The roll of the nurse practitioner in developing wellness promotion programs for employees in acute care hospital settings

e14029 Background: A significant delay in oncology patient journey through emergency department (ED) due to various reasons such as multiple specialists involved, difficulty in accessing timely advice from extremely busy inpatient/outpatient oncology teams, etc. In order to streamline admissions and discharges for oncology patients, a new model of care was created with the introduction of oncology nurse practitioner (ONP) at Calvary Mater Newcastle ED. This model operated during business hours three days a week with an aim to improve continuity of care, to enhance patients’ experience and meet organisations key performance indicators (KPIs). Limited research into the impact of these services on patient care and patient experience, particularly from service users’ perspective. Methods: A retrospective audit (6 months) has been undertaken to determine the impact of this model of care on time to specialty transfer, number of admissions versus discharges and patients representations through ED when ONP was available versus standard care. Results: During the audit period, ONP reviewed 149 patients. Fifty-four (36%) patients were discharged and of those 6 (11%) returned (within 28 days) with same or related issues. There was an average reduction in time to disposition planning for ED oncology patients of approximately 83 (193 vs 110) minutes when ONP was present at ED (one month review). Using a raw bed day costing, this resulted in a significant financial saving. Further cost analysis of this model is underway. Conclusions: The introduction of ONP into an acute care hospital ED has proven to be effective in terms of continuity of patient care, financial savings and assisted ED in meeting KPIs. The perception within the senior emergency management team is that this new model of care has been an unqualified success. ONP has rapidly and effectively joined emergency team and has seamlessly adjusted practice to the new environment. ED remains highly supportive of this new model of care. This model of care is one that could be translated easily to other specialities. Further analysis will be presented at the time of ASCO meeting.

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Quality Improvement: Developing and Implementing a Quality Improvement Plan in an Acute Care Hospital Setting

Perspectives on Administration and Supervision ◽

10.1044/aas9.3.7 ◽

1999 ◽

Vol 9 (3) ◽

pp. 7-11

Author(s):

Carole R. Roth

Keyword(s):

Quality Improvement ◽

Acute Care ◽

Hospital Setting ◽

Acute Care Hospital ◽

Care Hospital ◽

Improvement Plan

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Comparative Evaluation of Malnutrition Screening in Oncology Patients in an Acute Care Hospital: A Pilot Study

Journal of Human Nutrition ◽

10.36959/487/276 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Sinha Chandni Sen ◽

LaSalle Colette ◽

Argabright Debra ◽

Hollenbeck Clarie B

Keyword(s):

Pilot Study ◽

Acute Care ◽

Comparative Evaluation ◽

Acute Care Hospital ◽

Care Hospital ◽

Oncology Patients

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Risk factors for acute care hospital readmission in persons aged 60 and over from western countries: a systematic review protocol

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/jbisrir-2014-1170 ◽

2014 ◽

Vol 12 (2) ◽

pp. 91-102

Author(s):

Mona Kyndi Pedersen ◽

Gabriele Meyer ◽

Lisbeth Uhrenfeldt

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Acute Care ◽

Hospital Readmission ◽

Acute Care Hospital ◽

Care Hospital ◽

Systematic Review Protocol ◽

Western Countries ◽

Review Protocol

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A Taxonomy for Psycho-Oncological Intervention Techniques in an Acute Care Hospital in Germany

Oncology Research and Treatment ◽

10.1159/000517532 ◽

2021 ◽

pp. 1-7

Author(s):

Martina Madl ◽

Marietta Lieb ◽

Katharina Schieber ◽

Tobias Hepp ◽

Yesim Erim

Keyword(s):

Acute Care ◽

Interrater Reliability ◽

Acute Care Hospital ◽

Future Research ◽

Systematic Research ◽

Care Hospital ◽

Certification System ◽

Stepwise Procedure ◽

Further Development

Background: Due to the establishment of a nationwide certification system for cancer centers in Germany, the availability of psycho-oncological services for cancer patients has increased substantially. However, little is known about the specific intervention techniques that are applied during sessions in an acute care hospital, since a standardized taxonomy is lacking. With this study, we aimed at the investigation of psycho-oncological intervention techniques and the development of a comprehensive and structured taxonomy thereof. Methods: In a stepwise procedure, a team of psycho-oncologists generated a data pool of interventions and definitions that were tested in clinical practice during a pilot phase. After an adaptation of intervention techniques, interrater reliability (IRR) was attained by rating 10 previously recorded psycho-oncological sessions. A classification of interventions into superordinate categories was performed, supported by cluster analysis. Results: Between April and June 2017, 980 psycho-oncological sessions took place. The experts agreed on a total number of 22 intervention techniques. An IRR of 89% for 2 independent psycho-oncological raters was reached. The 22 techniques were classified into 5 superordinate categories. Discussion/Conclusion: We developed a comprehensive and structured taxonomy of psycho-oncological intervention techniques in an acute care hospital that provides a standardized basis for systematic research and applied care. We expect our work to be continuously subjected to further development: future research should evaluate and expand our taxonomy to other contexts and care settings.

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Cognitive and Functional Impairment of Hospitalized Patients over 65 Years of Age

European Journal of Investigation in Health, Psychology and Education ◽

10.3390/ejihpe4010001 ◽

2013 ◽

Vol 4 (1) ◽

pp. 5-18

Author(s):

Mª José Calero-García ◽

Alfonso J. Cruz Lendínez

Keyword(s):

Cognitive Impairment ◽

Marital Status ◽

Acute Care ◽

Functional Impairment ◽

Acute Care Hospital ◽

Education Level ◽

Care Hospital ◽

Elderly Men ◽

Time Of Admission ◽

The Relationship

The first objective of this research is to establish and study how the different stages of cognitive impairment and the levels of dependence evolve in patients over 65 years of age, admitted to an acute care hospital, as well as the relationship between these factors and the different social and demographical variables. The results show that the level of dependence decreases suddenly at the time of admission and undergoes a slight recovery at the time of discharge. Although this recovery continues at home after discharge, patients do not get the same level of independence that they used to have before admission. In addition, significant differences in terms of age, marital status and education level were found. In general, our results show that elderly men over 80 years of age, without no education and widowers are more likely to suffer from severe cognitive impairment and be more functionally dependent when admitted to hospital.

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