Closing gaps in emergency care

The vital role of Advanced Practice Nurses in serving vulnerable populations

Authors

DOI:

https://doi.org/10.29173/cjen229

Keywords:

Advanced practice nurses, Emergency departments, Health equity, Models of Care, Vulnerable populations

Abstract

Abstract:  Current socio, political, and economic events may disproportionately affect those who are identified as vulnerable, as well as their presentation to Canadian emergency departments. The housing crisis, food instability, and concurrent issues with mental health and addictions are a harsh reality for many of these individuals. The emergency department may not be suited to complex health and social issues, but it provides an essential safety net for the vulnerable who cannot access care through traditional primary care routes. Alternative, patient-centered solutions to the problem are necessary, and advanced practice nurses can be the key to appropriately organizing and delivering integrated care innovative models. Raising awareness and influencing public policy to drive meaningful social change and address alarming health inequities is an important consideration for nurses working in emergency departments.

References

Becken, B. (2023). Demand for mental health service in Canada is climbing: So are wait times for specialists. Retrieved from https://www.cbc.ca/radio/checkup/mental-health-service-climbs-waitlists-too-1.6798601

Bryant-Lukosius, D., Valaitis, R., Martin-Misener, R., Donald, F., Moran Pena, L. & Brosseau, L. (2017). Advanced practice nursing: A strategy for achieving universal health coverage and universal access to health. Revista Latino-Americana de Enfermagem, 25:e2826 https://doi.org/10.1590/1518-8345.1677.2826

College of Nurses of Ontario. (2023). Practice standard: Nurse Practitioner. Retrieved from https://www.cno.org/globalassets/docs/prac/41038_strdrnec.pdf

Gordon, K., Gray, C., Dainty, K., deLacy, J. & Seto, E. (2019). Nurse-led models of care for patients with complex chronic conditions: A scoping review. Nursing Leadership, 32(3), p.57-76. doi: 10.12927/cjnl.2019.25972.

Horvath, S., Visekruna, S., Kilpatrick, K., McCallum, M. & Carter, N. (2023). Models of care with advanced practice nurses in the emergency department. International Journal of Nursing Studies, in press. https://doi.org/10.1016/j.ijnurstu.2023.104608

International Council of Nurses. (2021). Advanced practice nursing for vulnerable populations. Retrieved from https://www.icn.ch/news/advanced-practice-nursing-vulnerable-populations

Kirkbride, J., Anglin, D., Colman, I., Dykxhoorn, J., Jones, P., Patalay, P., Pitman, A., Soneson, E., Steare, T., Wright, T. & Griffiths, S. (2024). The social determinants of mental health and disorder: Evidence, prevention and recommendations. World Psychiatry, 23(1), p.58-90. doi: 10.1002/wps.21160

Knaak, S., Mantler, E. & Szeto, A. (2017). Mental illness-related stigma in healthcare. Healthcare Management Forum, 30(2),p.111-116. doi: 10.1177/0840470416679413

Statistics Canada. (2023). A review of Canadian homelessness data, 2023. Retrieved from https://www150.statcan.gc.ca/n1/pub/75f0002m/75f0002m2023004-eng.htm

Published

2024-10-30

How to Cite

Horvath, S., & Carter, N. (2024). Closing gaps in emergency care: The vital role of Advanced Practice Nurses in serving vulnerable populations. Canadian Journal of Emergency Nursing, 47(2), 138–143. https://doi.org/10.29173/cjen229

Issue

Section

NonPeer Reviewed Content