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Practice model: development of a nurse-managed unit and the advanced practitioner role
Critical Care Nursing Clinics of North America
|March 1, 1995
Summary
A new cardiac care program at Massachusetts General Hospital uses advanced practice nurses to improve patient transfers and access, offering an alternative to traditional inpatient care models.
Area of Science:
- Nursing
- Health Services Research
- Cardiology
Background:
- Healthcare reform facilitates nurse-managed centers and autonomous nursing roles.
- Traditional inpatient care models face challenges with patient transfer and access.
- Massachusetts General Hospital sought innovative solutions for cardiac patient care pathways.
Purpose of the Study:
- To describe a novel program for cardiac patients at Massachusetts General Hospital.
- To evaluate the program's impact on transfer delays and access from referral centers.
- To present an alternative to traditional inpatient care through an integrated nursing model.
Main Methods:
- Implementation of a program merging primary nursing staff with advanced practice nursing roles.
- Focus on cardiac patients requiring transfer from referral centers.
- Establishment of nurse-managed processes to streamline care transitions.
Main Results:
- Reduced delays in patient transfer for cardiac care.
- Improved access to Massachusetts General Hospital for patients from referral centers.
- Demonstrated success of an integrated nursing model as an alternative to traditional care.
Conclusions:
- The described program effectively addresses challenges in cardiac patient transfer and access.
- An advanced practice nursing role integrated with primary nursing enhances inpatient care delivery.
- This model offers a viable alternative to traditional inpatient care, improving efficiency and patient flow.