2.50
Hdl Handle:
http://hdl.handle.net/10755/164049
Category:
Abstract
Type:
Presentation
Title:
Facilitating Practice Innovation: Introduction of a New Patient Population to a Nursing Unit
Author(s):
Salamon, Lisa; Hanes, Deborah; Swanson, Ross
Author Details:
Lisa Salamon, MSN, CNS, RNBC, ETN, Cleveland Clinic, Cleveland, Ohio, USA, email: nacnsorg@nacns.org; Deborah Hanes, MSN, CNS, NP; Ross Swanson, MSN, CCRN
Abstract:
Problem: Ventricular assist devices are used in the treatment of heart failure either as a bridge to heart transplantation or as destination therapy. This patient population is highly susceptible for post-operative complications and rapid changes in physiologic status necessitating close contact with the interdisciplinary team. In an effort to move the patient toward recovery and facilitate independent living the decision was made to utilize our health system's Subacute Care Unit. The problem: the nursing staff was not familiar with the care of this patient population. Purpose: To describe the process used by three Clinical Nurse Specialists to prepare the staff of a Subacute Care Unit for the arrival of a new patient population. Significance/ Justification: Introducing a new patient population to a unit requires that the educator provide the staff with clinical instruction and psychosocial support. Program development and evaluation is an integral role of the CNS. This project demonstrates the collaboration of CNS's across different levels of care to ensure a knowledgeable staff to care for a complex patient population. Practice Innovation / Methods: The development of the educational program began with the revision of an existing program to reflect the needs of the Subacute staff. The program consists of both didactic and clinical portions. Upon completion of the class the staff completes a written test as well as demonstrates skills associated with the VAD equipment. To meet the psychosocial needs of the staff, time was spent facilitating discussion of these patients, offering additional hands on time with the equipment, and the opportunity to interact with patients living on VAD therapy. Evaluation: One hundred and 122 multidisciplinary staff members of this Subacute unit were trained in the care of this patient population. Additional sessions are planned as new employees are hired and yearly skill competencies are scheduled for the nursing staff. Findings and Conclusions: In summary, this CNS driven project has demonstrated how the CNS can impact nursing practice. This project required the development of an education program and the development of new protocols and procedures. It also provides the impetus for further research on the care of this patient population in settings outside the acute care hospital. Implications for Nursing Practice: The trend in healthcare to move people out of the hospital will mean that nurses in these other practice arenas will need to develop a new skill set.
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.titleFacilitating Practice Innovation: Introduction of a New Patient Population to a Nursing Uniten_GB
dc.contributor.authorSalamon, Lisaen_US
dc.contributor.authorHanes, Deborahen_US
dc.contributor.authorSwanson, Rossen_US
dc.author.detailsLisa Salamon, MSN, CNS, RNBC, ETN, Cleveland Clinic, Cleveland, Ohio, USA, email: nacnsorg@nacns.org; Deborah Hanes, MSN, CNS, NP; Ross Swanson, MSN, CCRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164049-
dc.description.abstractProblem: Ventricular assist devices are used in the treatment of heart failure either as a bridge to heart transplantation or as destination therapy. This patient population is highly susceptible for post-operative complications and rapid changes in physiologic status necessitating close contact with the interdisciplinary team. In an effort to move the patient toward recovery and facilitate independent living the decision was made to utilize our health system's Subacute Care Unit. The problem: the nursing staff was not familiar with the care of this patient population. Purpose: To describe the process used by three Clinical Nurse Specialists to prepare the staff of a Subacute Care Unit for the arrival of a new patient population. Significance/ Justification: Introducing a new patient population to a unit requires that the educator provide the staff with clinical instruction and psychosocial support. Program development and evaluation is an integral role of the CNS. This project demonstrates the collaboration of CNS's across different levels of care to ensure a knowledgeable staff to care for a complex patient population. Practice Innovation / Methods: The development of the educational program began with the revision of an existing program to reflect the needs of the Subacute staff. The program consists of both didactic and clinical portions. Upon completion of the class the staff completes a written test as well as demonstrates skills associated with the VAD equipment. To meet the psychosocial needs of the staff, time was spent facilitating discussion of these patients, offering additional hands on time with the equipment, and the opportunity to interact with patients living on VAD therapy. Evaluation: One hundred and 122 multidisciplinary staff members of this Subacute unit were trained in the care of this patient population. Additional sessions are planned as new employees are hired and yearly skill competencies are scheduled for the nursing staff. Findings and Conclusions: In summary, this CNS driven project has demonstrated how the CNS can impact nursing practice. This project required the development of an education program and the development of new protocols and procedures. It also provides the impetus for further research on the care of this patient population in settings outside the acute care hospital. Implications for Nursing Practice: The trend in healthcare to move people out of the hospital will mean that nurses in these other practice arenas will need to develop a new skill set.en_GB
dc.date.available2011-10-27T11:41:02Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:02Z-
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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