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We read the article by Sandhu et al1 with great interest. It is always encouraging to see good research addressing the changing contributions to better patient care made by different groups within the emergency department team. However, we were concerned with their conclusion that ‘patients appeared to be more satisfied with Emergency Nurse Practitioner (ENP) consultations than with Senior House Officer (SHO) consultations’, as we feel that the evidence presented does not support this.
The unadjusted patient satisfaction score was higher (9.3) for ENPs than for SHOs (8.8), but there are two large potentials for bias …
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