Evaluation of an Intensive Care Outreach Nurse Program in 4 UAE Hospitals
Ged Williams1, Jean Du Plessis, Loralee Rotering
1Nursing Administration, Sheikh Shakhbout Medical City, Abu Dhabi Health Service (SEHA), Abu Dhabi, United Arab Emirates (Mr Williams); School of Nursing & Midwifery, Griffith University, Brisbane, Australia (Mr Williams); Nursing Services, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates (Ms Plessis); Lake Superior College, Duluth, Minnesota (Ms Rotering); Intensive Care Unit, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates (Ms Samuel); Intensive Care Unit, Al Ain Hospital, Abu Dhabi, United Arab Emirates (Mr Abdel Khaleq); Emergency Department, Gold Coast Hospital and Health Service, Southport, Queensland, Australia (Ms Sweeny); and Griffith University School of Medicine, Brisbane, Australia (Ms Sweeny).
Background:
Intensive care outreach nurses (ICONs) can reduce deterioration and death of patients in hospitals.
Purpose:
Evaluate outcomes associated with implementation of the ICON role across 4 UAE hospitals.
Methods:
Trend analyses and χ 2 tests were used to measure changes before ICON program, during ICON year 1, ICON year 2, when the service coverage extended 24/7, and until the end of 2019.
Results:
From year 1 to year 2, failures to escalate decreased from a rate of 14.8 to 5.6 episodes per 1000 admissions for all sites combined ( P < .001). The cardiac arrest rate went from 4.04 to 1.42 per 1000 admissions in year 2 and continued downward to 0.72 per 1000 ( P < .001). Transfer from ward or readmission to intensive care unit/high dependency unit varied by site, although there was a statistically significant trend for all hospitals combined.
Conclusion:
The ICON role contributed to fewer failure to escalate incidents and lower cardiac arrest rates.
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