Evidence map›Paper›PMID 34169664›Full record

Observational studyJapan journal of nursing science : JJNS2021

Comparison of Japan nurse practitioner-led care and physician trainee-led care on patients' length of stay in a secondary emergency department: A retrospective study.

Keiichi Uranaka, Hitoshi Takaira, Ryoji Shinohara, Zentaro Yamagata

Abstract readObservational Study
In one paragraph

Observational study in Japan journal of nursing science : JJNS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Keiichi UranakaDivision of Nursing Postgraduate School, Tokyo Healthcare University, Tokyo, Japan.ORCID https://orcid.org/0000-0002-8787-2834
Hitoshi TakairaNational Hospital Organization Disaster Medical Center, Tokyo, Japan.
Ryoji ShinoharaCenter for Birth Cohort Studies, University of Yamanashi, Chuo, Japan.
Zentaro YamagataDepartment of Health Science, Basic Science for Clinical Medicine, Division of Medicine, Graduate School Department of Interdisciplinary Research, University of Yamanashi, Chuo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe compared Japan nurse practitioner-led care and physician trainee-led care in terms of patients' length of stay in a secondary emergency department in Japan.

methodsThis was a retrospective observational study, utilizing medical records. Participants (n = 1419; mean age = 63.9 ± 23.4 years; 52.3% men) were patients transferred to the emergency department by ambulance between April 2016 and March 2018 in western Tokyo. Multiple linear regression analyses were performed, with length of stay as the dependent variable and factors related to the length of stay, including medical care leaders, as the independent variable.

resultsApproximately half of the patients (n = 763; 53.8%) received Japan nurse practitioner-led care. Patients' length of stay was significantly shorter, by 6 min, in the Japan nurse practitioner-led care group, compared with the physician trainee-led care group (unstandardized coefficient: -6.81; 95% confidence interval: -13.35 to -0.26; p < 0.05).

conclusionPatients' shorter length of stay in the Japan nurse practitioner group, compared with the physician trainee group, suggests that Japan nurse practitioners are not inferior to physician trainees in terms of the time spent to manage patients.

Indexed as

Nurse PractitionersPhysiciansAdultAgedAged, 80 and overEmergency Service, HospitalFemaleHumansJapanLength of StayMaleMiddle AgedRetrospective Studiesadvanced practice nursingcritical careemergency departmentemergency treatmentJapannurse practitioner

Identifiers

PMID34169664
PMCPMC8518728

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.