Ng Sze May, Mariguddi Shyam, Coward Shirley, Middleton Holly
Br J Nurs. 2014;23(4):209-12. doi: 10.12968/bjon.2014.23.4.209.
The aim of this pilot service development was to determine if the community children's nursing outreach team(CCNOT) service, as a model of care, was effective and efficient in its delivery of reducing unscheduled care and admissions to hospital, and improving patient satisfaction.
CCNOT was developed to manage acutely ill children at home and to reduce the demand for unscheduled care.
This is a pilot prospective study within a dual-site integrated care organisation.
The CCNOT service was developed with the aim of determining the effectiveness of the CCNOT model of care and service delivery inthe following outcomes: 1) reducing length of hospital stay (LOS)2) reducing A&E admissions 3) reducing non-elective admissions 4) reducing readmissions and 5) improving patient satisfaction. Data were obtained from hospital episode statistics (HES) and patient satisfaction questionnaires.
The data indicate that, after the implementation of the CCNOT service, A&E attendances fell by 5%per month, non-elective admissions by 15.8% and readmissions by 17.3%. Overall, LOS rose by 2.3%-0.88 days compared with 0.9 days-but the difference was not significant. The results of the patient satisfaction survey show high overall satisfaction with the service.
A paediatric CCNOT as a model of service delivery in acute paediatric care is effective in reducing hospital admissions. It also increases patient and carer satisfaction with care provision for sick children in the home environment.
这项试点服务开发的目的是确定社区儿童护理外展团队（CCNOT）服务作为一种护理模式，在减少非计划护理和住院次数以及提高患者满意度方面的提供是否有效且高效。
CCNOT的设立是为了在家中管理急症儿童并减少对非计划护理的需求。
这是一项在双站点综合护理机构内进行的试点前瞻性研究。
开发CCNOT服务的目的是确定CCNOT护理和服务提供模式在以下结果方面的有效性：1）缩短住院时间（LOS）2）减少急症室入院次数3）减少非选择性入院次数4）减少再次入院次数5）提高患者满意度。数据来自医院病历统计（HES）和患者满意度问卷。
数据表明，实施CCNOT服务后，急症室就诊次数每月下降5%，非选择性入院次数下降15.8%，再次入院次数下降17.3%。总体而言，住院时间与0.9天相比增加了2.3%-0.88天，但差异不显著。患者满意度调查结果显示对该服务的总体满意度较高。
儿科CCNOT作为急性儿科护理中的一种服务提供模式，在减少住院次数方面是有效的。它还提高了患者和护理人员对在家中为患病儿童提供护理的满意度。
