Transitions in care: Piloting a neurocritical care clinic with nurse practitioners and physician associates.

IF 1.2 4区 医学
Chloe Michaelis, Elizabeth Hundt, William Lombardi, Jill Howie Esquivel
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引用次数: 0

Abstract

Abstract: The transition period from hospital to home is a vulnerable time for rehospitalization and adverse events for patients. Follow-up clinic visits within 7-14 days of discharge is an effective strategy for reducing hospital readmissions. Neurocritical care patients have a unique set of needs to safely transition to home. We evaluated the feasibility of a Neuroscience Rapid Follow-Up Clinic with nurse practitioners (NPs) and physician associates (PAs) to meet transitional care gaps in neurocritical care patients and prevent rehospitalization. Clinic procedures and documentation templates were customized for the pilot clinic. Five NPs and one PA underwent a brief training course for the ambulatory care setting. Eligible patients were tracked throughout the hospitalization and the team made follow-up appointments. The pilot clinic took place from October 2022 to January 2023. Nine patients were seen in the clinic approximately 8 days after discharge. The clinic attendance rate was 90%. Among the clinic attendees, 66% received referrals to a primary care provider or other services, one third received medication changes or refills and all received patient-specific education. There were no rehospitalizations among the clinic patients. Implementation of this pilot clinic was possible with the current departmental resources. This innovative model of care has the potential to reduce hospital readmissions.

护理转型:与执业护士和医生合作,试点一家神经重症护理诊所。
摘要:从医院到家庭的过渡期是患者再次住院和发生不良事件的脆弱时期。出院后7-14天内的随访是减少再次入院的有效策略。神经危重症患者有一套独特的安全过渡到家中的需求。我们评估了由执业护士(NP)和医师助理(PA)组成的神经科学快速随访诊所的可行性,以弥补神经重症患者的过渡期护理缺口,防止再次住院。为试点诊所定制了诊所程序和文件模板。五名NPs和一名PA接受了门诊护理环境的简短培训课程。在整个住院过程中,对符合条件的患者进行了跟踪,团队进行了随访预约。试点诊所于2022年10月至2023年1月进行。出院后约8天,有9名患者在诊所就诊。门诊就诊率为90%。在诊所参与者中,66%接受了初级保健提供者或其他服务的转诊,三分之一接受了药物更换或补充,所有人都接受了针对患者的教育。门诊病人中没有再住院的病例。利用目前的部门资源,这一试点诊所得以实施。这种创新的护理模式有可能减少住院人数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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