The accuracy of paediatric limb radiograph interpretation by nurse practitioners in a single centre
•There is limited research assessing the ability of NPs interpreting paediatric X-rays.•The study compared the accuracy between NPs and consultant radiologists.•A total of 242 (82%) of radiographs were correctly identified by NPs.•The sensitivity of the NP limb radiographic interpretation was 92%, w...
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| Veröffentlicht in: | International emergency nursing 2019-07, Vol.45, p.36-42 |
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| description | •There is limited research assessing the ability of NPs interpreting paediatric X-rays.•The study compared the accuracy between NPs and consultant radiologists.•A total of 242 (82%) of radiographs were correctly identified by NPs.•The sensitivity of the NP limb radiographic interpretation was 92%, with a specificity of 78%.
Nurse practitioners (NP) are an integral part of the urgent and emergency care workforce in the United Kingdom providing safe and effective care. Despite this, there is limited research assessing the ability of NPs to correctly interpret isolated paediatric limb injury radiographs in the urgent and emergency care environment.
The aim of this study was to compare the accuracy in interpreting isolated paediatric limb radiographs between NPs and consultant radiologists.
A nurse-led urgent care centre (UCC) in central London, United Kingdom.
296 paediatric patients with isolated limb injuries who had a radiograph requested and interpreted by an NP.
Thirteen NPs (adult registered) with various backgrounds and qualifications participated in this prospective, single-centre healthcare analysis. Review of all clinical presentations at the UCC over a 3-month period (September–November 2017) identified 296 paediatric patients (aged 2–15) who received a peripheral limb radiograph. Clinical records for each patient were analysed to document demographics, mechanism of injury, NP examination findings, radiographic interpretation and formal radiologist report. NP interpretation of each radiograph was classified as definite fracture, possible fracture or no fracture. This was compared to the final radiologist report (considered the gold standard) to calculate the sensitivity and specificity of NP radiograph interpretation.
NPs reported a total of 94 radiographs (32%) as definite fracture, 176 (59%) as no fracture and 26 (9%) as possible fracture, as compared to radiologists at 71 (24%), 218 (74%) and 7 (2%). A total of 242 (82%) of radiographs were correctly identified by NPs, while 54 (18%) were incorrectly interpreted. The sensitivity of the NP limb radiographic interpretation was 92%, with a specificity of 78%.
The findings validate the clinical and diagnostic skills of NPs in the interpretation of isolated paediatric limb radiographs. |
| doi_str_mv | 10.1016/j.ienj.2019.03.001 |
| format | Article |
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Nurse practitioners (NP) are an integral part of the urgent and emergency care workforce in the United Kingdom providing safe and effective care. Despite this, there is limited research assessing the ability of NPs to correctly interpret isolated paediatric limb injury radiographs in the urgent and emergency care environment.
The aim of this study was to compare the accuracy in interpreting isolated paediatric limb radiographs between NPs and consultant radiologists.
A nurse-led urgent care centre (UCC) in central London, United Kingdom.
296 paediatric patients with isolated limb injuries who had a radiograph requested and interpreted by an NP.
Thirteen NPs (adult registered) with various backgrounds and qualifications participated in this prospective, single-centre healthcare analysis. Review of all clinical presentations at the UCC over a 3-month period (September–November 2017) identified 296 paediatric patients (aged 2–15) who received a peripheral limb radiograph. Clinical records for each patient were analysed to document demographics, mechanism of injury, NP examination findings, radiographic interpretation and formal radiologist report. NP interpretation of each radiograph was classified as definite fracture, possible fracture or no fracture. This was compared to the final radiologist report (considered the gold standard) to calculate the sensitivity and specificity of NP radiograph interpretation.
