Impact of having a certified nurse specialist in critical care nursing as head nurse on ICU patient outcomes
Impact of having a certified nurse specialist in critical care nursing as head nurse on ICU patient outcomes
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DOI：
10.1371/journal.pone.0228458
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发表时间：
2020-02-05
期刊：
影响因子：
3.7
通讯作者：
Kashiwagi, Masanori
中科院分区：
文献类型：
--
作者：
Fukuda, Tomohide;Sakurai, Hironori;Kashiwagi, Masanori
ObjectivesThis study evaluated the impact of the presence of a certified nurse specialist in critical care（CNS）as ICU head nurse in an open ICU on clinical outcomes.MethodsThe presence of a CNS as ICU head nurse was implemented in April 2017.为了评估实施前后对患者结局的影响，将患者分为两组：实施前（2014年4月至2017年3月; 1988例患者）和实施后（2017年4月至2019年3月; 1664例患者）。从ICU数据库中收集患者的人口统计学数据。结果多变量logistic回归分析显示，CNS作为ICU护士长与ICU死亡率降低相关（比值比（OR）：0.52，95% CI：0.36-0.73，p <0.001），ICU中接受机械通气的患者较少（OR：0.20，95%CI：0.15-0.26，p <0.001）。结论CNSs是一种高级实习护士。拥有CNS作为ICU的护士长可能有助于通过利用这些护理管理中的实用技能来改善患者的预后。
ObjectivesThis study evaluated the impact of the presence of a certified nurse specialist in critical care (CNS) as ICU head nurse in an open ICU on clinical outcomes.MethodsThe presence of a CNS as ICU head nurse was implemented in practice in April 2017. To evaluate the impact on patient outcomes before and after the implementation, patients were divided into two groups: before (April 2014 to March 2017; 1988 patients) and after (April 2017 to March 2019; 1664 patients). Patients' demographic data were collected from the ICU database.ResultsMultivariable logistic regression analysis revealed that the presence of a CNS as ICU head nurse was associated with lower ICU mortality (odds ratio (OR): 0.52, 95% CI: 0.36-0.73, p < .001) and fewer patients receiving mechanical ventilation in the ICU (OR: 0.20, 95% CI: 0.15-0.26, p < .001).ConclusionCNSs are defined as one type of advanced practice nurses. Having a CNS as a head nurse in the ICU may have helped improve patient outcomes by leveraging these practical skills in nursing management.