The common practice of "curbside consultation": A systematic review

J Am Assoc Nurse Pract. 2017 Oct;29(10):618-628. doi: 10.1002/2327-6924.12500. Epub 2017 Aug 28.

Abstract

Purpose: Point-of-care information needs for nurse practitioners are tremendous. A phenomenon often referred to as curbside consultation (CC) with colleagues is an information source for point-of-care clinical decision making. This literature review was conducted to describe: (a) characteristics of CC, (b) consistency of CC definition, and (c) attitudes about CC among health professionals using this information source for point-of-care clinical decision making.

Methods: This literature review includes research conducted from 1980 to 2016 concerning CC among health professionals. Data bases including PubMed, CINAHL, Google Scholar, Web of Science, PsychInfo, Business Source, and Cochrane Library were searched resulting in 15 articles for inclusion in this review. Fink's recommendations were used to assess study bias risk.

Conclusions: Only studies including physician samples met inclusion criteria. These studies, primarily from consultant perspectives, were conducted in varied settings and were considered highly valuable. CC s averaging 9.4 min were defined as informal advice and information-seeking without formal consultation.

Implications for practice: A paucity of information exists concerning CC use among nurse practitioners. An assessment of CC processes among nurse practitioners is indicated to inform education and practice for research dissemination ultimately promoting patient care quality.

Keywords: Consultation; clinical decision making; nurse practitioners; work environments.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Decision Making
  • Humans
  • Nurse Practitioners / trends*
  • Primary Health Care / methods*
  • Referral and Consultation / trends*
  • Workforce