Specialized emergency nurses treating ankle and foot injuries: a randomized controlled trial
Abstract Objective To cope with emergency departments (EDs) being progressively overcrowded, the concept of specialized emergency nurses (SENs) was conceived. In this study, the ability of SENs to treat ankle/foot injuries was assessed. Methods Regular emergency nurses were trained in a 2-day sessio...
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| creator | Derksen, Robert Jan, MD Bakker, Fred C., MD, PhD de Lange-de Klerk, Elly S.M., MD, PhD Spaans, Irma M Heilbron, Emil A., MD, PhD Veenings, Bart, MD Haarman, Henk J.Th.M., MD, PhD |
| description | Abstract Objective To cope with emergency departments (EDs) being progressively overcrowded, the concept of specialized emergency nurses (SENs) was conceived. In this study, the ability of SENs to treat ankle/foot injuries was assessed. Methods Regular emergency nurses were trained in a 2-day session that addressed all aspects of ankle/foot injuries. A randomized controlled trial was set up in which the diagnostic accuracy of SENs was compared with that of house officers (HOs). Secondary outcome parameter was patient satisfaction measured by a standardized questionnaire. Results In total, 512 consecutive patients were included. The sensitivity of SENs was 0.94 (95% confidence interval [CI], 0.78-0.99) compared with 0.78 (95% CI, 0.57-0.91) of HOs. Specificity was 0.94 (95% CI, 0.90-0.97) for SENs compared with 0.95 (95% CI, 0.91-0.98) for HOs. The delivered care by SENs was found to be significantly better and the median waiting time at the ED was significantly reduced (21 minutes for SENs vs 32 minutes for HOs). Conclusions Specialized emergency nurses are capable of assessing and treating ankle/foot injuries accurately with excellent patient satisfaction and with a reduction of waiting times. Other injury-specific courses are now developed for this approach. |
| doi_str_mv | 10.1016/j.ajem.2006.06.011 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68976315</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0735675706003664</els_id><sourcerecordid>68976315</sourcerecordid><originalsourceid>FETCH-LOGICAL-c467t-b6dc60ea388636bf39337704a196ef99e7186b3c358a9abf7225f1606ad99db03</originalsourceid><addsrcrecordid>eNp9kt-L1DAQx4Mo3t7qP-CDFETfuk6aZtKKCHKcP-DAh9M3IaTp9EivbdakFda_3tRdWLgHYUhC-HwnM98MYy847DhwfNvvTE_jrgDA3RqcP2IbLkWRV1zxx2wDSsgclVQX7DLGHhJRyvIpu-CqUFhBsWE_b_dknRncH2ozGinc0WQP2bSESDGbA5nZTXeZme4HSmubdd7PmZv6JTiK7zKThXTrx39666c5-GFIxzmkpM_Yk84MkZ6f9i378en6-9WX_Obb569XH29yW6Ka8wZbi0BGVBUKbDpRC6EUlIbXSF1dk-IVNsIKWZnaNJ0qCtlxBDRtXbcNiC17c8y7D_7XQnHWo4uWhsFM5JeosaoViuTMlr16APZ-CVOqTXMQUIEEWSaqOFI2-BgDdXof3GjCIUF6dV73enVer87rNThPopen1EszUnuWnKxOwOsTYKI1Q5d8sy6euRqUxHJt5v2Ro-TYb0dBR-vSp1DrAtlZt979v44PD-R2cJNLL97TgeK5Xx0LDfp2nZF1RAABBGIp_gKEE7X6</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1030805054</pqid></control><display><type>article</type><title>Specialized emergency nurses treating ankle and foot injuries: a randomized controlled trial</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Derksen, Robert Jan, MD ; Bakker, Fred C., MD, PhD ; de Lange-de Klerk, Elly S.M., MD, PhD ; Spaans, Irma M ; Heilbron, Emil A., MD, PhD ; Veenings, Bart, MD ; Haarman, Henk J.Th.M., MD, PhD</creator><creatorcontrib>Derksen, Robert Jan, MD ; Bakker, Fred C., MD, PhD ; de Lange-de Klerk, Elly S.M., MD, PhD ; Spaans, Irma M ; Heilbron, Emil A., MD, PhD ; Veenings, Bart, MD ; Haarman, Henk J.Th.M., MD, PhD</creatorcontrib><description>Abstract Objective To cope with emergency departments (EDs) being progressively overcrowded, the concept of specialized emergency nurses (SENs) was conceived. In this study, the ability of SENs to treat ankle/foot injuries was assessed. Methods Regular emergency nurses were trained in a 2-day session that addressed all aspects of ankle/foot injuries. A randomized controlled trial was set up in which the diagnostic accuracy of SENs was compared with that of house officers (HOs). Secondary outcome parameter was patient satisfaction measured by a standardized questionnaire. Results In total, 512 consecutive patients were included. The sensitivity of SENs was 0.94 (95% confidence interval [CI], 0.78-0.99) compared with 0.78 (95% CI, 0.57-0.91) of HOs. Specificity was 0.94 (95% CI, 0.90-0.97) for SENs compared with 0.95 (95% CI, 0.91-0.98) for HOs. The delivered care by SENs was found to be significantly better and the median waiting time at the ED was significantly reduced (21 minutes for SENs vs 32 minutes for HOs). Conclusions Specialized emergency nurses are capable of assessing and treating ankle/foot injuries accurately with excellent patient satisfaction and with a reduction of waiting times. Other injury-specific courses are now developed for this approach.