Advanced Practice Registered Nurse–directed Care Coordination Interventions and Outreach After Critical Illness

Jessica Peters; Rebecca Aslakson; Marisa Wilson

doi:10.1016/j.nurpra.2018.02.011

Advanced Practice Registered Nurse–directed Care Coordination Interventions and Outreach After Critical Illness

Jessica Peters, Rebecca Aslakson, Marisa Wilson

School of Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

The purpose of this pilot study was to implement care collaboration measures into a critical care advanced practice. The intervention included an outreach algorithm and a standardized handoff tool during care transition. One hundred eight patients were enrolled; 5 (4%) experienced unplanned readmission. There was no significant association with transition time and the ability to complete the algorithm. Comorbidities of chronic obstructive pulmonary disease (P <.005), a PaO₂ ratio < 200 (P <.003), and pulmonary disease (P <.027) showed increased unplanned readmission within 48 hours of transition. Implementing critical care collaborating measures was not affected by transition time and unit care flow.

Original language	English (US)
Pages (from-to)	e121-e125
Journal	Journal for Nurse Practitioners
Volume	14
Issue number	6
DOIs	https://doi.org/10.1016/j.nurpra.2018.02.011
State	Published - Jun 2018

Keywords

care transitions
collaboration
critical care
intensive care
outreach

ASJC Scopus subject areas

Advanced and Specialized Nursing

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10.1016/j.nurpra.2018.02.011

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title = "Advanced Practice Registered Nurse–directed Care Coordination Interventions and Outreach After Critical Illness",

abstract = "The purpose of this pilot study was to implement care collaboration measures into a critical care advanced practice. The intervention included an outreach algorithm and a standardized handoff tool during care transition. One hundred eight patients were enrolled; 5 (4%) experienced unplanned readmission. There was no significant association with transition time and the ability to complete the algorithm. Comorbidities of chronic obstructive pulmonary disease (P <.005), a PaO2 ratio < 200 (P <.003), and pulmonary disease (P <.027) showed increased unplanned readmission within 48 hours of transition. Implementing critical care collaborating measures was not affected by transition time and unit care flow.",

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Advanced Practice Registered Nurse–directed Care Coordination Interventions and Outreach After Critical Illness

Abstract

Keywords

ASJC Scopus subject areas

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