2.50
Hdl Handle:
http://hdl.handle.net/10755/182117
Category:
Abstract
Type:
Presentation
Title:
Acuity-Adaptable Care Delivery: An Emerging Care Delivery Model
Author(s):
Bonuel, Nena
Author Details:
Nena Bonuel, MSN, RN, CCRN, CNS, ACNS-BC, Nurse Specialist, The Methodist Hospital, Houston, Texas, USA, email: nbonuel@tmhs.org
Abstract:
Poster presentation, ANCC National Magnet Conference: To create an exceptional patient care experience, in the light of shortage of nurses, skill mix challenges, aging workforce, it is becoming more crucial to recognize that the infrastructure, technology should be flexible and adaptable to change than ever before. Acuity-Adaptable patient room holds promise in supporting a future patient care delivery. Acuity-Adaptable Patient Room means keeping the patient in the same room from admission through discharge regardless of the patient acuity. The required level of care is brought to the patient instead of the patient transferring from one level of care multiple times in the course of hospitalization. With the support of the organizational leadership, a pilot study using pre and post method was conducted on improving the length of stay and cost of renal transplant patient in a medical-surgical setting using the acuity-adaptable care delivery model. Competency of the nursing staff was addressed through formally structured and rigorous critical care competency training using interdisciplinary educators. The result of such training created a hybrid nurse equipped with critical care nursing skills and medical-surgical nursing skills. The admission and discharge criteria of the renal transplant patient and care pathways based on evidence-based practices endorsed by the organizations Transplant Care Management Performance Improvement committee were implemented. Clinical patient outcomes using the acuity-adaptable care delivery resulted in the decrease of renal transplant patients length of stay from 10 days to 4 days and decrease in direct cost from $26,308 to $21,849.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, 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.titleAcuity-Adaptable Care Delivery: An Emerging Care Delivery Modelen_GB
dc.contributor.authorBonuel, Nenaen_US
dc.author.detailsNena Bonuel, MSN, RN, CCRN, CNS, ACNS-BC, Nurse Specialist, The Methodist Hospital, Houston, Texas, USA, email: nbonuel@tmhs.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182117-
dc.description.abstractPoster presentation, ANCC National Magnet Conference: To create an exceptional patient care experience, in the light of shortage of nurses, skill mix challenges, aging workforce, it is becoming more crucial to recognize that the infrastructure, technology should be flexible and adaptable to change than ever before. Acuity-Adaptable patient room holds promise in supporting a future patient care delivery. Acuity-Adaptable Patient Room means keeping the patient in the same room from admission through discharge regardless of the patient acuity. The required level of care is brought to the patient instead of the patient transferring from one level of care multiple times in the course of hospitalization. With the support of the organizational leadership, a pilot study using pre and post method was conducted on improving the length of stay and cost of renal transplant patient in a medical-surgical setting using the acuity-adaptable care delivery model. Competency of the nursing staff was addressed through formally structured and rigorous critical care competency training using interdisciplinary educators. The result of such training created a hybrid nurse equipped with critical care nursing skills and medical-surgical nursing skills. The admission and discharge criteria of the renal transplant patient and care pathways based on evidence-based practices endorsed by the organizations Transplant Care Management Performance Improvement committee were implemented. Clinical patient outcomes using the acuity-adaptable care delivery resulted in the decrease of renal transplant patients length of stay from 10 days to 4 days and decrease in direct cost from $26,308 to $21,849.en_GB
dc.date.available2011-10-28T15:09:52Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:09:52Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_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.-
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