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2006.06.011</identifier><identifier>PMID: 17276802</identifier><identifier>CODEN: AJEMEN</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Ankle Injuries - diagnosis ; Ankle Injuries - nursing ; Biological and medical sciences ; Emergency ; Emergency and intensive care: techniques, logistics ; Emergency medical care ; Emergency Service, Hospital - organization & administration ; Female ; Follow-Up Studies ; Foot Injuries - diagnosis ; Foot Injuries - nursing ; Hospitals ; Humans ; Injuries ; Intensive care medicine ; Intensive care unit. Emergency transport systems. Emergency, hospital ward ; Male ; Medical sciences ; Miscellaneous ; Nurses ; Nursing Service, Hospital ; Patient Satisfaction ; Physicians ; Predictive Value of Tests ; Time Factors ; Treatment Outcome</subject><ispartof>The American journal of emergency medicine, 2007-02, Vol.25 (2), p.144-151</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-b6dc60ea388636bf39337704a196ef99e7186b3c358a9abf7225f1606ad99db03</citedby><cites>FETCH-LOGICAL-c467t-b6dc60ea388636bf39337704a196ef99e7186b3c358a9abf7225f1606ad99db03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735675706003664$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19075640$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17276802$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Derksen, Robert Jan, MD</creatorcontrib><creatorcontrib>Bakker, Fred C., MD, PhD</creatorcontrib><creatorcontrib>de Lange-de Klerk, Elly S.M., MD, PhD</creatorcontrib><creatorcontrib>Spaans, Irma M</creatorcontrib><creatorcontrib>Heilbron, Emil A., MD, PhD</creatorcontrib><creatorcontrib>Veenings, Bart, MD</creatorcontrib><creatorcontrib>Haarman, Henk J.Th.M., MD, PhD</creatorcontrib><title>Specialized emergency nurses treating ankle and foot injuries: a randomized controlled trial</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Abstract Objective To cope with emergency departments (EDs) being progressively overcrowded, the concept of specialized emergency nurses (SENs) was conceived. In this study, the ability of SENs to treat ankle/foot injuries was assessed. Methods Regular emergency nurses were trained in a 2-day session that addressed all aspects of ankle/foot injuries. A randomized controlled trial was set up in which the diagnostic accuracy of SENs was compared with that of house officers (HOs). Secondary outcome parameter was patient satisfaction measured by a standardized questionnaire. Results In total, 512 consecutive patients were included. The sensitivity of SENs was 0.94 (95% confidence interval [CI], 0.78-0.99) compared with 0.78 (95% CI, 0.57-0.91) of HOs. Specificity was 0.94 (95% CI, 0.90-0.97) for SENs compared with 0.95 (95% CI, 0.91-0.98) for HOs. The delivered care by SENs was found to be significantly better and the median waiting time at the ED was significantly reduced (21 minutes for SENs vs 32 minutes for HOs). Conclusions Specialized emergency nurses are capable of assessing and treating ankle/foot injuries accurately with excellent patient satisfaction and with a reduction of waiting times. Other injury-specific courses are now developed for this approach.</description><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Ankle Injuries - diagnosis</subject><subject>Ankle Injuries - nursing</subject><subject>Biological and medical sciences</subject><subject>Emergency</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital - organization & administration</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Foot Injuries - diagnosis</subject><subject>Foot Injuries - nursing</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Injuries</subject><subject>Intensive care medicine</subject><subject>Intensive care unit. Emergency transport systems. Emergency, hospital ward</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Nurses</subject><subject>Nursing Service, Hospital</subject><subject>Patient Satisfaction</subject><subject>Physicians</subject><subject>Predictive Value of Tests</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kt-L1DAQx4Mo3t7qP-CDFETfuk6aZtKKCHKcP-DAh9M3IaTp9EivbdakFda_3tRdWLgHYUhC-HwnM98MYy847DhwfNvvTE_jrgDA3RqcP2IbLkWRV1zxx2wDSsgclVQX7DLGHhJRyvIpu-CqUFhBsWE_b_dknRncH2ozGinc0WQP2bSESDGbA5nZTXeZme4HSmubdd7PmZv6JTiK7zKThXTrx39666c5-GFIxzmkpM_Yk84MkZ6f9i378en6-9WX_Obb569XH29yW6Ka8wZbi0BGVBUKbDpRC6EUlIbXSF1dk-IVNsIKWZnaNJ0qCtlxBDRtXbcNiC17c8y7D_7XQnHWo4uWhsFM5JeosaoViuTMlr16APZ-CVOqTXMQUIEEWSaqOFI2-BgDdXof3GjCIUF6dV73enVer87rNThPopen1EszUnuWnKxOwOsTYKI1Q5d8sy6euRqUxHJt5v2Ro-TYb0dBR-vSp1DrAtlZt979v44PD-R2cJNLL97TgeK5Xx0LDfp2nZF1RAABBGIp_gKEE7X6</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Derksen, Robert Jan, MD</creator><creator>Bakker, Fred C., MD, PhD</creator><creator>de Lange-de Klerk, Elly S.M., MD, PhD</creator><creator>Spaans, Irma M</creator><creator>Heilbron, Emil