title: An evaluation of the quality of Emergency Nurse Practitioner services for patients presenting with minor injuries to one rural urgent care centre in the UK: a descriptive study.
abstract: OBJECTIVE
  To evaluate the quality of the emergency nurse practitioner service provided to people presenting to a rural urgent care centre with minor injuries. The three objectives that were focused were an evaluation of the safety and effectiveness of the emergency nurse practitioner service, an assessment of patients' satisfaction with the emergency nurse practitioner service and a determination of factors that may enhance the quality of the emergency nurse practitioner service.
  
  
  BACKGROUND
  Urgent care centres have become increasingly prevalent across the UK. Emergency nurse practitioner services at these rural urgent care centres remain largely unevaluated. This study attempts to redress this deficit by evaluating the quality of an emergency nurse practitioner service in relation to the care of patients presenting with minor injuries to a rural urgent care centre.
  
  
  METHODS
  This descriptive study used a case-note review and a survey design with one open-ended exploratory question.
  
  
  METHODS
  Patient views were collected using a self-completed questionnaire and a data extraction tool to survey patients' case notes retrospectively.
  
  
  RESULTS
  Despite comparatively low total length-of-stay times, most patients felt they had enough time to discuss things fully with the emergency nurse practitioner. Although emergency nurse practitioners routinely impart injury advice, feedback from some patients suggests a need for the provision of more in-depth information regarding their injury. The vast majority (97·3%) of patients felt that the quality of the emergency nurse practitioner service was of a high standard. Contrary to some other studies, the findings in this study indicate that patient satisfaction is not influenced by waiting times.
  
  
  CONCLUSIONS
  Emergency nurse practitioners in rural urgent care centres have the potential to deliver a safe and effective quality service that is reflected in high levels of patient satisfaction.
  
  
  CONCLUSIONS
  This study provides some evidence to support the continued expansion of the emergency nurse practitioner service in rural settings in the UK.
authors.affiliation: Urgent Care and Treatment Centre, Tyrone County Hospital, Omagh, UK.
authors.forename: Joe
authors.initials: J
authors.lastname: McDevitt
authors.forename: Vidar
authors.initials: V
authors.lastname: Melby
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners; D017060:Patient Satisfaction; D057184:Practice Patterns, Nurses'; D012189:Retrospective Studies; D019035:Rural Health Services; D011795:Surveys and Questionnaires; D006113:United Kingdom; D014947:Wounds and Injuries / Q000628:therapy*; D055815:Young Adult
keywords: emergency nurse practitioner; minor injuries; quality of care; urgent care centre