Background
The literature review revealed a substantial body of evidence
which strongly signifies that ENPs can provide a safe
and effective quality service. It is a service with which
patients are typically highly satisfied with, especially in
terms of information giving, a patient-centred approach
and an open communication style indicative of ENPs.
Other aspects of practice synonymous with the ENP role
include a perceived ‘thoroughness’ and the allocation of an
adequate amount of consultation time for the patient. The
literature review also indicates that ENPs typically demonstrate
a high standard of documentation and appropriateness
of referral. Although there is a commonly held
perception that an ENP service can reduce waiting times,
this has not been definitively shown to be the case. The
environment in which the patient is seen may have more
influence on waiting times than the type of professional
who sees the patient.