© 2002 Thorax
EDITORIAL
Respiratory nursing
Do nurses do it better?
Regional Respiratory Centre, Belfast City Hospital, Belfast BT9 7AB, UK
Correspondence to:
Correspondence to:
Dr J S Elborn, Regional Respiratory Centre, Level 11, Belfast City Hospital, Belfast BT9 7AB, UK;
stuart.elborn@bch.n-i.nhs.uk
Can nurse led clinics produce outcomes in respiratory care that are as effective as those produced by respiratory physicians?
Keywords: nurse practitioner; bronchiectasis
| The first 150 words of the full text of this article appear below. |
The role of respiratory nurse specialists (RNS) in secondary care has increased dramatically during the past 10 years as a result of an increase in the skills and expertise of nurses and pressures to improve access of patients to appropriate care services.
The remit of the RNS is clinical and consultative—encompassing education, support, organisation of care, and the application of research.1 However, it is difficult to identify which patient outcomes are directly attributable to the actions of nurses. A recent systematic review in primary care concluded that nurse practitioners can provide high quality care for patients which is of similar quality to—or better than—that provided by general practitioners.2 In secondary care, however, it is less certain whether outpatient services can be provided by nurses. Studies in rheumatology and Parkinson’s disease clinics show an equivalence between specialist nurse or nurse practitioner and specialist physician care.3,4 These studies, however, had
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