开发一支燃烧高级实践提供者团队:实现愿景
Crystal Szczepanski1,2, Yuk Ming Liu1,2, Lauren Nosanov1,2
1Walter L. Ingram Burn Center, Grady Memorial Hospital, Atlanta, GA, United States.
概括
为了应对医生短缺和患者需求增加,烧伤中心正在扩大高级实践提供者 (APP) 团队. 这一举措改善了患者护理的连续性和团队的生产力,为其他机构提供了典范.
科学领域:
- 医学教育 医学教育
- 手术护理 手术护理
- 医疗保健管理局的管理.
背景情况:
- 由于医生短缺和工作时间限制,对烧伤护理团队的需求日益增加.
- 烧伤中心面临的挑战是维持足够的员工来提供24-7的病人护理.
- 目前的燃烧中心团队有限的高级实践提供商 (APP) 集成.
研究的目的:
- 开发和实施APP上网课程,以扩大烧伤中心团队.
- 评估APP人员增加对患者护理,团队动态和财务结果的影响.
- 建立一个可持续的模式,用于APP集成在烧伤护理设置.
主要方法:
- 设计了一个全面的APP上网课程,涵盖烧伤和ICU主题.
- 在19个月内,聘请并将10个新的APP整合到24-7人事模式中.
- 使用相对价值单位 (RVU) 追踪APP生产力,并评估团队绩效.
主要成果:
- 在计划中的12个APP职位中成功填补了10个,提高了团队的能力.
- 现在APP在各种护理环境 (ICU,地板,OR,ED,诊所) 中提供持续的患者管理.
- 数据表明,APP补充和团队生产力之间存在正相关性,这表明了财务效益.
结论:
- 一个结构化的APP上网计划可以有效地扩大燃烧中心团队.
- 增加APP集成可以提高患者护理连续性和团队效率.
- 该模型为面临人员挑战的其他烧伤中心提供了可扩展的解决方案.
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