Australasian Emergency Nursing Journal
Volume 11, Issue 1 , Pages 39-48 , February 2008

Extending the nursing role in Emergency Departments: Challenges for Australia

  • Paul V. Hudson, RN, Grad Cert Critical Care

      Affiliations

    • Clinical Nurse Specialist, Emergency Department, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050, Australia
  • ,
  • Andrea P. Marshall, RN, MN(Res)

      Affiliations

    • Sesqui Senior Lecturer Critical Care Nursing, Faculty of Nursing and Midwifery (MO2), The University of Sydney, Sydney, NSW 2006, Australia
    • Honorary Associate, Faculty of Nursing, Midwifery and Health, The University of Technology, Sydney, PO Box 222, Lindfield, NSW 2070, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 2 9351 0638; fax: +61 2 9351 0615.

Received 17 April 2007 ,Revised 8 October 2007 ,Accepted 14 November 2007.

References 

  1. Fry M, Burr G. Current triage practice and influences affecting clinical decision-making in emergency departments in NSW, Australia. Accid Emerg Nurs. 2001;9:227–234
  2. Fry M, Borg A, Jackson S, McAlpine A. The advanced clinical nurse a new model of practice: meeting the challenge of peak activity periods. AENJ. 1999;2(3):26–28
  3. Beetson R. Legalities associated with advanced emergency nursing practice. AENJ. 2004;6(2):28
  4. Griffin M, Melby V. Developing an advanced nurse practitioner service in emergency care: attitudes of nurses and doctors. J Adv Nurs. 2006;56(3):292–301
  5. Harris D, Chaboyer W. The expanded role of the critical care nurse: a review of the current position. Aust Crit Care. 2002;15(4):133–137
  6. Christofis L. Nurse practitioner: an exploration of the issues surrounding their role in Australian Emergency Departments. AENJ. 2001;4(2):15–20
  7. Gardner G, Chang A, Duffield C. Making nursing work: breaking through the role confusion of advanced practice nursing. J Adv Nurs. 2007;57(4):382–391
  8. Oberle K, Allen M. The nature of advanced practice nursing. Nurse Outlook. 2001;49:148–153
  9. Edwards B, Holloway I, Galvin K, Andrews C, Potter P, Nurse . Practitioner are we being true to the spirit of nursing?. Emerg Nurse. 1999;7(3):26–31
  10. Cashin A, O’Connell J, Christofis L, Lentakis A, Rossi M, Crellin . Clinical initiative nurses and nurse practitioners in the emergency department: what's in a name?. AENJ. 2007;10:73–79
  11. ANMC National Competency Standards for Nurse Practitioner [homepage on the Internet]. Dickson, ACT. Australian Nurses and Midwifery Council, Inc.; c2006. p. 1–5. [cited 2006 October 10]. Available from: http://www.anmc.org.au/docs/Competency_Standards_for_the_Nurse_Practitioner.pdf 508.4 k.
  12. New South Wales Health Department. Extend the Practice of Health Professionals (Guidelines for Hospitals Seeking to); 2005. p. 1–3. Available at http://www.health.nsw.gov.au/policies/ [accessed on 20th September 2007].
  13. Nurses and Midwives Board of New South Wales. Standards for recognition of educational institutions wishing to provide master degree course for approval for the educational preparation of nurse practitioner; 2006. Available at: http://www.nmb.nsw.gov.au/Education-for-Nurse-Practitioners/default.aspx [accessed on 20th September 2007].
  14. New South Wales Health Department. Clinical Nurse Consultant – Higher Grades – Public Hospital Nurses’ (State) Award; 2005. Available at http://www.health.nsw.gov.au/policies [accessed on 20th September 2007].
  15. Royal College of Nursing. Agenda for Change: Pay and conditions Band 8; 2004. Available at: http://www.rcn.org.uk/agendaforchange/payconditions/jobprofile/downloads/Band8/nurseconsultant.pdf [accessed on 20th September 2007].
  16. Royal College of Nursing. RCN Domains and competencies for UK Advanced Nurse Practitioner Practice; 2007. Available at: http://www.nursepractitioner.org.uk/ [accessed on 20th September 2007].
