[Advanced Practice Nursing in emergency care, a proposal for the change: Systematic review]. 2018

Teresa Galiana-Camacho, and Juan Gómez-Salgado, and Juan Jesús García-Iglesias, and Daniel Fernández-García
Departamento de Enfermería y Fisioterapia. Facultad de Ciencias de la Salud. Universidad de León. León. España.

BACKGROUND Advanced Practice Nursing is an unknown role in our country. The aim of the study is to show the results of this model in emergency services for its future implementation in the Spanish health system. METHODS Revisión sistemática de las bases de datos de The Cochrane Controlled, Web Of Science, Cinahl, Cuiden, LILACS, Guía Salud y Cochrane Database of Systematic Reviews. Se utilizaron escalas validadas para la selección de 14 artículos finales, siguiendo el formato PRISMA. RESULTS Favourable results were observed, with maximum waiting times of 53 minutes and average time of stay of 45 minutes. There were less than 8% of cases of unexpected readmissions. Favourable results were also found regarding safety and patient satisfaction. CONCLUSIONS The implementation of this figure could be beneficial for the improvement of the public health system, increasing the quality of care in terms of efficiency.

UI MeSH Term Description Entries
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D004632 Emergency Medical Services Services specifically designed, staffed, and equipped for the emergency care of patients. Emergency Care,Emergency Health Services,Emergicenters,Prehospital Emergency Care,Emergency Care, Prehospital,Emergency Services, Medical,Medical Services, Emergency,Services, Emergency Medical,Emergency Health Service,Emergency Medical Service,Emergency Service, Medical,Emergicenter,Health Service, Emergency,Health Services, Emergency,Medical Emergency Service,Medical Emergency Services,Medical Service, Emergency,Service, Emergency Health,Service, Emergency Medical,Service, Medical Emergency,Services, Emergency Health,Services, Medical Emergency
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013030 Spain Country located between France on the northeast and Portugal on the west and bordered by the Atlantic Ocean and the Mediterranean Sea. The capital is Madrid. Balearic Islands,Canary Islands
D017009 Professional Autonomy The quality or state of being independent and self-directing, especially in making decisions, enabling professionals to exercise judgment as they see fit during the performance of their jobs. Self Regulation, Professional,Autonomy, Professional,Professional Self Regulation,Regulation, Professional Self
D017598 Efficiency, Organizational The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, material, etc. Efficiency, Administrative,Productivity, Organizational,Program Efficiency,Administrative Efficiency,Organizational Productivity,Efficiency, Program,Organizational Efficiency,Program Efficiencies
D057179 Advanced Practice Nursing Evidence-based nursing, midwifery and healthcare grounded in research and scholarship. Practitioners include nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives. Nursing, Advanced Practice,Practice Nursing, Advanced
D058996 Quality Improvement The attainment or process of attaining a new level of performance or quality. Improvement, Quality,Improvements, Quality,Quality Improvements
D024802 Nurse's Role The expected function of a member of the nursing profession. Nurse's Scope of Practice,Nurses Role,Nurses' Role,Nurse Role,Nurse Scope, Practice,Nurse's Roles,Nurses Roles,Nurses Scope, Practice,Nurses' Roles,Practice Nurse's Scope,Practice Nurse's Scopes,Role, Nurse's,Role, Nurses,Role, Nurses',Roles, Nurse's,Roles, Nurses,Roles, Nurses'

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