A., MD, PhD</creator><creator>Veenings, Bart, MD</creator><creator>Haarman, Henk J.Th.M., MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><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>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>Specialized emergency nurses treating ankle and foot injuries: a randomized controlled trial</title><author>Derksen, Robert Jan, MD ; Bakker, Fred C., MD, PhD ; de Lange-de Klerk, Elly S.M., MD, PhD ; Spaans, Irma M ; Heilbron, Emil A., MD, PhD ; Veenings, Bart, MD ; Haarman, Henk J.Th.M., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-b6dc60ea388636bf39337704a196ef99e7186b3c358a9abf7225f1606ad99db03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Ankle Injuries - diagnosis</topic><topic>Ankle Injuries - nursing</topic><topic>Biological and medical sciences</topic><topic>Emergency</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital - organization & administration</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Foot Injuries - diagnosis</topic><topic>Foot Injuries - nursing</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Injuries</topic><topic>Intensive care medicine</topic><topic>Intensive care unit. Emergency transport systems. Emergency, hospital ward</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Nurses</topic><topic>Nursing Service, Hospital</topic><topic>Patient Satisfaction</topic><topic>Physicians</topic><topic>Predictive Value of Tests</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Derksen, Robert Jan, MD</creatorcontrib><creatorcontrib>Bakker, Fred C., MD, PhD</creatorcontrib><creatorcontrib>de Lange-de Klerk, Elly S.M., MD, PhD</creatorcontrib><creatorcontrib>Spaans, Irma M</creatorcontrib><creatorcontrib>Heilbron, Emil A., MD, PhD</creatorcontrib><creatorcontrib>Veenings, Bart, MD</creatorcontrib><creatorcontrib>Haarman, Henk J.Th.M., MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Derksen, Robert Jan, MD</au><au>Bakker, Fred C., MD, PhD</au><au>de Lange-de Klerk, Elly S.M., MD, PhD</au><au>Spaans, Irma M</au><au>Heilbron, Emil A., MD, PhD</au><au>Veenings, Bart, MD</au><au>Haarman, Henk J.Th.M., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Specialized emergency nurses treating ankle and foot injuries: a randomized controlled trial</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>25</volume><issue>2</issue><spage>144</spage><epage>151</epage><pages>144-151</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><coden>AJEMEN</coden><abstract>Abstract Objective To cope with emergency departments (EDs) being progressively overcrowded, the concept of specialized emergency nurses (SENs) was conceived. In this study, the ability of SENs to treat ankle/foot injuries was assessed. Methods Regular emergency nurses were trained in a 2-day session that addressed all aspects of ankle/foot injuries. A randomized controlled trial was set up in which the diagnostic accuracy of SENs was compared with that of house officers (HOs). Secondary outcome parameter was patient satisfaction measured by a standardized questionnaire. Results In total, 512 consecutive patients were included. The sensitivity of SENs was 0.94 (95% confidence interval [CI], 0.78-0.99) compared with 0.78 (95% CI, 0.57-0.91) of HOs. Specificity was 0.94 (95% CI, 0.90-0.97) for SENs compared with 0.95 (95% CI, 0.91-0.98) for HOs. The delivered care by SENs was found to be significantly better and the median waiting time at the ED was significantly reduced (21 minutes for SENs vs 32 minutes for HOs). Conclusions Specialized emergency nurses are capable of assessing and treating ankle/foot injuries accurately with excellent patient satisfaction and with a reduction of waiting times. Other injury-specific courses are now developed for this approach.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>17276802</pmid><doi>10.1016/j.ajem.2006.06.011</doi><tpages>8</tpages></addata></record> |
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| ispartof | The American journal of emergency medicine, 2007-02, Vol.25 (2), p.144-151 |
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| subjects | Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Ankle Injuries - diagnosis Ankle Injuries - nursing Biological and medical sciences Emergency Emergency and intensive care: techniques, logistics Emergency medical care Emergency Service, Hospital - organization & administration Female Follow-Up Studies Foot Injuries - diagnosis Foot Injuries - nursing Hospitals Humans Injuries Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Male Medical sciences Miscellaneous Nurses Nursing Service, Hospital Patient Satisfaction Physicians Predictive Value of Tests Time Factors Treatment Outcome |
| title | Specialized emergency nurses treating ankle and foot injuries: a randomized controlled trial |
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