Show simple item record

dc.contributor.authorWilliams, Teresa
dc.contributor.authorLeslie, Gavin
dc.contributor.authorFinn, J.
dc.contributor.authorBrearley, L.
dc.contributor.authorAsthifa, M.
dc.contributor.authorHay, B.
dc.contributor.authorLaurie, K.
dc.contributor.authorLeen, T.
dc.contributor.authorO'Brien, K.
dc.contributor.authorStuart, M.
dc.contributor.authorWatt, M.
dc.identifier.citationWilliams, Teresa and Leslie, Gavin and Finn, Judith and Brearley, Linda and Asthifa, Mariyam and Hay, Ben and Laurie, Karen and Leen, Tim and O'Brien, Keith and Stuart, Michael and Watt, Michelle. 2010. Clinical Effectiveness of a Critical Care Nursing Outreach Service in Facilitating Discharge From the Intensive Care Unit. American Journal of Critical Care. 19: pp. 63-72.

Background - Improved discharge planning and extension of care to the general care unit for patients transferring from intensive care may prevent readmission to the intensive care unit and prolonged hospital stays. Morbidity, mortality, and costs increase in readmitted intensive care patients. Objectives - To evaluate the clinical effectiveness of a critical care nursing outreach service in facilitating discharge from the intensive care unit and providing follow-up in general care areas. Methods - A before-and-after study design (with historical controls and a 6-month prospective intervention) was used to ascertain differences in clinical outcomes, length of stay, and cost/benefit. Patients admitted to intensive care units in 3 adult teaching hospitals were recruited. The service centered on follow-up visits by specialist intensive care nurses who reviewed and assessed patients who were to be or had been discharged to general care areas from the intensive care unit. Those nurses also provided education and clinical support to staff in general care areas.Results - In total, 1435 patients were discharged during the 6-month prospective period. Length of stay from the time of admission to the intensive care unit to hospital discharge (P = .85), readmissions during the same hospital admission (5.6% vs 5.4%, P = .83), and hospital survival (P = .80) did not differ from before to after the intervention. Conclusions - Although other studies have shown beneficial outcomes in Australia and the United Kingdom, we found no improvement in length of stay after admission to the intensive care unit, readmission rate, or hospital mortality after a critical care nursing outreach service was implemented.

dc.publisherAmerican Association of Critical Care Nurses
dc.titleClinical Effectiveness of a Critical Care Nursing Outreach Service in Facilitating Discharge From the Intensive Care Unit
dc.typeJournal Article
dcterms.source.titleAmerican Journal of Critical Care
curtin.departmentSchool of Nursing and Midwifery
curtin.accessStatusOpen access via publisher

Files in this item


This item appears in the following Collection(s)

Show simple item record