2.50
Hdl Handle:
http://hdl.handle.net/10755/163860
Category:
Abstract
Type:
Presentation
Title:
The Impact of the CNS on the Nursing Care of Long-Term Ventilated Patients
Author(s):
Gavaghan, Susan R.; Carroll, Diane L.
Author Details:
Susan R. Gavaghan, RN, MSN, Massachusetts General Hospital, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Diane L. Carroll, RN, PhD
Abstract:
In an attempt to address the issue of quality care in long-term ventilated patients to improve weaning outcomes, an innovative specialized Respiratory Acute Care Unit (RACU) was developed at a large urban teaching hospital. A ultidisciplinary team of health care providers, including a unit-based CNS, was formed to address interventions that would improve quality of care for the long-term ventilated patients, to enhance care delivered by staff nurses, and to develop systems that optimized nursing practice and the patient outcomes of successful weaning. The purpose of this presentation is to articulate the challenges and describe interventions used by the CNS to improve care of the patients admitted to the RACU and to measure the outcome of weaning. Intervention strategies fostered by supportive unit leadership included the development of a focused pre-admission assessment of potential patients, education related to developed wound/skin care, development of a family guidebook and support groups for families. The CNS identified educational needs around selected content including cardiac arrhythmias, advanced respiratory care, and ethical decision-making and integrated this content into educational offerings. Systems were created to advance nursing practice and included daily pre-rounds and weekly multidisciplinary rounds with nursing staff presenting patients, quality rounds to support patient safety, and documentation audits and feedback. Data demonstrate that the implementation of CNS guided activities that were patient-focused; nurse-sensitive; and system supported positively influenced the outcomes of the long-term ventilated patients. The CNS, as a part of the leadership team, was successful at identifying and implementing strategies that improved care to this vulnerable population.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Impact of the CNS on the Nursing Care of Long-Term Ventilated Patientsen_GB
dc.contributor.authorGavaghan, Susan R.en_US
dc.contributor.authorCarroll, Diane L.en_US
dc.author.detailsSusan R. Gavaghan, RN, MSN, Massachusetts General Hospital, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Diane L. Carroll, RN, PhDen_US
dc.identifier.urihttp://hdl.handle.net/10755/163860-
dc.description.abstractIn an attempt to address the issue of quality care in long-term ventilated patients to improve weaning outcomes, an innovative specialized Respiratory Acute Care Unit (RACU) was developed at a large urban teaching hospital. A ultidisciplinary team of health care providers, including a unit-based CNS, was formed to address interventions that would improve quality of care for the long-term ventilated patients, to enhance care delivered by staff nurses, and to develop systems that optimized nursing practice and the patient outcomes of successful weaning. The purpose of this presentation is to articulate the challenges and describe interventions used by the CNS to improve care of the patients admitted to the RACU and to measure the outcome of weaning. Intervention strategies fostered by supportive unit leadership included the development of a focused pre-admission assessment of potential patients, education related to developed wound/skin care, development of a family guidebook and support groups for families. The CNS identified educational needs around selected content including cardiac arrhythmias, advanced respiratory care, and ethical decision-making and integrated this content into educational offerings. Systems were created to advance nursing practice and included daily pre-rounds and weekly multidisciplinary rounds with nursing staff presenting patients, quality rounds to support patient safety, and documentation audits and feedback. Data demonstrate that the implementation of CNS guided activities that were patient-focused; nurse-sensitive; and system supported positively influenced the outcomes of the long-term ventilated patients. The CNS, as a part of the leadership team, was successful at identifying and implementing strategies that improved care to this vulnerable population.en_GB
dc.date.available2011-10-27T11:40:28Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:40:28Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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