An evidence based proposal for developing an advanced nurse practitioner led ambulatory emergency care service

Gray, Elaine (2017) An evidence based proposal for developing an advanced nurse practitioner led ambulatory emergency care service. Masters thesis, University of Cumbria. Item availability may be restricted.

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Abstract

The purpose of this dissertation is to support an evidence-based change in practice in the way that the Ambulatory Emergency Care (AEC) Services, based within a South West Scotland District General Hospital are developed to promote an Advanced Nurse Practitioner (ANP) led service. The introduction of a new ANP led service should provide a more efficient service and reduce admission rates than the traditional service (Simcox, 2013). It will also ensure that the local NHS service meets the local and national targets to provide integrated safe and competent care for patients attending the AEC. Rising medical admission rates (Royal College of Physicians, 2012), the pressures of bed capacity, patient flow and the effect this can have on patient care and experience, the ageing population, particularly in the local region (Local Board XXX, 2015/16), increased patient complexities and co-morbidities brings challenges and opportunities to the way in which we deliver healthcare to the acute medical admission patient (Edwards et al, 2013). A report by the Kings Fund (2016) found that in the first quarter of the 2016/17 period medical admission rates had increased compared to the previous quarter and that increased demand for services was placing the health service under huge strain as more than 90% of beds were occupied, well above the level that is considered to be safe. The National Audit Office (2013) suggest that the factors that contribute to the rise in admission rates are that Emergency Departments (ED) and admission to hospital are seen as the default route for emergency and urgent care and that the NHS is slow to develop alternative routes than admission, this alongside the four hour target in ED and the inability to provide a period of observation for patients that could be discharged same day has resulted in an increase in short-stay emergency admissions.

Item Type: Thesis (Masters)
Departments: Faculty of Health and Science > Nursing, Health and Professional Practice
Additional Information: Dissertation submitted in part fulfilment for the MSc Management and Leadership in Health and Social Care. Author: aka Elaine Parker.
Depositing User: Anna Lupton
Date Deposited: 11 Oct 2017 12:09
Last Modified: 11 Oct 2017 15:34
URI: http://insight.cumbria.ac.uk/id/eprint/3281

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