Authors, year	Crilly et al.,68 2012
Methodology and methods	Qualitative study Semi-structured interviews Content analysis (inclusion in a priori categories of “*#+nursing structure” and “#EPAC nurse role”)
Phenomena of interest	Structures and processes in an Australian ED #*nurse-led EPAC model
Setting/context	Mixed adult and pediatric public hospital with ED seeing approximately 66,000 people per year
Sample characteristics	11 key stakeholders (6 HCPs and 5 women) in delivery and receipt of EPAC care
Results	STRUCTURES (nursing): #*+Clinical nurse consultant with advanced ED skills “Because not all ED nurses are midwives”(p.72) #*+EPAC nurse education workbook #*+ED triage nurse: Assess, commence treatment, refer to EPAC. EPAC nurse/clinical nurse consultant: Assess and manage, communication, liaison and referral pathways, review and follow-up, education of staff and women, provide continuity of care PROCESSES (nursing roles): #*+Independent: Take history, assess problem, implement investigations and management, discuss options, signs and symptoms #*+Medical care related: Review referrals, provide and coordinate individualized care, refer women to medical staff, provide telephone advice, education (of women and staff), and emotional support. #*+Interdependent: Service development and expansion, care coordination and case management, counseling
Discussion/implications for practice/recommendations/key point s	#*Expansion of service and improvements to physical environment #EPAC nurse “advanced practice role” (potential for this to be as a nurse practitioner) including: #*Assessment, advanced management and planning, referral, ability to understand issues of early pregnancy and recognize when a woman was suitable for their scope of practice #*Understanding of emergency clinical and service delivery to determine potential hospital admission suitability #+Ability to communicate a woman’s history and management plan #*+Performing/interpreting ultrasounds, vaginal examinations, speculum examinations, initiate Anti-D administration