Nursing Leadership

Nursing Leadership 38(2) October 2025 : 69-87.doi:10.12927/cjnl.2025.27719
Nursing Research

Ontario Emergency Department Models of Care With Nurse Practitioners and Clinical Nurse Specialists

Samantha Horvath, Sanja Visekruna, Kelley Kilpatrick, Melissa McCallum and Nancy Carter

Abstract

Objective: To identify and describe the advanced practice nurse (APN) workforce and models of care (MOC) in emergency departments (EDs) across Ontario, Canada.

Background: EDs face pressures related to patient acuity, wait times and resources. Research is needed to support ED APN MOC.

Method: a cross-sectional survey was distributed to ED APNs.

Results: Total respondents: n = 52 (44.4% response rate). Frequently reported MOC were fast-track and general emergency, with fewer triage, geriatric and mental health MOC reported.

Conclusion: Future efforts should focus on ED APN MOC improving equity and access. Results can inform health human resource planning to meet priority patient needs.

 

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