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Implementation of an Innovative Nurse-Driven Resuscitation Protocol
Melanie Roberts1, Susan A Miller
1Author Affiliations: Critical Care Clinical Nurse Specialist (Dr Roberts) and Cardiothoracic Surgery Nurse Practitioner Supervisor (Ms Miller), UCHealth Medical Center of the Rockies, Loveland, Colorado.
The Journal of Nursing Administration
|July 24, 2019
Summary
Nurse-driven protocols empower nurses for early interventions in cardiac arrest. This study details creating and implementing an evidence-based resuscitation protocol for cardiac surgical patients, highlighting collaboration and lessons learned.
Area of Science:
- Cardiovascular Medicine
- Nursing Practice
- Healthcare Management
Background:
- Nurse-driven protocols enhance nursing scope and enable early interventions.
- Cardiac surgical patients experiencing cardiac arrest require specialized resuscitation strategies.
- Implementing complex practice changes necessitates a structured approach.
Purpose of the Study:
- To describe the development and implementation of an evidence-based, nurse-driven resuscitation protocol.
- To outline the use of a theoretical framework and leadership in a complex practice change.
- To share process measures, outcomes, and lessons learned from protocol implementation.
Main Methods:
- Utilized a theoretical framework and a leadership-driven process for protocol development.
- Focused on creating an evidence-based resuscitation protocol for cardiac surgical patients.
- Implemented the protocol and collected data on process measures and outcomes.
Main Results:
- Successfully developed and implemented a nurse-driven resuscitation protocol.
- Demonstrated the feasibility of a collaborative process for complex practice change.
- Collected data on process measures, patient outcomes, and implementation challenges.
Conclusions:
- Nurse-driven protocols are effective in empowering nurses and improving patient care.
- A structured, collaborative approach is essential for implementing complex practice changes in healthcare.
- The presented protocol serves as a model for similar initiatives in cardiac surgery units.
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