Contenuto dell'articolo principale
Abstract
RIASSUNTO
All'interno di Strutture per la gestione delle Emergenze-Urgenze, diverse figure professionali sanitarie intervengono nella gestione e nel trattamento del paziente che presenta livelli di gravití clinica diversi. In questo studio si descrive ed analizza il ruolo di figure infermieristiche che hanno acquisito livelli di formazione diversi e che si integrano con lo staff medico nella gestione di pazienti con codici di bassa e media priorití al trattamento. La metodologia utilizzata è la case study research. Si propongono tre casi clinici gestiti all'interno del Servizio See and Treat e nella Major Area del Wishaw General Hospital, Glasgow, Scozia. Attraverso la descrizione e l'analisi dei casi clinici è possibile fornire elementi di approfondimento e di discussione di modelli di gestione clinica ed organizzativa innovativi, in cui infermieri specializzati si integrano all'interno dell'équipe, in modo non conflittuale assumendo responsabilití cliniche, oltre che assistenziali in totale o parziale autonomia dal medico. Parole chiave: Emergency Nurse Practitioner, Dipartimento di Emergenza-Urgenza, Servizio "Vedi e Tratta", Pratica infermieristica avanzata
ABSTRACT
Various professional health figures participate in the management and treatment of patients in Emergency-Casualty structures presenting diverse levels of clinical severity. This study describes and analyses the role of nursing figures who have acheived different levels of training who collaborate with medical staff in the management of low and medium priority patients, using the case study research method. Three cases treated in the See and Treat Service and in the Major Area of the Wishaw General Hospital, Glasgow, Scozia are described.
Key words: Emergency Nurse Practitioner, Emergency-Casualty Department, "See and Treat" Service, Advanced Nursing
Dettagli dell'articolo
Riferimenti
- Barton, T. D. (2006). Nurse practitioners – or advanced clinical nurses? British Journal of Nursing, 15 (7), 370-376.
- Castledine, G. (2004). New Nursing Roles: Deciding the future for Scotland. Generalist and Specialist Nurses - complementary or conflicting roles? Glasgow: The Scottish Government Press. Data accesso 24 marzo 2011, da http://www.scotland.gov.uk/Publications/2004/04/19201/35586
- Cooper, M.A., Hair, S., Ibbotson, T.R., Lindsay, G.M., & Kinn, S. (2001). The extent and nature of Emergency Nurse Practitioner services in Scotland. Accident and Emergency Nursing, 9 (2), 123-129.
- Corbett, G., & McGuigan T. (2008b). Patient Satisfaction. Emergency nurse, 16 (3), 26-35.
- Corbett, G., Dagg, K., & MacLean, V. (2008a). Evaluation of MINTS Minor Pilot. Glasgow: NHS Lanarkshire Press.
- Corbett. G., Dagg, K., & MacLean, V. (2009). Evaluation of MINTS Major Pilot. Glasgow: NHS Lanarkshire Press
- Department of Health (2004). Emergency Care Bulletin. London: Stationery Office.
- Edwards, M. (2009). Moving Practice Nursing Forward, in the Informed Practice Nurse. 2nd Edition. Chichester: John Wiley & Sons, Ltd
- Jennings, N., & Lee, G. (2009). A survey of patient satisfaction in a metropolitan Emergency Department: comparing nurse practitioners and emergency physicians. International Journal of Nursing Practice, 15 (3), 213-218.
- Megahy, A., & Lloyd, M. (2004). Managing minor injuries. Emergency Nurse, 12 (5), 4-6.
- Melby, V., Gillespie, M. & Martin, S. (2011). Emergency nurse practitioners: the views of patients and hospital staff at a major acute trust in the UK. Journal of Clinical Nursing, 20 (1-2), 236-246.
- Neades, B. (2002). Emergency nurse practitioners: what lies ahead? Emergency Nurse, 10 (7), 11.
- Parr, C. (2010). News focus – Defining advanced nursing practice. Independent Nurse, 14 (11), 3.
- Purcell, D. (2003). Minor injuries. A clinical guide. London: Elsevier, Churchill Livingstone.
- Reveley, S., Walsh, M., & Crumbie, A. (2001). Nurse Practitioner. Developing the role in hospitals settings. Oxford: Butterworth-Heinemann.
- Rogers, T., & Ross, N. (2004). Evaluation of a "see and treat" pilot study introduced to an emergency department. Accident and Emergency Nursing, 12 (1), 24-27.
- Royal College of Nursing (RCN) (2004). Patient Group Directions (PGDs). London: Royal College of Nursing. Data accesso 15 febbraio 2011, da http://www.rcn.org.uk/__data/assets/pdf_file/0008/78506/001370.pdf
Riferimenti
Barton, T. D. (2006). Nurse practitioners – or advanced clinical nurses? British Journal of Nursing, 15 (7), 370-376.
Castledine, G. (2004). New Nursing Roles: Deciding the future for Scotland. Generalist and Specialist Nurses - complementary or conflicting roles? Glasgow: The Scottish Government Press. Data accesso 24 marzo 2011, da http://www.scotland.gov.uk/Publications/2004/04/19201/35586
Cooper, M.A., Hair, S., Ibbotson, T.R., Lindsay, G.M., & Kinn, S. (2001). The extent and nature of Emergency Nurse Practitioner services in Scotland. Accident and Emergency Nursing, 9 (2), 123-129.
Corbett, G., & McGuigan T. (2008b). Patient Satisfaction. Emergency nurse, 16 (3), 26-35.
Corbett, G., Dagg, K., & MacLean, V. (2008a). Evaluation of MINTS Minor Pilot. Glasgow: NHS Lanarkshire Press.
Corbett. G., Dagg, K., & MacLean, V. (2009). Evaluation of MINTS Major Pilot. Glasgow: NHS Lanarkshire Press
Department of Health (2004). Emergency Care Bulletin. London: Stationery Office.
Edwards, M. (2009). Moving Practice Nursing Forward, in the Informed Practice Nurse. 2nd Edition. Chichester: John Wiley & Sons, Ltd
Jennings, N., & Lee, G. (2009). A survey of patient satisfaction in a metropolitan Emergency Department: comparing nurse practitioners and emergency physicians. International Journal of Nursing Practice, 15 (3), 213-218.
Megahy, A., & Lloyd, M. (2004). Managing minor injuries. Emergency Nurse, 12 (5), 4-6.
Melby, V., Gillespie, M. & Martin, S. (2011). Emergency nurse practitioners: the views of patients and hospital staff at a major acute trust in the UK. Journal of Clinical Nursing, 20 (1-2), 236-246.
Neades, B. (2002). Emergency nurse practitioners: what lies ahead? Emergency Nurse, 10 (7), 11.
Parr, C. (2010). News focus – Defining advanced nursing practice. Independent Nurse, 14 (11), 3.
Purcell, D. (2003). Minor injuries. A clinical guide. London: Elsevier, Churchill Livingstone.
Reveley, S., Walsh, M., & Crumbie, A. (2001). Nurse Practitioner. Developing the role in hospitals settings. Oxford: Butterworth-Heinemann.
Rogers, T., & Ross, N. (2004). Evaluation of a "see and treat" pilot study introduced to an emergency department. Accident and Emergency Nursing, 12 (1), 24-27.
Royal College of Nursing (RCN) (2004). Patient Group Directions (PGDs). London: Royal College of Nursing. Data accesso 15 febbraio 2011, da http://www.rcn.org.uk/__data/assets/pdf_file/0008/78506/001370.pdf