title: Impact of advanced autonomous non-medical practitioners in emergency care: protocol for a scoping study.
abstract: Emergency care services are looking for new models of care delivery to deal with changing patient demographics and increased pressures. It has been suggested that advanced non-medical practitioners might be valuable for delivering such new models of care. However, it is not clear what the impact of the deployment of advanced non-medical practitioners in emergency care is. This scoping study addresses the following research question: What is known from the literature about the different types of impact of the deployment of advanced (autonomous) non-medical practitioners in emergency care?
  
  
  
  A scoping study will be undertaken to examine and map the impact of the deployment of advanced non-medical practitioners in emergency care. The scoping study follows the methodology proposed by Arksey and O'Malley. Searches will be carried out on databases of peer-reviewed literature and other sources to systematically identify and characterise the literature. Papers will be screened using a 2-stage process to identify the most relevant literature. Papers will be screened by title and abstract, followed by full-text review. Data abstraction and synthesis will be performed using a narrative thematic analysis.
  
  
  
  We will communicate the findings to Health Education England, NHS Improvement and the Royal College of Emergency Medicine through existing links provided by members of the project team. We anticipate that the findings will also be of interest to other similar organisations internationally. By identifying gaps in the research literature, we anticipate that the study will generate recommendations for informing future high-quality research studies about the impact of advanced non-medical practitioners in emergency care as well as in other settings. The research findings will be submitted for publication to relevant peer-reviewed journals as well as professional magazines. The scoping study uses only previously published material, and does not require ethical review.
authors.affiliation: Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Sujan
authors.affiliation: Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Hannah
authors.initials: H
authors.lastname: Howard-Franks
authors.affiliation: Emergency Department, Heart of England NHS Foundation Trust, Birmingham, UK.
authors.forename: Garry
authors.initials: G
authors.lastname: Swann
authors.affiliation: Emergency Department, Heart of England NHS Foundation Trust, Birmingham, UK.
authors.forename: Kirsti
authors.initials: K
authors.lastname: Soanes
authors.affiliation: Faculty of Health Sciences, University of Southampton, Southampton, UK.
authors.forename: Catherine
authors.initials: C
authors.lastname: Pope
authors.affiliation: Faculty of Health Sciences, University of Southampton, Southampton, UK.
authors.forename: Robert
authors.initials: R
authors.lastname: Crouch
authors.affiliation: Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Sophie
authors.initials: S
authors.lastname: Staniszewska
authors.affiliation: School of Health and Social Care, London Southbank University, London, UK.
authors.forename: Elaine
authors.initials: E
authors.lastname: Maxwell
authors.affiliation: Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Huayi
authors.initials: H
authors.lastname: Huang
authors.affiliation: Emergency Care Improvement Programme, NHS Improvement, London, UK.
authors.forename: Matthew
authors.identifier: 0000-0002-1038-3821
authors.initials: M
authors.lastname: Cooke
mesh_terms: D006801:Humans; D003695:Delivery of Health Care; D004638:Emergency Treatment / Q000379:methods; D004739:England; D012107:Research Design; D000078329:Workforce; D012196:Review Literature as Topic
keywords: ACCIDENT & EMERGENCY MEDICINE