2.50
Hdl Handle:
http://hdl.handle.net/10755/183068
Category:
Abstract
Type:
Presentation
Title:
Evaluation of a New Pre-CNL Role in a Tertiary Medical Center
Author(s):
Drummond-Smith, Lynn
Author Details:
Lynn Drummond-Smith, MS, RN, James A. Haley VA Hospital, Tampa, FL, email: lynn.drummond-smith@va.gov
Abstract:
PURPOSE: Several indicators needed improvement in the acute care hospital: establishing discharge appointments, achieving discharge times within an hour of the discharge appointment, moving discharges before noon, and improving patient satisfaction with amount of information received prior to discharge.

METHOD: The new position was advertised, applicants were interviewed and six were initially hired or transferred from other RN positions. The RN-PCFs generally were assigned to four teams in the Medicine Service, and to two surgical specialties, general surgery and vascular surgery. With strong administrative support, the RN-PCFs were made integral to daily interdisciplinary rounds in order to focus on: 1) anticipating discharges; 2) providing thorough discharge preparation; 3) relieving staff nurses of some lateral integration and care coordination; and 4) providing timely patient education to prepare patients for transition home. The transition home framework was adapted from Eric A. Coleman (www.caretransitions.org).

FINDINGS: NDNQI and other indicator data was collected for Medicine Service teams both with and without an assigned RN-PCF. Licensed staff was asked to rate the extent to which RN-PCFs improved the patient discharge process, whether the RN-PFC had a positive impact on the ratersÆ work, and whether there was a perceived decrease in the amount of time the raters spent in care coordination tasks. Additionally, almost all patients were telephoned by RN-PCFs 3 to 5 days after discharge to ascertain their transition home.

DISCUSSION: Measures will be presented in detail. Implications of these results will be shared as one example of supporting professional nursing practice in the organization. The discussion will propose that the new RN-PCF role is a "feeder role" for developing CNLs. The RN-PCF role allows nurses to test one major component of a CNL role: that of lateral integration and care coordination. The RN-PCF role helps staff identify how a CNL will make a difference in their lives with patients.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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.titleEvaluation of a New Pre-CNL Role in a Tertiary Medical Centeren_GB
dc.contributor.authorDrummond-Smith, Lynnen_US
dc.author.detailsLynn Drummond-Smith, MS, RN, James A. Haley VA Hospital, Tampa, FL, email: lynn.drummond-smith@va.goven_US
dc.identifier.urihttp://hdl.handle.net/10755/183068-
dc.description.abstractPURPOSE: Several indicators needed improvement in the acute care hospital: establishing discharge appointments, achieving discharge times within an hour of the discharge appointment, moving discharges before noon, and improving patient satisfaction with amount of information received prior to discharge. <br/> <br/>METHOD: The new position was advertised, applicants were interviewed and six were initially hired or transferred from other RN positions. The RN-PCFs generally were assigned to four teams in the Medicine Service, and to two surgical specialties, general surgery and vascular surgery. With strong administrative support, the RN-PCFs were made integral to daily interdisciplinary rounds in order to focus on: 1) anticipating discharges; 2) providing thorough discharge preparation; 3) relieving staff nurses of some lateral integration and care coordination; and 4) providing timely patient education to prepare patients for transition home. The transition home framework was adapted from Eric A. Coleman (www.caretransitions.org). <br/><br/>FINDINGS: NDNQI and other indicator data was collected for Medicine Service teams both with and without an assigned RN-PCF. Licensed staff was asked to rate the extent to which RN-PCFs improved the patient discharge process, whether the RN-PFC had a positive impact on the raters&AElig; work, and whether there was a perceived decrease in the amount of time the raters spent in care coordination tasks. Additionally, almost all patients were telephoned by RN-PCFs 3 to 5 days after discharge to ascertain their transition home. <br/><br/>DISCUSSION: Measures will be presented in detail. Implications of these results will be shared as one example of supporting professional nursing practice in the organization. The discussion will propose that the new RN-PCF role is a &quot;feeder role&quot; for developing CNLs. The RN-PCF role allows nurses to test one major component of a CNL role: that of lateral integration and care coordination. The RN-PCF role helps staff identify how a CNL will make a difference in their lives with patients.en_GB
dc.date.available2011-10-28T16:13:11Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:13:11Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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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