The impact of an ICU liaison nurse on discharge delay in patients after prolonged ICU stay

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dc.contributor.author Chaboyer, Wendy en_US
dc.contributor.author Thalib, Lukman en_US
dc.contributor.author Foster, Michelle en_US
dc.contributor.author Elliott, Doug en_US
dc.contributor.author Endacott, Ruth en_US
dc.contributor.author Richards, Brent en_US
dc.date.accessioned 2009-12-21T02:33:53Z
dc.date.available 2009-12-21T02:33:53Z
dc.date.issued 2006 en_US
dc.identifier 2006004245 en_US
dc.identifier.citation Chaboyer Wendy et al. 2006, 'The impact of an ICU liaison nurse on discharge delay in patients after prolonged ICU stay', Australian Society of Anaesthetists, vol. 34, pp. 55-60. en_US
dc.identifier.issn 0310-057X en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/4548
dc.description.abstract The mismatch between intensive care unit (ICU) bed availability and demand may be improved with timely patient discharges, however little is known about the nature and contributing factors of discharge delays. This study investigated the impact of a specific intervention-the ICU liaison nurse role-in reducing ICU discharge delay using a prospective block intervention stud) One hundred and eighty-six ICU patients (101 control and 85 liaison nurse intervention) with an ICU length of stay of three days or longer and who survived to ICU discharge were examined. The liaison nurse was involved in assessment of patients for transfer to the ward, with a major focus on coordinating patient transfer including liaison with ward staff prior to and following ICU discharge. Logistic regression was used to quantify the risk of discharge delay associated with the liaison nurse intervention with adjustment for potential confounding variables. While no demographic or clinical variables were significant predictors of ICU discharge delay, those in the liaison nurse group were almost three times less likely to experience a discharge delay of at least two hours and about 2.5 times less likely to experience a delay of four or more hours. The positive effect of the liaison nurse role in reducing the discharge delay remained after adjusting for potential confounders. We conclude that the liaison nurse role is effective in reducing the discharge delay in ICU transfer. en_US
dc.publisher Australian Society of Anaesthetists en_US
dc.title The impact of an ICU liaison nurse on discharge delay in patients after prolonged ICU stay en_US
dc.parent Anaesthesia and Intensive Care en_US
dc.journal.volume 34 en_US
dc.journal.number en_US
dc.publocation Edgecliff, NSW, Australia en_US
dc.identifier.startpage 55 en_US
dc.identifier.endpage 60 en_US
dc.cauo.name Clinical Nursing: Practices and Outcomes en_US
dc.conference Verified OK en_US
dc.for 111000 en_US
dc.personcode 0000023173 en_US
dc.personcode 0000028214 en_US
dc.personcode 0000028215 en_US
dc.personcode 998241 en_US
dc.personcode 0000028216 en_US
dc.personcode 0000028217 en_US
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.description.keywords intensive care, discharge delay, follow-up, liaison nurse, outreach services en_US


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