Sujan, Mark-Alexander, Howard-Franks, Hannah, Swann, Garry, Soanes, Kirsti, Pope, Catherine, Crouch, Robert, Staniszewska, Sophie, Maxwell, Elaine, Huang, Huayi and Cooke, Matthew (2017) Impact of advanced autonomous non-medical practitioners in emergency care : protocol for a scoping study. BMJ Open, 7 (1). e014612. doi:10.1136/bmjopen-2016-014612 ISSN 2044-6055.

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Abstract

Introduction: 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?

Methods and analysis: 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.

Ethics and dissemination: 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.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Emergency medical services, Ultrasonic imaging, Physicians, Allied health personnel, Radiography, Pharmacists
Journal or Publication Title:	BMJ Open
Publisher:	BMJ
ISSN:	2044-6055
Official Date:	January 2017
Dates:	Date Event January 2017 Published 16 November 2016 Accepted 7 October 2016 Submitted
Volume:	7
Number:	1
Article Number:	e014612
DOI:	10.1136/bmjopen-2016-014612
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	17 January 2017
Date of first compliant Open Access:	18 January 2017
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