Impact of Assistant Practitioners in Critical Care Units

DISSERTATION

TABLE OF CONTENTS
CHAPTER 1: INTRODUCTION....................................................................................................4
1.1 Background............................................................................................................................4
1.2 Justification............................................................................................................................5
1.3 Aim........................................................................................................................................5
1.4 Objectives..............................................................................................................................5
1.5 Research Question.................................................................................................................5
Population: Infected patients......................................................................................................5
1.7 Search key terms....................................................................................................................6
CHAPTER 2: LITERATURE REVIEW.........................................................................................7
2.1 The role of assistant nurses towards the practitioners in health and social care....................7
Theme 2 The relationship between work of nurse practitioners and patient outcome alosng
with factor which are effecting working at medical care.........................................................10
CHAPTER 3..................................................................................................................................13
METHODOLOGY........................................................................................................................13
3.1 Introduction..........................................................................................................................13
3.2 Search strategy.....................................................................................................................13
3.3 Inclusion criteria..................................................................................................................13
3.4 Exclusion criteria.................................................................................................................13
3.5 Critical appraisal..................................................................................................................14
3.6 Data extraction.....................................................................................................................14
SECTION 4 RESULTS................................................................................................................16
4.0 CRITIQUE OF ARTICLES....................................................................................................16
SECTION 5...................................................................................................................................20
DISCUSSION OF RESULTS.......................................................................................................20
5.1 Introduction..........................................................................................................................20
THEMES 5.2 The impacts of the assistants practitioners role on quality of care along
with clinical outcomes and patient satisfactions...................................................................20
THEME 5.3 The implementation of the advance nurse practitioner as per the roles' ion the
acute hospitable setting..............................................................................................................21

THEME 5.4 The primary health care nurse of the future: Preliminary evaluation of the Nurse
Navigator role in integrated care...............................................................................................21
THEME 4 Nurse Practitioners and Physician Assistants in Acute and Critical Care: A Concise
Review of the Literature and Data 2008–2018..........................................................................22
Theme 5 Exploring the relationship between nursing identity and advanced nursing practice:
An ethnographic study...............................................................................................................22
LIMITATIONS..............................................................................................................................23
CONCLUSION AND RECOMMENDATIONS..........................................................................23
Conclusion.................................................................................................................................23
Recommendations......................................................................................................................24
REFERENCES..............................................................................................................................25

CHAPTER 1: INTRODUCTION
1.1 Background
Advance practice providers are group of people provide services in hospitals, emergency rooms
etc. This includes physician or nurse both, they are educated and trained as well. They
continuously work for creating a great environment where patient can get quality care services
(Svavarsdottir and et.al., 2018). Nursing associates are the people those who work as bridge
between care assistants ad registered nurses. They get proper training of providing care services
to patient. Nursing and Midwifery council (NMC) takes all the relevant responsibilities of
associates nurses (Nursing associate, 2020.). They arrange training for them and give them
authority to provide care services to patients. Assistant nurse are the college trained nurses those
who get salaries as per paid 4 of NHS career framework UK. They deliver their care to patients
and work to improve their health conditions. They have adequate skills and knowledge of
treating care users; they work as support workers so that patient- nurse ratio can be maintained.
Recently shortage of nurses has become a major concern in United Kingdom, many
hospitals are unable to find skilled, registered professional nurses. This has led to failure in
meeting recommended nurse patient ratio that means nurses require to meet the health care need
of patients or to have adequate number of nurses to meet patient’s health care needs (Everything
you need to know about nursing associates, 2019). Report of “faculty of intensive care medicine”
reflect that hospitals need to maintain safe staffing in their critical care unit because it has great
impact over patient health outcome (Bungay and et.al., 2016).
In order to meet the demand of nurses NHS is paying attention on involving associated
nurses in care units (Kasat and et.al., 2017). Associate Practitioners are different from registered
nurses as registered nurses are responsible for providing medicines to patients and monitoring
their condition whereas associated nurses can manage their delivery process ensure integrity
care. But they maintain accountability in their work. These nurses have proper experience of
working in this field, they provide support to patients in the absence of doctors (del Carmen
Giménez-Espert, Valero-Moreno and Prado-Gascó 2019). Primary health care is known and
considered as the key and backbone of healthcare delivery. It is the main entry point for all level
of care (Kasat and et.al., 2017). Hence if adequate staff will be available there then patients care
needs will be meet soon.

1.2 Justification
Over a period of time health issues have been increased in UK to great extent and there are
lack of nurses available to meet that care demand hence this is burning issue hence researcher
has selected this topic. This study helps the medical staff to meet the need of nurses by hiring
associated nurses hence it will help in improving care services in country. This research is done
by using authentic sources enhance adequate information are here about impact of assistant
nurse’s practitioners on patient outcome. Health care services plays an important role in
protecting patients from any diaereses and cure them. An effective health care services and
having deep knowledge about it makes an individual able to make patients feel cured and happy.
The main aim of developing this research and selecting this topic is to aware people about the
importance of health care services as well as differences between services provided by assistant
nursing staff. Skills and knowledge plays an important role in providing health care services and
having knowledge of current health care (Recio‐Saucedo and et.al., 2018).
This study will help NHS in knowing the actual demand of nurses in the health and social
care sector and will give indications to the authorities that how they can manage demand by
hiring or giving training to assistant nursing practitioners.
This systematic review adds to knowledge of the impact of assistant practitioner
contribution to nursing in critical care services in UK
1.3 Aim
To identify the impact of assistant practitioners in UK NHS critical care units
1.4 Objectives
To discuss the history of nursing associates in UK
 To evaluate role of nursing associates in health and social care
 To explore the impact of nursing associates in hospital e
 To appraise recent literature on nursing associates in critical care units in UK
1.5 Research Question
Research questions were framed using PICO framework.
Population: Infected patients
Intervention: Holistic care by nursing associates
Comparison: None
Outcome: Improved health outcome

Main research question of this study is:
What is the impact of nursing associates practicing in UK NHS critical care units?
1.6 Search key terms
ICU= Intensive care unit
CCU = Critical care unit
UK= United Kingdom
NMC= Nursing and midwifery council
NHS= National health service