Solo emergency care by a physician assistant versus an ambulance nurse

Anneke Bloemhoff, Lisette Schoonhoven, Arjan J.L. de Kreek, Pierre M. Van Grunsven, Miranda G.H. Laurant, Sivera A.A. Berben

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: This study compares the assessment, treatment, referral, and follow up contact with the dispatch centre of emergency patients treated by two types of solo emergency care providers in ambulance emergency medical services (EMS) in the Netherlands: the physician assistant (PA), educated in the medical domain, and the ambulance registered nurse (RN), educated in the nursing domain. The hypothesis of this study was that there is no difference in outcome of care between the patients of PAs and RNs. Methods: In a cross-sectional document study in two EMS regions we included 991 patients, treated by two PAs (n=493) and 23 RNs (n=498). The inclusion period was October 2010-December 2012 for region 1 and January 2013-March 2014 for region 2. Emergency care data were drawn from predefined and free text fields in the electronic patient records. Data were analysed using descriptive statistics. We used ?2 and Mann-Whitney U tests to analyse for differences in outcome of care. Statistical significance was assumed at a level of P
Original languageEnglish
Pages (from-to)1-24
Number of pages24
JournalScandinavian journal of trauma, resuscitation and emergency medicine
DOIs
Publication statusPublished - 29 Jun 2016
Externally publishedYes

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