Developing a Tool to Improve Critical Care Nurses' Access to High-Risk, Low-Volume Resources.

Background: The increased complexity of critical care nursing has resulted in nurses performing more high-risk, low-volume (HRLV) procedures, which may increase patient risk. Local Problem: The purpose of this project was to develop a resource for critical care nurses to more effectively manage HRLV...

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Publicado en:Critical Care Nurse Vol. 46; no. 1; pp. 59 - 67
Autores principales: Robinson, Sean, Green, Kirianne, Depew, Amber, Dedeo, Michelle, Gallegos, Cara
Formato: research tables/charts Journal Article
Publicado: American Association of Critical-Care Nurses Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
      vid: 46
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      pub: American Association of Critical-Care Nurses
      place: Alisa Veijo, California
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        atl: Developing a Tool to Improve Critical Care Nurses' Access to High-Risk, Low-Volume Resources.
      aug:
        au:
          Robinson, Sean
          Green, Kirianne
          Depew, Amber
          Dedeo, Michelle
          Gallegos, Cara
        affil: Sean Robinson is a staff nurse in the medical and surgical intensive care units (ICUs) at Providence Swedish First Hill Campus, Seattle, Washington. He is the chair of the Critical Care Nurse Practice Council and serves as a stroke champion for the unit
      sug:
        subj:
          Systems Development
          Critical Care Nurses
          Quality Improvement
          Intensive Care Units
          Hospitals, Urban
          Surgery, Operative Methods
          Human
          Female
          Male
          Surveys
          Open-Ended Questionnaires
          Inpatients
          Clinical Competence
          Confidence
          Nursing Knowledge
          Job Experience
          Nurse Attitudes
          T-Tests
          Statistical Significance
          Data Analysis Software
          Descriptive Statistics
          Female
          Male
      ab: Background: The increased complexity of critical care nursing has resulted in nurses performing more high-risk, low-volume (HRLV) procedures, which may increase patient risk. Local Problem: The purpose of this project was to develop a resource for critical care nurses to more effectively manage HRLV scenarios at intensive care units at a large urban hospital to improve nurses' practice. Methods: CINAHL and Medline databases were searched using the keywords high-risk low-volume, HRLV, badge buddy, just in time, and nurse competency. Twenty articles were identified, and 4 were included in this project. An accessible printed resource packet was created as a form of education and reference in HRLV scenarios. Each packet was laminated and kept at nurses' stations and included summaries, "pearls" (highlights), diagrams, checklists, and QR codes that linked directly to facility policies. Nurses were invited to complete an 8-question survey 8 weeks after implementation. Results: Forty-three nurses completed the survey: 63% worked day shift, and 100% found the resource relevant. On average, the nurses agreed the packet increased knowledge, saved time, helped access policies, and influenced practice. On a scale of 1 to 10, the nurses rated the packet "very helpful" (mean, 9.09). When asked what was useful, participants indicated "easily accessible" and "finding information." Conclusion: The resource packet has been used in HRLV scenarios and with new nurses during downtime. It was easy to implement and can be individualized for many units and patient populations. It serves as a bridge to easily bring best practice information to the bedside.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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