Comparison of liaison and staff nurses in discharge referrals of postpartum patients for public health nursing follow-up

2.50
Hdl Handle:
http://hdl.handle.net/10755/155965
Type:
Presentation
Title:
Comparison of liaison and staff nurses in discharge referrals of postpartum patients for public health nursing follow-up
Abstract:
Comparison of liaison and staff nurses in discharge referrals of postpartum patients for public health nursing follow-up
Conference Sponsor:Sigma Theta Tau International
Conference Year:1992
Conference Date:August 6 - 8, 1992
Author:Edwards, Nancy, MS/MSc
P.I. Institution Name:University of Ottawa School of Nursing
Title:Career Scientist
Traditionally, patient referrals for community public health nurse

(PHN) follow-up have been made by public health liaison nurses

(PHLNs). We conducted a before-after study to address two

questions: l) Are staff nurses (SNs) in postpartum units with

access to a PHLN for consultation as effective as PHLNs in making

accurate patient referrals to PHNs for follow-up in the community?

2) Which of the two methods of patient referral to the community is

most economically efficient?



Consent rates were 81 percent (359 mothers) in the before phase and

80 percent (368 mothers) in the after phase. A referral form

listing common maternal and infant problems was used by the PHLN in

the before phase and by the SNs in the after phase, to assess all

participating mothers and to determine whether a referral for a PHN

follow-up visit should be made. The PHNs, unaware of the identity

of the referring nurse and referral decision, visited all

participating mothers after discharge and noted whether their visit

had been required.



Of those requiring home visits as judged by the PHN, the PHLN

correctly identified 47.9 percent and the SNs correctly identified

59.6 percent (p < 0.05). Of those not requiring home visits as

judged by the PHN, the PHLN correctly identified 78.9 percent and

the SNs correctly identified 60.8 percent (p < 0.001). Based on an

annual admission rate of 2000 postpartum mothers, referrals by the

PHLN cost $69,464 and by SNs $67,179 per year. There were no

statistically significant differences in the two satisfaction

subscales in either group before and after assuming their new

roles. We conclude that although SNs referred more patients who

did not require a PHN visit, costs of referrals by SNs remained

lower than those by PHLNs.



Repository Posting Date:
26-Oct-2011
Date of Publication:
6-Aug-1992
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparison of liaison and staff nurses in discharge referrals of postpartum patients for public health nursing follow-upen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155965-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparison of liaison and staff nurses in discharge referrals of postpartum patients for public health nursing follow-up</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1992</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">August 6 - 8, 1992</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Edwards, Nancy, MS/MSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Ottawa School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Career Scientist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">nedwards@zeus.med.uottawa.ca</td></tr><tr><td colspan="2" class="item-abstract">Traditionally, patient referrals for community public health nurse<br/><br/>(PHN) follow-up have been made by public health liaison nurses<br/><br/>(PHLNs). We conducted a before-after study to address two<br/><br/>questions: l) Are staff nurses (SNs) in postpartum units with<br/><br/>access to a PHLN for consultation as effective as PHLNs in making<br/><br/>accurate patient referrals to PHNs for follow-up in the community?<br/><br/>2) Which of the two methods of patient referral to the community is<br/><br/>most economically efficient?<br/><br/><br/><br/>Consent rates were 81 percent (359 mothers) in the before phase and<br/><br/>80 percent (368 mothers) in the after phase. A referral form<br/><br/>listing common maternal and infant problems was used by the PHLN in<br/><br/>the before phase and by the SNs in the after phase, to assess all<br/><br/>participating mothers and to determine whether a referral for a PHN<br/><br/>follow-up visit should be made. The PHNs, unaware of the identity<br/><br/>of the referring nurse and referral decision, visited all<br/><br/>participating mothers after discharge and noted whether their visit<br/><br/>had been required.<br/><br/><br/><br/>Of those requiring home visits as judged by the PHN, the PHLN<br/><br/>correctly identified 47.9 percent and the SNs correctly identified<br/><br/>59.6 percent (p < 0.05). Of those not requiring home visits as<br/><br/>judged by the PHN, the PHLN correctly identified 78.9 percent and<br/><br/>the SNs correctly identified 60.8 percent (p < 0.001). Based on an<br/><br/>annual admission rate of 2000 postpartum mothers, referrals by the<br/><br/>PHLN cost $69,464 and by SNs $67,179 per year. There were no<br/><br/>statistically significant differences in the two satisfaction<br/><br/>subscales in either group before and after assuming their new<br/><br/>roles. We conclude that although SNs referred more patients who<br/><br/>did not require a PHN visit, costs of referrals by SNs remained<br/><br/>lower than those by PHLNs.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T14:19:32Z-
dc.date.issued1992-08-06en_GB
dc.date.accessioned2011-10-26T14:19:32Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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