  17. Tye CC, Ross FM. Blurring boundaries: professional perspectives of the emergency nurse practitioner role in a major accident and emergency department. J Adv Nurs. 2000;31(5):1089–1096
  18. Tye CC. The emergency nurse practitioner role in major accident and emergency departments: professional issues and the research agenda. J Adv Nurs. 1997;26(2):364–370
  19. Royal College of Nursing. Agenda for Change: Pay and conditions Band 7; 2004. Available at: http://www.rcn.org.uk/agendaforchange/payconditions/jobprofile/downloads/Band7/nurseadvanced.pdf [accessed on 20th September 2007].
  20. Cukr PL. Viva La Difference! The Nation Needs the CNS and NP as Separate Roles. Online Journal of Issues in Nursing; 1996. Available http://www.nursingworld.org/ojin/ [accessed on 20th September 2007].
  21. Lynch AM. At the Crossroads: We must Blend the CNS+NP roles. Online Journal of Issues in Nursing; 1996. Available http://www.nursingworld.org/ojin/ [accessed on 20th September 2007].
  22. Cole FL. Emergency care: advanced practice nursing in the US: an overview. Emerg Nurse. 2003;11(5):22–25
  23. National Associtation of Clinical Nurse Specialist. White paper of certification of Clinical Nurse Specialist; 2005. Available at: http://www.nacns.org/NACNS_certification_wp_9_05.pdf [accessed on 20th September 2007].
  24. Fisher J, Stegall MJ, Cox CL. Developing the A&E Nurse Practitioner Role. Emergency Nursing. 2006;13(10):26–31
  25. Lancaster-Bowie L. Fast-tracking of non-urgent emergency department presentations utilising a CNS advanced practitioner position. AENJ. 1998;1(4):4–11
  26. New South Wales Health Department (indexed: 06/11/2006), How Triage Works – triage performance benchmarks, Available at: http://www.health.nsw.gov.au/hospitalinfo/triageperf.html.
  27. Considine J, Martin R, Smit D, Winter C, Jenkins J. Emergency nurse practitioner care and emergency department patient flow: case–control study. Emerg Med Australasia. 2006;18(4):385–390
  28. Cole FL, Kuensting LL, MacLean S, Abel C, Mickanin J, Brueske P, et al. Advanced practice nurses in emergency care settings: a demographic profile. J Emerg Nurs. 2002;28(5):414–419
  29. Brown MA. Primary care nurse practitioners: do not blend the colors in the rainbow of advanced practice nursing. Online Journal of Issues in Nursing; 1996. Available http://www.nursingworld.org/ojin/ [accessed on 20th September 2007].
  30. Davidson J, Rogers T. A lesson from the UK?. AENJ. 2005;8(1–2):5–8
  31. Dolan B. Raising some hackles. Emerg Nurse. 2003;10(9):1
  32. Dawood M. Thriving or surviving? Challenging the boundaries of ENP practice. Emerg Nurse. 2000;8(1):8–10
  33. New South Wales Health Department. Emergency Nurses Advisory Group Minutes of Meeting; 24 June 2002.
  34. Hudson, Gaye. 10th October 2006, personal communication.
  35. Murphy Margaret. 16th October 2006, personal communication.
  36. Bell, Nerida. 16th October 2006, personnal communication.
  37. Fry M, Jones K. The clinical initiative nurse: extending the role of the emergency nurse, who benefits?. AENJ. 2005;9:9–12
  38. New South Wales Health Department. Clinical Nurse Specialist Classification-Public Hospital Nurses’ (State) Award; 2005. Available at http://www.health.nsw.gov.au/polices/.
  39. Maurice H, Byrnes M. Is there a role for Nurse Practitioners in Australian Metropolitan Emergency Departments?. AENJ. 2001;4(2):9–11
  40. Martin R, Considine J. Knowledge and attitudes of ED staff before and after implementation of the emergency Nurse Practitioner role. AENJ. 2005;8:73–78

PII: S1574-6267(07)00263-7

doi: 10.1016/j.aenj.2007.11.003

Australasian Emergency Nursing Journal
Volume 11, Issue 1 , Pages 39-48 , February 2008