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Paediatric nurse practitioner managed cardiology clinics: patient satisfaction and appointment access.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Oct2012, Vol. 68 Issue 10, p2165-2174, 10p, 1 Diagram, 3 Charts
- Publication Year :
- 2012
-
Abstract
- evangelista j.-a.k., connor j.a., pintz c., saia t., o'connell c., fulton d.r. & hickey p. (2012) Paediatric nurse practitioner managed cardiology clinics: patient satisfaction and appointment access. Journal of Advanced Nursing 68(10), 2165-2174. Abstract Aim. This article summarizes a comparative study of patient/family satisfaction and appointment wait times in physician managed vs. paediatric nurse practitioner managed cardiology clinics. Background. Appointment wait times exceeded 40 days in the outpatient cardiology department at a children's hospital. To address the gap in available appointments, paediatric nurse practitioner managed cardiology clinics were implemented. Methods. A sample of 128 patients who presented concurrently in physician or paediatric nurse practitioner managed cardiology clinics from December 2009 through February 2010 was recruited for participation. The hospital's ambulatory patient satisfaction survey was utilized to measure level of patient satisfaction with care. Survey responses were evaluated using Fisher's exact test. Appointment wait times were compared pre and post implementation of paediatric nurse practitioner managed clinics. Results. Sixty-five physician families and 63 paediatric nurse practitioner families completed the satisfaction survey. There was no statistically significant difference in patient satisfaction between clinic types. Appointment wait time decreased from 46 to 43 days, which was not statistically significant. Paediatric nurse practitioner clinics included a statistically higher percentage total of urgent appointments compared to that in physician clinics. Conclusions. Paediatric nurse practitioner managed cardiology clinics are a strategic solution for improving patient access and facilitating high quality patient care while earning high levels of patient satisfaction. This healthcare delivery model illustrates the potential for expanded utilization of advanced practice nurses. [ABSTRACT FROM AUTHOR]
- Subjects :
- CARDIOVASCULAR system
CHILDREN'S hospitals
COMPARATIVE studies
CONFIDENCE intervals
FISHER exact test
HEALTH services accessibility
CARDIAC patients
OUTPATIENT services in hospitals
LONGITUDINAL method
MATHEMATICAL models
RESEARCH methodology
MEDICAL appointments
MEDICAL care
MEDICAL quality control
MEDICAL personnel
PATIENT-professional relations
NURSE administrators
NURSE practitioners
PARENTS
PATIENT satisfaction
PATIENT safety
PEDIATRIC nursing
PHYSICIANS
PROBABILITY theory
QUESTIONNAIRES
RESEARCH funding
STATISTICAL sampling
SCALE analysis (Psychology)
SCALES (Weighing instruments)
SURVEYS
THEORY
PRE-tests & post-tests
OUTPATIENT medical care management
PATIENTS' families
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 68
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 79721099
- Full Text :
- https://doi.org/10.1111/j.1365-2648.2011.05901.x