Table 3

Appropriate performance of separate reserved procedures

NPPA
T0T1T2T0T1T2
Cardioversion/defibrillation*
n (%) NPs/PAs, performing the procedure (quick scan)23 (5.2)1 (0.6)15 (6.1)12 (12.6)16 (8.4)27 (10.6)
Catheterisation
n (%) NPs/PAs, performing the procedure (quick scan)69 (15.5)29 (17.0)53 (21.7)†24 (25.3)33 (17.4)68 (26.7)
Mean (95% CI) number of monthly performed procedures by NP/PA16.2 (10.3 to 22.1)14.0 (9.4 to 18.7)23.0 (15.6 to 30.3)15.2 (10.0 to 20.5)19.0 (11.3 to 26.6)23.0 (15.7 to 30.5)
% procedures performed on authorisation of NP/PA65.375.581.981.283.978.5
 +Without consultation43.057.165.656.575.865.2
 ++Delegation to other care provider1.721.834.4†0.042.533.7†
Mean (95% CI) duration of a single performed procedure by NP/PA (min)‡13.4 (11.9 to 15.0)11.6 (10.1 to 13.1)9.2 (8.1 to 10.2)§10.3 (8.9 to 11.7)8.3 (7.1 to 9.4)7.2 (6.2 to 8.2)§
Mean (95% CI) number of monthly contact physicians—NP/PA about the procedure¶23.3 (9.8 to 36.7)15.0 (7.4 to 22.7)12.0 (2.0 to 22.0)25.7 (15.5 to 35.9)33.6 (13.7 to 53.6)16.0 (2.9 to 29.1)
% contacts on physician’s assignment of the procedure to the NP/PA¶69.152.270.656.057.462.5
Mean (95% CI) physician’s assignment time (min)¶3.3 (1.0 to 5.0)6.6 (2.5 to 10.0)8.2 (6.1 to 10.0)§3.2 (1.3 to 4.6)6.1 (4.3 to 10.0)7.9 (4.9 to 9.4)§
Endoscopy*
n (%) NPs/PAs, performing the procedure (quick scan)9 (2.0)6 (3.5)9 (3.7)8 (8.4)14 (7.4)21 (8.2)
Injection
n (%) NPs/PAs, performing the procedure (quick scan)208 (46.8)75 (43.9)124 (50.8)64 (67.4)132 (69.5)178 (69.8)
Mean (95% CI) number of monthly performed procedures by NP/PA18.3 (10.4 to 26.2)24.4 (14.0 to 34.2)25.2 (17.0 to 33.5)19.8 (13.3 to 26.2)26.6 (15.7 to 36.9)37.2 (27.5 to 47.6)§
% procedures performed on authorisation of NP/PA54.064.468.766.776.779.6
 +Without consultation30.742.547.238.754.756.5
 ++Delegation to other care provider0.713.119.4†0.516.914.8†
Mean (95% CI) duration of a single performed procedure by NP/PA (min)‡7.8 (6.7 to 8.8)6.3 (5.4 to 7.2)7.4 (6.5 to 8.3)7.3 (6.4 to 8.3)6.2 (5.3 to 7.0)5.6 (4.7 to 6.4)§
Mean (95% CI) number of monthly contact physicians—NP/PA about the procedure¶18.1 (10.5 to 25.6)15.3 (8.5 to 22.2)15.5 (6.9 to 24.2)19.1 (11.7 to 26.5)21.4 (8.1 to 34.7)29.5 (8.6 to 50.4)
% contacts on physician’s assignment of the procedure to the NP/PA¶80.660.550.0†52.460.847.7
Mean (95% CI) physician’s assignment time (min)¶2.6 (0.5 to 5.0)4.8 (4.4 to 5.0)7.1 (5.1 to 15.0)§2.6 (1.7 to 3.0)2.5 (1.3 to 3.5)6.3 (5.6 to 10.3)§
Prescribing
n (%) NPs/PAs, performing the procedure (quick scan)245 (55.2)134 (78.4)177 (72.5)†55 (57.9)148 (77.9)208 (81.6)†
Mean (95% CI) number of monthly performed procedures by NP/PA52.7 (41.2 to 64.1)46.2 (37.7 to 54.8)49.5 (42.5 to 56.5)74.7 (59.6 to 89.8)87.3 (66.1 to 108.5)76.8 (62.7 to 89.8)
% procedures performed on authorisation of NP/PA65.775.774.5†66.579.667.1
 +Without consultation27.351.651.0†35.852.145.6†
 ++Delegation to other care provider1.63.95.0†0.09.32.9†
Mean (95% CI) duration of a single performed procedure by NP/PA (min)‡7.2 (6.5 to 7.9)6.3 (5.6 to 6.9)7.2 (6.7 to 7.6)4.3 (3.8 to 4.7)4.5 (4.0 to 5.0)3.5 (3.3 to 3.8)
Mean (95% CI) number of monthly contact physicians—NP/PA about the procedure¶70.9 (46.3 to 95.5)58.0 (40.2 to 75.9)46.8 (30.1 to 63.5)74.6 (54.5 to 94.6)64.6 (41.2 to 88.1)57.2 (37.5 to 76.9)
% contacts on physician’s assignment of the procedure to the NP/PA¶53.557.231.4†54.147.754.6
Mean (95% CI) physician’s assignment time (min)¶4.1 (1.0 to 5.0)4.6 (4.2 to 5.0)4.1 (3.9 to 4.3)2.2 (1.8 to 2.5)3.2 (2.7 to 3.9)3.6 (3.3 to 3.8)§
Puncture
n (%) NPs/PAs, performing the procedure (quick scan)88 (19.8)32 (18.7)51 (20.9)41 (43.2)102 (53.7)135 (52.9)
