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Staff's Perception of the Intensive Care Outreach Nurse Role: A Multisite Cross-sectional Study
Ged Williams1, Loralee Rotering, Asha Samuel
1Nursing & Allied Health Consultant, Abu Dhabi Health Service (SEHA) and School of Nursing and Midwifery Griffith University (Mr Williams), Intensive Care Unit, Tawam Hospital (Ms Rotering), Intensive Care Unit, Sheikh Khalifa Medical City (Ms Samuel), Al Mafraq Hospital (Ms Du Plessis), and Intensive Care Unit, Al Ain Hospital (Mr Abdel Khaleq), Abu Dhabi, UAE; and Department of Emergency Medicine, Gold Coast Health and School of Nursing and Midwifery Griffith University, Australia (Dr Crilly).
Background:
Rapid Response Systems are emerging internationally to provide a patient-focused approach to prevent potentially avoidable deaths and serious adverse events.
Local Problem:
This study focused on ward nurses in the United Arab Emirates (UAE) government hospitals who were perceived to lack the confidence and knowledge to detect and/or respond to deteriorating patients.
Method:
A cross-sectional study design was used to evaluate the Intensive Care Outreach Nurse (ICON) role from the perspectives of the ICONs, their managers/educators, and ward-based physicians and nurses. ICONs are intensive care experienced nurses with additional education in the role of rapid responder to the deteriorating patient.
Interventions:
An ICON role was implemented across 4 hospitals to respond to and support clinicians in the recognition and management of the deteriorating patient on general inpatient wards.
Results:
ICON skills perceived as most beneficial by respondents included staff education, respiratory therapy, medication administration, and intravenous access.
Conclusions:
The ICON role is able to support recognition and management of the deteriorating patients.
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