NPs reported a total of 94 radiographs (32%) as definite fracture, 176 (59%) as no fracture and 26 (9%) as possible fracture, as compared to radiologists at 71 (24%), 218 (74%) and 7 (2%). A total of 242 (82%) of radiographs were correctly identified by NPs, while 54 (18%) were incorrectly interpreted. The sensitivity of the NP limb radiographic interpretation was 92%, with a specificity of 78%.
The findings validate the clinical and diagnostic skills of NPs in the interpretation of isolated paediatric limb radiographs.</description><identifier>ISSN: 1755-599X</identifier><identifier>EISSN: 1532-9267</identifier><identifier>EISSN: 1878-013X</identifier><identifier>DOI: 10.1016/j.ienj.2019.03.001</identifier><identifier>PMID: 30981624</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Accuracy ; Adolescent ; Advanced practice ; Ambulatory Care Facilities - organization & administration ; Ambulatory Care Facilities - statistics & numerical data ; Child ; Child, Preschool ; Clinical Competence - standards ; Clinical Competence - statistics & numerical data ; Clinical skills ; Emergency care ; Emergency medical care ; Emergency services ; Extremities - injuries ; Extremities - physiopathology ; Female ; Health care ; Humans ; Injuries ; Labor force ; London ; Male ; Nurse led care ; Nurse led services ; Nurse practitioner ; Nurse practitioners ; Paediatric ; Pediatric Nurse Practitioners - standards ; Pediatric Nurse Practitioners - statistics & numerical data ; Pediatrics ; Prospective Studies ; Radiography - methods ; Radiologists ; Urgent care centre ; X-ray</subject><ispartof>International emergency nursing, 2019-07, Vol.45, p.36-42</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jul 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-82eb93d69743a3b980bd25681a29e9d3f476bca24977c236f9b2f2e142af1f8e3</citedby><cites>FETCH-LOGICAL-c428t-82eb93d69743a3b980bd25681a29e9d3f476bca24977c236f9b2f2e142af1f8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ienj.2019.03.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30981624$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aitkenhead, Amy</creatorcontrib><creatorcontrib>Lee, Geraldine A.</creatorcontrib><title>The accuracy of paediatric limb radiograph interpretation by nurse practitioners in a single centre</title><title>International emergency nursing</title><addtitle>Int Emerg Nurs</addtitle><description>•There is limited research assessing the ability of NPs interpreting paediatric X-rays.•The study compared the accuracy between NPs and consultant radiologists.•A total of 242 (82%) of radiographs were correctly identified by NPs.•The sensitivity of the NP limb radiographic interpretation was 92%, with a specificity of 78%.
Nurse practitioners (NP) are an integral part of the urgent and emergency care workforce in the United Kingdom providing safe and effective care. Despite this, there is limited research assessing the ability of NPs to correctly interpret isolated paediatric limb injury radiographs in the urgent and emergency care environment.
The aim of this study was to compare the accuracy in interpreting isolated paediatric limb radiographs between NPs and consultant radiologists.
A nurse-led urgent care centre (UCC) in central London, United Kingdom.
296 paediatric patients with isolated limb injuries who had a radiograph requested and interpreted by an NP.
Thirteen NPs (adult registered) with various backgrounds and qualifications participated in this prospective, single-centre healthcare analysis. Review of all clinical presentations at the UCC over a 3-month period (September–November 2017) identified 296 paediatric patients (aged 2–15) who received a peripheral limb radiograph. Clinical records for each patient were analysed to document demographics, mechanism of injury, NP examination findings, radiographic interpretation and formal radiologist report. NP interpretation of each radiograph was classified as definite fracture, possible fracture or no fracture. This was compared to the final radiologist report (considered the gold standard) to calculate the sensitivity and specificity of NP radiograph interpretation.
NPs reported a total of 94 radiographs (32%) as definite fracture, 176 (59%) as no fracture and 26 (9%) as possible fracture, as compared to radiologists at 71 (24%), 218 (74%) and 7 (2%). A total of 242 (82%) of radiographs were correctly identified by NPs, while 54 (18%) were incorrectly interpreted. The sensitivity of the NP limb radiographic interpretation was 92%, with a specificity of 78%.
