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- W2531818054 abstract "The development of advanced practice roles for nurses working in the speciality of genitourinary medicine (GUM) is part of a wider process of change in nursing and the National Health Service. Despite the paucity of evidence of their effectiveness, there has been a steady growth of nurse-led GUM clinics over the past decade. This thesis explores the impact of nurse-led GUM clinics for women in a central London GUM service. A process and outcome evaluation was conducted to demonstrate the effectiveness, acceptability and cost of nurse-led GUM clinics. 880 women were randomised to nurse-led or doctor-led clinics of whom 224 had their clinical records audited. A further (non-randomised) sample of 282 women completed a satisfaction survey, 20 completed an exit interview and 18 had their consultation observed. Staff completed 586 waiting time surveys. Staff interviews and focus group discussions identified the issues associated with the nurse-led clinic intervention. A cost analysis determined the average, incremental and marginal costs of nurse-led clinics. The median documentation audit scores for specialist nurses (n=103) and senior house officers (SHOs) (n=121) were 92% and 85% respectively (p<0.0001). Specialist nurses performed equally to the SHOs with regard to requesting the correct diagnostic tests, preliminary diagnosis and treatment. The median satisfaction scores, out of a total of five, were 4.47 and 4.30 for the nurse-led and doctor-led groups respectively (p=0.05). There was no significant difference in the consultation times. Following the introduction of nurse-led clinics, the average cost per patient rose from £8.80 to £8.88 with a marginal cost of £9.43 per patient. The study concluded that trained, experienced specialist nurses supported within the multidisciplinary team were at least as effective in the assessment and management of female patients as SHOs. The model of nurse-led care was acceptable to patients and a cost-effective addition to existing services." @default.
- W2531818054 created "2016-10-21" @default.
- W2531818054 creator A5023479459 @default.
- W2531818054 date "2002-01-01" @default.
- W2531818054 modified "2023-09-23" @default.
- W2531818054 title "Evaluating a model of nurse-led care in a genitourinary medicine clinic" @default.
- W2531818054 cites W1489819220 @default.
- W2531818054 cites W1500453231 @default.
- W2531818054 cites W15173837 @default.
- W2531818054 cites W1519574187 @default.
- W2531818054 cites W1530158461 @default.
- W2531818054 cites W1563696585 @default.
- W2531818054 cites W162100858 @default.
- W2531818054 cites W177178966 @default.
- W2531818054 cites W1844147158 @default.
- W2531818054 cites W1891585045 @default.
- W2531818054 cites W193963299 @default.
- W2531818054 cites W1941897966 @default.
- W2531818054 cites W1964212813 @default.
- W2531818054 cites W1967555168 @default.
- W2531818054 cites W1968427204 @default.
- W2531818054 cites W1970926607 @default.
- W2531818054 cites W1971292717 @default.
- W2531818054 cites W1971915862 @default.
- W2531818054 cites W1971922930 @default.
- W2531818054 cites W1974704024 @default.
- W2531818054 cites W1978267933 @default.
- W2531818054 cites W1980043956 @default.
- W2531818054 cites W1980604588 @default.
- W2531818054 cites W1980770942 @default.
- W2531818054 cites W1984304497 @default.
- W2531818054 cites W1986485547 @default.
- W2531818054 cites W1988042859 @default.
- W2531818054 cites W1989698222 @default.
- W2531818054 cites W1990512189 @default.
- W2531818054 cites W1992972356 @default.
- W2531818054 cites W1994009091 @default.
- W2531818054 cites W1994036749 @default.
- W2531818054 cites W1994785725 @default.
- W2531818054 cites W1996442505 @default.
- W2531818054 cites W1999735346 @default.
- W2531818054 cites W2000117884 @default.
- W2531818054 cites W2000531813 @default.
- W2531818054 cites W2001846614 @default.
- W2531818054 cites W2004461412 @default.
- W2531818054 cites W2006927213 @default.
- W2531818054 cites W2011375990 @default.
- W2531818054 cites W2011932878 @default.
- W2531818054 cites W2015391954 @default.
- W2531818054 cites W2015977278 @default.
- W2531818054 cites W2016005821 @default.
- W2531818054 cites W2017267853 @default.
- W2531818054 cites W2019398887 @default.
- W2531818054 cites W2019585945 @default.
- W2531818054 cites W2020156703 @default.
- W2531818054 cites W2020531424 @default.
- W2531818054 cites W2020628724 @default.
- W2531818054 cites W2022133397 @default.
- W2531818054 cites W2027754250 @default.
- W2531818054 cites W2029537648 @default.
- W2531818054 cites W2029933570 @default.
- W2531818054 cites W2032371500 @default.
- W2531818054 cites W2032628943 @default.
- W2531818054 cites W2033541520 @default.
- W2531818054 cites W2034516599 @default.
- W2531818054 cites W2035488453 @default.
- W2531818054 cites W2037529664 @default.
- W2531818054 cites W2037673625 @default.
- W2531818054 cites W2037802710 @default.
- W2531818054 cites W2039189219 @default.
- W2531818054 cites W2040716668 @default.
- W2531818054 cites W2041326472 @default.
- W2531818054 cites W2041961103 @default.
- W2531818054 cites W2043280514 @default.
- W2531818054 cites W2043284725 @default.
- W2531818054 cites W2044529010 @default.
- W2531818054 cites W2044607378 @default.
- W2531818054 cites W2046746564 @default.
- W2531818054 cites W2050507986 @default.
- W2531818054 cites W2051732843 @default.
- W2531818054 cites W2051935429 @default.
- W2531818054 cites W2052677451 @default.
- W2531818054 cites W2053251567 @default.
- W2531818054 cites W2054276356 @default.
- W2531818054 cites W2057830003 @default.
- W2531818054 cites W2059434754 @default.
- W2531818054 cites W2062540994 @default.
- W2531818054 cites W2064193170 @default.
- W2531818054 cites W2065223694 @default.
- W2531818054 cites W2065983238 @default.
- W2531818054 cites W2067927349 @default.
- W2531818054 cites W2069192572 @default.
- W2531818054 cites W2069276999 @default.
- W2531818054 cites W2069447058 @default.
- W2531818054 cites W2069875531 @default.
- W2531818054 cites W2069940254 @default.
- W2531818054 cites W2070379805 @default.
- W2531818054 cites W2071932595 @default.
- W2531818054 cites W2073381151 @default.
- W2531818054 cites W2074369042 @default.