Pediatric and Neonatal Transport Teams With and Without a Physician
| Autor: | Robin Foster, Terri M. King, Kathryn M. Mccans, Brent King |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Psychological intervention Intensive Care Units Pediatric Nurse's Role Cohort Studies Intensive Care Units Neonatal Intensive care Risk of mortality Chi-square test Humans Medicine Physician's Role Patient Care Team business.industry Medical record Infant Newborn Nursing Team Infant General Medicine Hospitals Pediatric United States Pediatric Nursing Transportation of Patients El Niño Child Preschool Pediatrics Perinatology and Child Health Emergency medicine Emergency Medicine Female Pediatric nursing Nurse Clinicians business Total Quality Management Cohort study |
| Zdroj: | Pediatric Emergency Care. 23:77-82 |
| ISSN: | 0749-5161 |
| DOI: | 10.1097/pec.0b013e318030083d |
| Popis: | Objective To determine whether a transport team composed of advanced practice nurses could function as effectively as a physician-nurse team, as measured by patient outcome. Design Observational cohort study. Setting The interfacility transport team at a tertiary care children's hospital. Patients and other participants Fourteen transport nurses and 539 patients. Methods A transport team was studied during a previously planned change in composition from a physician-nurse team to a nurse-nurse team. Data were recorded by transport nurses and by subsequent review of the medical record during two 4-month periods, 1 before and 1 after the team change. Pediatric risk of mortality scores (a marker for degree of illness) were assigned for the periods before, during, and after transport. Transport time intervals, demographic data, and patient outcomes were also recorded. Data were assessed using frequency tables for discrete variables, as well as mean and standard deviation for continuous variables. For identification of group differences, chi test was used. Main outcome measures Mortality, transport-related morbidity, overall transport times and interval times, and outcome of procedures performed by transport nurses. Results Five hundred thirty-nine data sheets were received: 228 before (group 1) and 311 after (group 2) the team change. Physicians attended 128 (56.1%) group 1 transports and 15 (4.82%) group 2 transports. There were no significant differences in mean pediatric risk of mortality scores between group 1 and group 2 patients. Mortality was equivalent. Group 2 transport times were significantly shorter than group 1 times. Transport nurses performed 8 intubations; all were successful. Conclusions Outcomes for the 2 types of teams were equivalent. Nonphysician teams responded more quickly and spent less time at the referring facility. |
| Databáze: | OpenAIRE |
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