2.50
Hdl Handle:
http://hdl.handle.net/10755/164048
Category:
Abstract
Type:
Presentation
Title:
Utilization of Research to Improve Outcomes of Mechanically Ventilated Patients
Author(s):
Powers, Jan
Author Details:
Jan Powers, RN, MSN, CCRN, CCNS, CNRN, CWCN, Clarian Health Partners, Methodist Hospital, Indianapolis, Indiana, USA, email: nacnsorg@nacns.org
Abstract:
Purpose: The focus of this research utilization project was to improve ventilator management and reduce ventilator associated pneumonia in order to improve outcomes of mechanically ventilated patients. Background: Patients in Critical Care Units often require ventilatory support. Ventilator management is a key role for the Critical Care nurse. The nurse must be aware of the best management of patients receiving mechanical ventilation. Patients requiring long term ventilatory support will often fall into DRG 475, respiratory failure requiring mechanical ventilation or DRG 483, respiratory failure requiring tracheostomy. These two groups of patients are very complex and difficult to manage and are associated with a high cost of care. Description of Project: At one institution, a multidisciplinary Ventilator Management Program was initiated and led by a Critical Care Clinical Nurse Specialist. The focus of the program was overall improvement in ventilator management with the main efforts aimed at prevention of Ventilator Associated Pneumonia (VAP) and ventilator weaning. Nurses play a unique role in preventing complications such as VAP that can lead to better utilization of healthcare dollars and resources. In addition to these aspects, the ventilator management program also focused on improvement in appropriate sedation, mobility of patients and assessment of appropriate level of care. Outcomes: As part of this initiative VAP was reduced from a rate of 21.4% to 0. This improvement came as a result of nursing practice interventions based on research utilization. Overall, the outcomes of this project resulted in a decrease in length of stay for DRG 483 by 44% over a two-year period. This accounts for millions of dollars in savings to an institution. Implications for Nursing Practice: This program exemplifies the valuable role of a Clinical Nurse Specialist in leading multidisciplinary initiatives to positively impact patient outcomes with an emphasis on research utilization and promoting collaboration among various healthcare disciplines.
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.titleUtilization of Research to Improve Outcomes of Mechanically Ventilated Patientsen_GB
dc.contributor.authorPowers, Janen_US
dc.author.detailsJan Powers, RN, MSN, CCRN, CCNS, CNRN, CWCN, Clarian Health Partners, Methodist Hospital, Indianapolis, Indiana, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164048-
dc.description.abstractPurpose: The focus of this research utilization project was to improve ventilator management and reduce ventilator associated pneumonia in order to improve outcomes of mechanically ventilated patients. Background: Patients in Critical Care Units often require ventilatory support. Ventilator management is a key role for the Critical Care nurse. The nurse must be aware of the best management of patients receiving mechanical ventilation. Patients requiring long term ventilatory support will often fall into DRG 475, respiratory failure requiring mechanical ventilation or DRG 483, respiratory failure requiring tracheostomy. These two groups of patients are very complex and difficult to manage and are associated with a high cost of care. Description of Project: At one institution, a multidisciplinary Ventilator Management Program was initiated and led by a Critical Care Clinical Nurse Specialist. The focus of the program was overall improvement in ventilator management with the main efforts aimed at prevention of Ventilator Associated Pneumonia (VAP) and ventilator weaning. Nurses play a unique role in preventing complications such as VAP that can lead to better utilization of healthcare dollars and resources. In addition to these aspects, the ventilator management program also focused on improvement in appropriate sedation, mobility of patients and assessment of appropriate level of care. Outcomes: As part of this initiative VAP was reduced from a rate of 21.4% to 0. This improvement came as a result of nursing practice interventions based on research utilization. Overall, the outcomes of this project resulted in a decrease in length of stay for DRG 483 by 44% over a two-year period. This accounts for millions of dollars in savings to an institution. Implications for Nursing Practice: This program exemplifies the valuable role of a Clinical Nurse Specialist in leading multidisciplinary initiatives to positively impact patient outcomes with an emphasis on research utilization and promoting collaboration among various healthcare disciplines.en_GB
dc.date.available2011-10-27T11:41:01Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:01Z-
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
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.