The findings validate the clinical and diagnostic skills of NPs in the interpretation of isolated paediatric limb radiographs.</description><subject>Accuracy</subject><subject>Adolescent</subject><subject>Advanced practice</subject><subject>Ambulatory Care Facilities - organization & administration</subject><subject>Ambulatory Care Facilities - statistics & numerical data</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Competence - standards</subject><subject>Clinical Competence - statistics & numerical data</subject><subject>Clinical skills</subject><subject>Emergency care</subject><subject>Emergency medical care</subject><subject>Emergency services</subject><subject>Extremities - injuries</subject><subject>Extremities - physiopathology</subject><subject>Female</subject><subject>Health care</subject><subject>Humans</subject><subject>Injuries</subject><subject>Labor force</subject><subject>London</subject><subject>Male</subject><subject>Nurse led care</subject><subject>Nurse led services</subject><subject>Nurse practitioner</subject><subject>Nurse practitioners</subject><subject>Paediatric</subject><subject>Pediatric Nurse Practitioners - standards</subject><subject>Pediatric Nurse Practitioners - statistics & numerical data</subject><subject>Pediatrics</subject><subject>Prospective Studies</subject><subject>Radiography - methods</subject><subject>Radiologists</subject><subject>Urgent care centre</subject><subject>X-ray</subject><issn>1755-599X</issn><issn>1532-9267</issn><issn>1878-013X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kE1r3DAQhkVJ6Sbb_oEeiqBnO9LIX4JewpI2gYVcttCbkOXxRmbXdkdyYf99tWySY04axPO-wzyMfZUil0JWt0PucRxyEFLnQuVCyA_sWpYKMg1VfZXmuiyzUus_K3YTwiBEJSuAT2ylhG7SWFwzt3tGbp1byLoTn3o-W-y8jeQdP_hjy8l2ftqTnZ-5HyPSTBht9NPI2xMfFwrI55SN_vyHFBLFLQ9-3B-QOxwj4Wf2sbeHgF9e3jX7_fN-t3nItk-_Hjd328wV0MSsAWy16ipdF8qqVjei7aCsGmlBo-5UX9RV6ywUuq4dqKrXLfSAsgDby75BtWbfL70zTX8XDNEM00JjWmkAaiW10FIlCi6UoykEwt7M5I-WTkYKc_ZqBnP2as5ejVAmeU2hby_VS3vE7i3yKjIBPy4ApgP_eSQTXGpxSSahi6ab_Hv9_wEL44o4</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Aitkenhead, Amy</creator><creator>Lee, Geraldine A.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope></search><sort><creationdate>201907</creationdate><title>The accuracy of paediatric limb radiograph interpretation by nurse practitioners in a single centre</title><author>Aitkenhead, Amy ; Lee, Geraldine A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-82eb93d69743a3b980bd25681a29e9d3f476bca24977c236f9b2f2e142af1f8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accuracy</topic><topic>Adolescent</topic><topic>Advanced practice</topic><topic>Ambulatory Care Facilities - organization & administration</topic><topic>Ambulatory Care Facilities - statistics & numerical data</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Competence - standards</topic><topic>Clinical Competence - statistics & numerical data</topic><topic>Clinical skills</topic><topic>Emergency care</topic><topic>Emergency medical care</topic><topic>Emergency services</topic><topic>Extremities - injuries</topic><topic>Extremities - physiopathology</topic><topic>Female</topic><topic>Health care</topic><topic>Humans</topic><topic>Injuries</topic><topic>Labor force</topic><topic>London</topic><topic>Male</topic><topic>Nurse led care</topic><topic>Nurse led services</topic><topic>Nurse practitioner</topic><topic>Nurse practitioners</topic><topic>Paediatric</topic><topic>Pediatric Nurse Practitioners - standards</topic><topic>Pediatric Nurse Practitioners - statistics & numerical data</topic><topic>Pediatrics</topic><topic>Prospective Studies</topic><topic>Radiography - methods</topic><topic>Radiologists</topic><topic>Urgent care centre</topic><topic>X-ray</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aitkenhead, Amy</creatorcontrib><creatorcontrib>Lee, Geraldine A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><jtitle>International emergency nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aitkenhead, Amy</au><au>Lee, Geraldine A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The accuracy of paediatric limb radiograph interpretation by nurse practitioners in a single centre</atitle><jtitle>International emergency nursing</jtitle><addtitle>Int Emerg Nurs</addtitle><date>2019-07</date><risdate>2019</risdate><volume>45</volume><spage>36</spage><epage>42</epage><pages>36-42</pages><issn>1755-599X</issn><eissn>1532-9267</eissn><eissn>1878-013X</eissn><abstract>•There is limited research assessing the ability of NPs interpreting paediatric X-rays.