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Multidisciplinary team perspective of an intensive care nurse practitioner role within a major trauma centre
Naomi Hallsworth1, Vicki Patton2
1Intensive Care Unit, Royal Perth Hospital, Australia.
Background:
An intensive care nurse practitioner (NP) role was implemented as a safe alternate model of care (MoC) compared to the traditional intensive care unit (ICU) framework as an innovative model to address current gaps within the MoC and to plan for future medical workforce shortages to establish a sustainable MoC to meet growing demand. The primary purpose of this project was to identify the usefulness and the multidisciplinary team's (MDT's) satisfaction of the intensive care NP role.
Methods:
prospective cross-sectional mixed-method study design was used. The survey was distributed across all staff working in the ICU via the Research Electronic Data Capture platform. Quantitative responses were exported to SPSS for analysis; descriptive statistics were calculated and expressed as means and standard deviations in normally distributed continuous variables. Relationships were calculated using Wilcoxon Chi Square, significance was set at 0.05. Qualitative data underwent a thematic analysis to identify key themes.
Results:
Overall, the NP was highly rated from the MDT. There were some significant differences between the MDT responses; nurses scored significantly higher than the medical staff when evaluation the NP's incorporation of evidence-based practice (median 10.0 vs 8.0; p < 0.01) and confidence to follow a management plan set out by the NP. Allied health rated the NP's ability to facilitate a discharge significantly higher that nurses did (mean: 9.9, standard deviation: ± 0.38 vs 8.7 standard deviation: ± 2.2; p < 0.01). Five themes were identified during thematic analysis: bridging, continuity of comprehensive patient care, support, advanced clinical skillset, and asset to the unit.
Conclusion:
The survey demonstrated there was overall high satisfaction with no difference reported between the MDT responses. This reinforces previous findings that NPs can provide safe and effective ICU management and care in collaboration with the MDT.
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