Þjálfun hjúkrunarfræðinga til sérhæfðra verka : mat hjúkrunarfræðinga á slysa- og bráðamóttöku á minniháttar ökkla- og fótaáverkum með aðstoð Ottawa-gátlistans
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Other TitlesTraining nurses to new responsibilities: Nurses’ assessment of patients sustaining minor ankle and foot injury using the Ottawa ankle rule
CitationTímarit hjúkrunarfræðinga 2009, 85(4):37-43
AbstractAn increasing number of people visit emergency departments (ED) every year and the number is expected to grow due to the lack of general practitioners. This trend has been met in many countries by training nurses for new responsibilities and thereby extending their expertise in areas previously covered by physicians. The purpose of this research was to study how the education, experience and training of nurses can be effectively utilized for the benefits of patients seeking help in the ED. A prospective comparative study was conducted during a four month period at the Akureyri Hospital’s emergency department. The independent evaluation of nurses and physicians of the need for a radiography for patients suspected of having a fractured ankle or foot was compared. Nurses based their evaluation on the Ottawa ankle rules to assess the need for a radiography while physicians used conventional clinical examination. The evaluations of both nurses and physicians were compared to the findings of a radiologist and put forward as sensitivity and specificity of the study with 95% confidence interval, Chisquare (χ²) were used to describe differences between the two groups. 48 of the 109 patients admitted to the ED with an injury to an ankle or foot met the criteria for the study. Ten medical residents and 13 nurses participated in the study. The sensitivity of the nurses’ examination based on the Ottawa ankle rules was 1.0 and specificity 0.40 compared to the medical residents’ sensitivity 0.90 and specificity 0.35. When examining the foot, the sensitivity for both groups was 1.0 and specificity 0.21. This difference was not significant between the two groups. The findings indicate that services can be changed at the ED at Akureyri Hospital. In the future, this new work process might improve the service provided to patients who have sustained injuries to their ankle or foot, make it more specific and cut the waiting time as well as achieving greater patients’ satisfaction.
DescriptionNeðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open