc.relation.ispartofvolume | 32 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Nursing not elsewhere classified | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 420599 | |
dc.title | The impact of an Emergency Department ambulance offload nurse role: A retrospective comparative study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.faculty | Griffith Health, School of Nursing and Midwifery | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Mitchell, Marion L. | |
gro.griffith.author | Crilly, Julia | |
gro.griffith.author | Zhang, Ping | |