Critical care nurse practitioners improve compliance with clinical practice guidelines in "semiclosed" surgical intensive care unit.
This prospective study examined whether the integration of acute care nurse practitioners (ACNP) in a "semiclosed" surgical intensive care unit (SICU) model increased compliance with clinical practice guidelines (CPG). Patients were admitted to critical care services with a (a) "semiclosed"/ACNP team or (b) "mandatory consultation"/non-ACNP team. CPG compliance was significantly higher (P < .05) on the "semiclosed"/ACNP team for all 3 CPGs examined in the study.
Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, Philadelphia, USA.
Vicente H
VH
Gracias
Corinna P
CP
Sicoutris
S Peter
SP
Stawicki
Denise M
DM
Meredith
Annamarie D
AD
Horan
Rajan
R
Gupta
Elliott R
ER
Haut
Sue
S
Auerbach
Seema
S
Sonnad
C William
CW
Hanson
C William
CW
Schwab
D018806:APACHE; D000465:Algorithms; D003422:Critical Care / Q000592:standards; D018592:Cross-Over Studies; D003663:Decision Trees; D055317:Evidence-Based Practice; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology / Q000517:prevention & control; D019983:Guideline Adherence / Q000592:standards*; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D016294:Models, Nursing; D009017:Morbidity; D009722:Nurse Practitioners / Q000458:organization & administration*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration; D010414:Pennsylvania / Q000453:epidemiology; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D017749:Total Quality Management / Q000458:organization & administration*