Intensive care nurse practitioners in Australia: A description of a service model in an adult tertiary intensive care unit.

Although well-established internationally, nurse practitioners (NPs) in Australian adult intensive care units (ICUs) are rare. Australian literature clearly highlights the importance of creating ICU NP roles to meet emerging demands. An ICU NP model of care at a metropolitan hospital in Sydney provi...

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Publicado en:Australian Critical Care Vol. 36; no. 1; pp. 133 - 138
Autores principales: Webb, Sarah, Butler, Jessica, Williams, Elliot, Harbour, Kelly, Hammond, Naomi, Delaney, Anthony
Formato: Journal Article
Publicado: Elsevier B.V. Jan2023
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Australian Critical Care
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      dt: Jan2023
      vid: 36
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      pub: Elsevier B.V.
      place: New York, New York
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        161445116
        10.1016/j.aucc.2022.10.017
        161445116
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        atl: Intensive care nurse practitioners in Australia: A description of a service model in an adult tertiary intensive care unit.
      aug:
        au:
          Webb, Sarah
          Butler, Jessica
          Williams, Elliot
          Harbour, Kelly
          Hammond, Naomi
          Delaney, Anthony
        affil: Royal North Shore Hospital Intensive Care Unit, Reserve Road, St Leonards, Sydney, NSW, 2065, Australia
      sug:
        subj:
          Nurse Practitioners Australia
          Critical Care Nursing
          Models, Theoretical
          Australia
          Tertiary Health Care
          Intensive Care Units
          Conceptual Framework
          Workforce
          Critically Ill Patients In Adulthood
          Adult
          Medical Fellowships
          Program Evaluation
          Advanced Practice Registered Nursing
          Professional Development
          Adult: 19-44 years
      ab: Although well-established internationally, nurse practitioners (NPs) in Australian adult intensive care units (ICUs) are rare. Australian literature clearly highlights the importance of creating ICU NP roles to meet emerging demands. An ICU NP model of care at a metropolitan hospital in Sydney provides care in four core practice areas: complex case management, vascular access, tracheostomy management, and intrahospital transport of critically ill patients. The ICU NPs also provide training and assessment for ICU nurses and medical officers in these same core practice areas and can efficiently meet service gaps in crisis such as the most recent COVID-19 pandemic. The ICU NP program described is an innovative model of care that has demonstrated potential benefits to patients and their families. Potential benefits to the healthcare system including supporting advanced practice nursing development in regional and rural Australia and in addressing future ICU workforce issues are also identified. This model of care provides a clear role and structure for the integration of NPs in the adult ICU. Research to evaluate the impact of the role is required and is underway. This model is being used to develop a national adult ICU NP fellowship training program for ICU transitional NPs preparing for endorsement or endorsed NPs who require additional ICU-specific training. This immersive clinical training program combined with didactic learning modules offers a framework to support the implementation of the adult ICU NP role as well as a framework for NP fellowship programs in other specialties.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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