The Impact of an ICU Liason Nurse on Discharge Delay in Patients after Prolonged ICU Stay

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Title The Impact of an ICU Liason Nurse on Discharge Delay in Patients after Prolonged ICU Stay
Author Chaboyer, Wendy; Thalib, L.; Foster, M.; Elliott, D.; Endacott, R.; Richards, B
Journal Name Anaesthesia and Intensive Care
Editor Alan W. Duncan
Year Published 2006
Place of publication Australia
Publisher Australian Society of Anaesthetists
Abstract The mismatch between intensive care unit (ICU) bed availability and demand may be improved with timely patient discharges, however little is known about the nature and contributing factors of discharge delays. This study investigated the impact of a specific intervention—the ICU liaison nurse role—in reducing ICU discharge delay using a prospective block intervention study. One hundred and eighty-six ICU patients (101 control and 85 liaison nurse intervention) with an ICU length of stay of three days or longer and who survived to ICU discharge were examined. The liaison nurse was involved in assessment of patients for transfer to the ward, with a major focus on coordinating patient transfer including liaison with ward staff prior to and following ICU discharge. Logistic regression was used to quantify the risk of discharge delay associated with the liaison nurse intervention with adjustment for potential confounding variables. While no demographic or clinical variables were significant predictors of ICU discharge delay, those in the liaison nurse group were almost three times less likely to experience a discharge delay of at least two hours and about 2.5 times less likely to experience a delay of four or more hours. The positive effect of the liaison nurse role in reducing the discharge delay remained after adjusting for potential confounders. We conclude that the liaison nurse role is effective in reducing the discharge delay in ICU transfer.
Peer Reviewed Yes
Published Yes
Publisher URI
Copyright Statement Copyright 2006 Australian Society of Anaesthetists. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Volume 34
Issue Number 1
Edition February 2006
Page from 55
Page to 60
ISSN 0310-057X
Date Accessioned 2007-02-14
Date Available 2015-02-05T03:43:33Z
Language en_US
Research Centre Centre for Health Practice Innovation; Menzies Health Institute Qld
Faculty Griffith Health Faculty
Subject PRE2009-Clinical Nursing: Secondary (Acute Care)
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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