Mean (95% CI) number of monthly performed procedures by NP/PA14.7 (8.9 to 20.5)11.8 (5.7 to 17.0)11.8 (7.5 to 15.8)9.5 (5.7 to 13.3)18.2 (11.8 to 24.6)19.6 (12.5 to 26.8)§
% procedures performed on authorisation of NP/PA55.864.974.172.069.470.8
 +Without consultation32.643.246.945.351.847.2
 ++Delegation to other care provider0.02.716.0†0.018.814.6†
Mean (95% CI) duration of a single performed procedure by NP/PA (min)‡13.5 (10.9 to 16.0)11.1 (7.8 to 14.4)13.0 (10.1 to 15.8)11.1 (9.3 to 13.0)11.3 (9.2 to 13.3)11.0 (8.4 to 13.6)
Mean (95% CI) number of monthly contact physicians—NP/PA about the procedure¶26.9 (14.9 to 38.9)10.2 (2.7 to 17.6)6.9 (2.2 to 11.5)§13.9 (9.6 to 18.1)11.1 (2.6 to 19.6)6.3 (3.7 to 8.9)§
% contacts on physician’s assignment of the procedure to the NP/PA¶78.656.528.6†64.353.367.7
Mean (95% CI) physician’s assignment time (min)¶3.9 (0.5 to 5.0)14.3 (5.0 to 10.4)10.5 (7.3 to 17.5)§2.5 (1.3 to 5.0)4.2 (1.0 to 7.8)9.2 (5.3 to 13.5)§
Small surgical procedure
n (%) NPs/PAs, performing the procedure (quick scan)99 (22.3)41 (24.0)76 (31.1)†36 (37.9)88 (46.3)135 (52.9)†
Mean (95% CI) number of monthly performed procedures by NP/PA10.5 (7.1 to 13.9)11.8 (6.5 to 17.0)15.1 (9.0 to 21.2)15.5 (9.3 to 20.9)17.0 (10.6 to 23.4)30.0 (22.8 to 38.3)§
% procedures performed on authorisation of NP/PA62.782.888.7†60.972.468.2
 +Without consultation40.064.468.1†32.445.947.0
 ++Delegation to other care provider1.82.315.7†0.011.010.3†
Mean (95% CI) duration of a single performed procedure by NP/PA (min)‡16.0 (13.8 to 18.3)14.5 (12.1 to 16.8)13.6 (12.1 to 15.1)16.0 (13.8 to 18.2)13.8 (12.3 to 15.3)13.9 (12.6 to 15.3)
Mean (95% CI) number of monthly contact physicians—NP/PA about the procedure¶20.1 (7.5 to 32.7)17.1 (8.1 to 26.1)19.3 (8.5 to 30.1)30.9 (20.0 to 41.8)7.9 (3.9 to 12.0)14.1 (8.7 to 19.5)§
% contacts on physician’s assignment of the procedure to the NP/PA¶70.748.747.1†53.861.547.4
Mean (95% CI) physician’s assignment time (min)¶4.6 (1.0 to 5.0)5.0 (3.9 to 8.2)6.9 (4.8 to 8.8)6.4 (1.3 to 7.8)8.0 (2.9 to 6.8)10.5 (8.0 to 15.0)§
Total of above procedures
n (%) NPs/PAs, performing the procedure (quick scan)341 (76.6)152 (88.9)207 (84.8)†82 (86.3)178 (93.7)236 (92.5)
Mean (95% CI) number of monthly performed procedures by NP/PA80.5 (64.6 to 96.3)71.8 (58.2 to 85.3)77.4 (65.7 to 89.2)119.8 (97.6 to 142.1)141.6 (106.8 to 176.4)133.2 (111.7 to 154.8)
% procedures performed on authorisation of NP/PA63.074.376.1†66.777.171.1
 +Without consultation31.951.954.2†38.455.250.8†
 ++Delegation to other care provider1.77.513.0†0.117.912.4†
Mean (95% CI) duration of a single performed procedure by NP/PA (min)‡9.9 (9.3 to 10.5)8.1 (7.5 to 8.6)8.6 (8.2 to 9.0)§8.8 (8.1 to 9.4)8.1 (7.6 to 8.7)7.4 (6.9 to 7.8)§
Mean (95% CI) number of monthly contact physicians—NP/PA about the procedure¶81.2 (58.2 to 104.3)60.7 (44.7 to 76.7)49.1 (35.1 to 63.0)107.2 (82.9 to 131.5)67.5 (48.7 to 86.3)53.9 (38.6 to 69.3)§
% contacts on physician’s assignment of the procedure to the NP/PA¶64.856.241.5†55.455.654.7
Mean (95% CI) physician’s assignment time (min)¶3.8 (1.0 to 5.0)6.3 (2.0 to 10.0)5.9 (1.6 to 10.0)§3.5 (0.5 to 5.0)4.3 (1.0 to 5.0)6.6 (2.0 to 10.0)§
  • *Lack of data about the mean (95% CI) number of monthly performed procedures by NP/PA; % procedures performed on authorisation of NP/PA; mean (95% CI) duration of a single performed procedure by NP/PA; mean (95% CI) number of physicians noted contacts with NP/PA about the procedure and % physicians noted contacts on an assignment of the procedure to the NP/PA.

  • †Statistically significant difference between T0 and T2 (X2(1) p<0.05).

  • ‡Including consultation or assignment time.

  • §Statistically significant difference between T0 and T2 (Mann-Whitney U test p<0.05).

  • ¶Physician’s perspective.

  • NP, nurse practitioner; PA, physician assistant.