Nurse specialist treatment of eye emergencies: Five year follow up study of quality and effectiveness |
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| Authors: | John Cameron Buchan Aruna Ashiq Neil Kitson Julie Dixon Andy Cassels-Brown John A. Bradbury |
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| Affiliation: | 1. UNESCO IHE Institute of Water Education, Westvest 7, 2611 AX Delft, The Netherlands;2. WasserCluster Lunz GmbH, Dr. Carl Kupelwieser Promenade 5, 3293 Lunz am See, Austria;3. University of Natural Resources and Life Sciences, Institute of Hydrobiology and Aquatic Ecosystem Management, Max-Emanuel Straße 17, 1180 Vienna, Austria;4. Managing for Sustainability, Lookwatering 7b, 2635CJ Den Hoorn, The Netherlands;5. Bioinformatics Department, National Institute of Research and Development for Biological Sciences, Splaiul Independentei nr. 296, CP 16-17, 060031 Bucharest, Romania;6. Escuela Tecnica Superior de Ingenieros Informaticos, Universitad Politecnica de Madrid, Campus de Montegancedo s/n, Boadilla del Monte, 28660 Madrid, Spain;7. Technical University of Civil Engineering, Bucharest, Romania;8. Romanian National Institute of Marine Geology and Geoecology, GeoEcoMar, Str. Dimitrie Onciul 23-25, Sector 2, 024053 Bucharest, Romania |
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| Abstract: | The role of specialist nurses in triage, diagnosis and management of emergency eye conditions is well established, and encouraging reports of the safety and effectiveness of such services have been published. Specialist nurses in an emergency eye clinic in the UK seeing >7000 patients per year had been found at initial evaluation to treat 22% of the 1976 patients seen over a three month period without referring on to an ophthalmologist. A repeat of this evaluation five years later found this proportion had dropped to 17% (χ2 = 16.7, p < 0.01).In addition, the initial evaluation had found no incident of any patient having been treated and discharged by the specialist nurses returning to the department due to incorrect diagnosis or mismanagement. By contrast, from the sample 5 years later, 3 patients were identified who returned to the department due to possible misdiagnosis or sub-optimal management.We suggest that provision must be made for continuing professional development of nurses in this type of extended role, and the commitment to ongoing education should be backed up by a system of monitoring and critical incident reporting to facilitate skill maintenance and the life long learning process for specialist nurses. |
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