The Critical Care Resource Intensivist Model: An Essential Component to Critical Care Nursing

Area of Science:

• Critical Care Medicine
• Nursing Research
• Healthcare Management

Background:

• Implementation of a Critical Care Resource Intensivist (CCRI) model at a Level 1 trauma center.
• CCRI is a multidisciplinary group of fellowship-trained intensivists providing nighttime coverage.
• Need to evaluate the CCRI model from the nursing perspective.

Purpose of the Study:

• To evaluate the Critical Care Resource Intensivist (CCRI) model from a nursing perspective.
• To gather qualitative data on faculty availability and suggestions post-CCRI implementation.
• To inform hypothesis generation and quality improvement initiatives.

Main Methods:

• Anonymous surveys administered to critical care nurses before, during, and one year after CCRI implementation.
• Utilized a cloud-based survey tool to aggregate free-text responses.
• Qualitative data analysis involving thematic coding of survey answers.

Main Results:

• Identified 9 key themes including faculty accessibility, nurse safety, satisfaction, continuum of care, and patient safety.
• CCRI model uniformly perceived to improve patient care and decrease provider stress.
• Improved faculty availability and responsiveness cited as key benefits.

Conclusions:

• Critical care nurses strongly support the CCRI model.
• The CCRI model demonstrates potential for expansion across institutional campuses.
• Further research is recommended on CCRI's impact on nurse burnout and turnover.