•The study compared the accuracy between NPs and consultant radiologists.•A total of 242 (82%) of radiographs were correctly identified by NPs.•The sensitivity of the NP limb radiographic interpretation was 92%, with a specificity of 78%.
Nurse practitioners (NP) are an integral part of the urgent and emergency care workforce in the United Kingdom providing safe and effective care. Despite this, there is limited research assessing the ability of NPs to correctly interpret isolated paediatric limb injury radiographs in the urgent and emergency care environment.
The aim of this study was to compare the accuracy in interpreting isolated paediatric limb radiographs between NPs and consultant radiologists.
A nurse-led urgent care centre (UCC) in central London, United Kingdom.
296 paediatric patients with isolated limb injuries who had a radiograph requested and interpreted by an NP.
Thirteen NPs (adult registered) with various backgrounds and qualifications participated in this prospective, single-centre healthcare analysis. Review of all clinical presentations at the UCC over a 3-month period (September–November 2017) identified 296 paediatric patients (aged 2–15) who received a peripheral limb radiograph. Clinical records for each patient were analysed to document demographics, mechanism of injury, NP examination findings, radiographic interpretation and formal radiologist report. NP interpretation of each radiograph was classified as definite fracture, possible fracture or no fracture. This was compared to the final radiologist report (considered the gold standard) to calculate the sensitivity and specificity of NP radiograph interpretation.
NPs reported a total of 94 radiographs (32%) as definite fracture, 176 (59%) as no fracture and 26 (9%) as possible fracture, as compared to radiologists at 71 (24%), 218 (74%) and 7 (2%). A total of 242 (82%) of radiographs were correctly identified by NPs, while 54 (18%) were incorrectly interpreted. The sensitivity of the NP limb radiographic interpretation was 92%, with a specificity of 78%.
The findings validate the clinical and diagnostic skills of NPs in the interpretation of isolated paediatric limb radiographs.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>30981624</pmid><doi>10.1016/j.ienj.2019.03.001</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | International emergency nursing, 2019-07, Vol.45, p.36-42 |
| issn | 1755-599X 1532-9267 1878-013X |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Accuracy Adolescent Advanced practice Ambulatory Care Facilities - organization & administration Ambulatory Care Facilities - statistics & numerical data Child Child, Preschool Clinical Competence - standards Clinical Competence - statistics & numerical data Clinical skills Emergency care Emergency medical care Emergency services Extremities - injuries Extremities - physiopathology Female Health care Humans Injuries Labor force London Male Nurse led care Nurse led services Nurse practitioner Nurse practitioners Paediatric Pediatric Nurse Practitioners - standards Pediatric Nurse Practitioners - statistics & numerical data Pediatrics Prospective Studies Radiography - methods Radiologists Urgent care centre X-ray |
| title | The accuracy of paediatric limb radiograph interpretation by nurse practitioners in a single centre |
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