A Program to Reduce Discharge Delays in an Nicu. 1412

Perlmutter, Deborah F.; Suico, C; Krauss, Alfred N.; Auld, Peter A. M.

doi:10.1203/00006450-199604001-01435

Cited by 3 publications

(6 citation statements)

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“…The multidisciplinary team model has been important to improve the quality of patient care in many areas of medicine. [12][13][14][15] The model also has been important to improve perceptions of the work environment and relationships with colleagues of all backgrounds. This model may allow the staff nurse to be involved with colleagues and others in the care plan process.…”

Section: Discussionmentioning

confidence: 99%

Barriers to Provision of Developmental Care in the Neonatal Intensive Care Unit: Neonatal Nursing Perceptions

Hendricks‐Muñoz

Prendergast

2007

Amer J Perinatol

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The role of the neonatal nurse is vital for the successful implementation of developmental care and the provision of an optimal neonatal intensive care unit (NICU) environment. The goal was to identify nurses' perceived barriers to implementation or improving developmental care in their NICUs. Nursing perceptions related to barriers for implementing developmental care were assessed using a 12-point questionnaire during two New York City Neonatal Nursing regional conferences. One hundred forty-six (86%) of 170 nurses representing 24 regional hospitals returned the survey. Developmental care was viewed as essential by 136 nurses (93%), yet 125 nurses (86%) believed that their NICU was not providing optimal developmental care. Light and sound standards were viewed as important to providing care by 71% and 91% of respondents, respectively, yet only four NICUs (3%) had light and sound meters to identify or standardize this environmental source of pain. As a group, the perceived barriers to provision of optimal developmental care in order of decreasing importance were staff nurses and staff physicians (53%) > NICU funds (42%) > physician leadership (37%) > facility limitations (31%) > registered nurse leadership (25%). In contrast, 90% of nurses whose NICU did not use developmental multidisciplinary team meetings or developmental care champions or advocates were significantly more likely to identify nursing or physician colleagues as barriers to implementing or improving developmental care, compared with 38% of nurses whose NICU used such activities ( P < 0.001). Developmental care is perceived by the neonatal nurse as a vital component to the care provided in the NICU. Use of simple light and sound measures may enhance perception of providing an optimal NICU environment. Neonatal nurses perceived barriers to care are often attributed to neonatal staff nursing and physician colleagues. This perception is decreased considerably in those NICUs in which multidisciplinary team meetings or champions are used to address the needs of caregivers by providing developmental care strategies.

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Section: Discussionmentioning

confidence: 99%

Barriers to Provision of Developmental Care in the Neonatal Intensive Care Unit: Neonatal Nursing Perceptions

Hendricks‐Muñoz

Prendergast

2007

Amer J Perinatol

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“…While premature discharge has received some attention 2,9,10,11 , one factor that is rarely considered in the study of occupancy rates is the impact of discharge delay time on subsequent ICU bed availability. This time is defi ned as the interval between when patients are deemed clinically fi t for discharge from ICU and when they actually vacate the bed 27 . While only one published report in adult ICU could be found 28 , discharge delay was the focus of a two year study conducted in a neonatal ICU 27 .…”

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confidence: 99%

“…This time is defi ned as the interval between when patients are deemed clinically fi t for discharge from ICU and when they actually vacate the bed 27 . While only one published report in adult ICU could be found 28 , discharge delay was the focus of a two year study conducted in a neonatal ICU 27 . Despite a coordinated approach to ICU discharge, 116 neonates experienced a discharge delay that accounted for 480 patient days in this study.…”

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confidence: 99%

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The Impact of an ICU Liaison Nurse on Discharge Delay in Patients after Prolonged ICU Stay

Chaboyer

Thalib

Foster

et al. 2006

Anaesth Intensive Care

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The mismatch between intensive care unit (ICU) bed availability and demand may be improved with timely patient discharges, however little is known about the nature and contributing factors of discharge delays. This study investigated the impact of a specific intervention-the ICU liaison nurse role-in reducing ICU discharge delay using a prospective block intervention study. One hundred and eighty-six ICU patients (101 control and 85 liaison nurse intervention) with an ICU length of stay of three days or longer and who survived to ICU discharge were examined. The liaison nurse was involved in assessment of patients for transfer to the ward, with a major focus on coordinating patient transfer including liaison with ward staff prior to and following ICU discharge. Logistic regression was used to quantify the risk of discharge delay associated with the liaison nurse intervention with adjustment for potential confounding variables. While no demographic or clinical variables were significant predictors of ICU discharge delay, those in the liaison nurse group were almost three times less likely to experience a discharge delay of at least two hours and about 2.5 times less likely to experience a delay of four or more hours. The positive effect of the liaison nurse role in reducing the discharge delay remained after adjusting for potential confounders. We conclude that the liaison nurse role is effective in reducing the discharge delay in ICU transfer.

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“…Despite a coordinated approach to ICU discharge, 116 neonates experienced a discharge delay that accounted for 480 patient days in this study. These delays were attributed to organizational factors beyond the ICU, family issues and lack of discharge planning 27 . The ICU liaison nurse role [29][30][31][32] is an emerging innovation that has a number of potential benefi ts including impact on ICU discharge delay.…”

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confidence: 99%

The Impact of an ICU Liaison Nurse on Discharge Delay in Patients after Prolonged ICU Stay

Bekes¹

2007

Yearbook of Critical Care Medicine

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A Program to Reduce Discharge Delays in an Nicu. 1412

Cited by 3 publications

References 0 publications

Barriers to Provision of Developmental Care in the Neonatal Intensive Care Unit: Neonatal Nursing Perceptions

Barriers to Provision of Developmental Care in the Neonatal Intensive Care Unit: Neonatal Nursing Perceptions

The Impact of an ICU Liaison Nurse on Discharge Delay in Patients after Prolonged ICU Stay

The Impact of an ICU Liaison Nurse on Discharge Delay in Patients after Prolonged ICU Stay

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