Centre for Nursing Research Innovation and Quality, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Aust Crit Care. 2011 Feb;24(1):39-47. doi: 10.1016/j.aucc.2010.09.001. Epub 2010 Nov 12.
Critical Care Outreach Services (CCOS) have been reported to streamline the transfer of patients from the intensive care unit (ICU) to the wards and provide a follow-up service supporting ward staff to provide optimum care for patients discharged from ICU.
The aim of this study was to explore the perceptions of nursing staff before and after the introduction of a CCOS at three adult teaching hospitals in Perth, Western Australia.
Exploratory focus groups were conducted with registered nurses (RNs) at each of the participating hospitals prior to and 6 months after the introduction of a CCOS. Framework analysis was used to analyse the transcribed data using a thematic approach with themes developed from the narratives of the participants.
Inexperienced RNs in particular voiced positive comments about the CCOS. The role was seen as a senior nurse who was an additional resource for less experienced staff as they educated them on complex procedures that were not common on the general wards. The RNs reported that apprehensions about the role that they had pre-implementation were not borne out in practice and that they believed that the CCOS had positive effects on patient outcomes.
The CCOS improved communication processes between members of the multidisciplinary team and units within the hospital, which subsequently enhanced the ward transition process for critically ill patients and ward nursing staff.
据报道，重症监护病房外展服务（CCOS）可简化患者从重症监护病房（ICU）转至病房的流程，并提供随访服务，支持病房工作人员为从 ICU 出院的患者提供最佳护理。
本研究旨在探讨西澳大利亚珀斯三家成人教学医院引入 CCOS 前后护理人员的看法。
在引入 CCOS 之前和之后，在参与的每家医院分别对注册护士（RN）进行探索性焦点小组讨论。使用主题方法对转录数据进行框架分析，主题是从参与者的叙述中发展而来。
特别是经验不足的 RN 对 CCOS 发表了积极的评价。该角色被视为一名资深护士，为经验不足的员工提供额外的资源，因为他们在一般病房不常见的复杂程序方面对他们进行教育。RN 报告说，他们在实施前对该角色的担忧并没有成为现实，他们认为 CCOS 对患者的结果有积极影响。
CCOS 改善了多学科团队成员和医院内各单位之间的沟通流程，从而增强了危重病患者和病房护理人员的病房过渡过程。
