Advanced Clinical Practitioners in the ED

NCT06355648 | Not Yet Recruiting

• 1 other identifier: IRAS 337181
• Study Type: observational
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study is designed to understand better how nurses, paramedics, and other healthcare professionals who have completed extra training to become Emergency Care Advanced Clinical Practitioners (EC-ACPs) work in emergency departments (EDs). The research questions are: 1\) What is the EC-ACP's perception of assimilation into emergency care teams, what tensions are created due to the role, and what system adaptations are required to facilitate integration? With secondary aims :

1. 1.What are the common organisational factors that affect the implementation of the EC-ACP workforce, and what recommendations can be made to improve Trust-wide implementation?
2. 2.How are EC-ACPs deployed in two contrasting emergency departments, what differences can be identified in their Work-As-Done (WAD), and how does this compare to the Work-As-Imagined (WAI) of the role?
3. 3.EC-ACP participants will be observed in practice, interviewed, or both.
4. 4.Staff who are not EC-ACPs but work with them will be interviewed for their thoughts on how they work together.

Conditions

Healthy Volunteers

Keywords

Advanced Clinical Practitioners; Emergency Department; Resilient Healthcare; Ethnographic; Work-as-done; Work-as-imagined; Resilient Engineering; Socio-technical System; Complex Adaptive Systems

Outcome Measures

Primary Outcomes (1)

• Examine the Work-as-Done of EM-ACPs in Emergency Departments.

  Ethnographic data, including observational notes and interview transcripts will be collected and analysed using thematic analysis, underpinned by resilient healthcare theory.

  12 months

Study Arms (3)

Emergency Care Advanced Clinical Practitioners

These are nurses, paramedics, or allied health professionals who have undertaken an MSc and work in an Emergency Department.

Clinical Colleagues of ACPs

These are staff who work directly with ACPs in the ED; they may be doctors, nurses, or allied health professionals.

Non-Clinical Colleagues

These staff work with Advanced Clinical Practitioners but not in the clinical environment. Examples may be local managers or directors of the organisation.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The participants will work in an Emergency Department and be selected by identifying their job roles.

You may qualify if:

• All participants must be staff members at the host site.
• ACPs that are observed must work in the Emergency Department.
• All staff must have consented to participate in this research.
• Be over the age of 18.

Sponsors & Collaborators

• King's College London: lead

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Peter Chessum, MSc

CONTACT

+44 7595931659; Peter.chessum@kcl.ac.uk

Andreas Xyrichis, PhD

CONTACT

+44 02078487306; andreas.xyrichis@kcl.ac.uk

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 18, 2024
• First Posted: April 9, 2024
• Study Start: January 3, 2025
• Primary Completion: June 1, 2025
• Study Completion: July 1, 2025
• Last Updated: December 12, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share