Efforts to reduce the length of stay in a low-intensity ICU: Changes in the ICU brought about by collaboration between Certified Nurse Specialists as head nurses and intensivists
| Autor: | Masanori Kashiwagi, Hironori Sakurai, Tomohide Fukuda |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Program evaluation Critical Care and Emergency Medicine Medical Doctors Health Care Providers health care facilities manpower and services Nurses Certification law.invention Mathematical and Statistical Techniques 0302 clinical medicine law Medicine and Health Sciences Medicine Hospital Mortality Medical Personnel 030212 general & internal medicine Aged 80 and over Multidisciplinary 030504 nursing Medical record Statistics Middle Aged Intensive care unit Hospitals Intensive Care Units Professions Physical Sciences Regression Analysis Female 0305 other medical science Research Article Adult Hospitals Low-Volume Adolescent Critical Care Science Personnel Staffing and Scheduling Cardiology Intensivist Surgical and Invasive Medical Procedures Research and Analysis Methods Young Adult Nursing Science 03 medical and health sciences Nursing Physicians Humans Statistical Methods Aged Retrospective Studies Patient Care Team business.industry Retrospective cohort study Length of Stay Health Care Nursing Supervisory Health Care Facilities People and Places Population Groupings Advanced Practice Nurses Surgical history business Nurse Specialists Mathematics Program Evaluation |
| Zdroj: | PLoS ONE, Vol 15, Iss 6, p e0234879 (2020) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Certified Nurse Specialists (CNS) are advanced practice nurses that often play a role in management. This study aims to investigate whether cooperation between CNSs in the position of Intensive Care Unit (ICU) head nurse and intensivists change the length of stay for ICU patients. A single centered retrospective cohort study design was followed. A multivariable regression analysis was performed to determine whether there is a difference in patients’ length of ICU stay for two years before and after CNS as ICU head nurse and an intensivist started collaborating. The patients’ diagnosis, age, gender, scheduled/emergency admission, surgical history, length of ICU stay, usage of ventilator, and details of ICU treatment were collected from the institution’s electronic medical records. During the study period (April 2015 to March 2019), 3,135 patients were admitted to ICU, with 1,471 in the before collaboration group and 1,664 in the after-collaboration group. Collaboration between the CNS as head nurse and intensivists was significantly associated with shorter length of ICU stay (coefficient -0.03 [95% CI, -0.05–0.01], p < 0.001, t-statistic -3.29). Our main finding illustrates that in low-intensity ICUs, collaboration between CNSs as head nurses and intensivists may reduce patients’ length of ICU stay. |
| Databáze: | OpenAIRE |
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