Changes in health service delivery for cardiac patients: Implications for workforce planning and patient outcomes

Driscoll, A; Currey, J; George, M; Davidson, PM

Changes in health service delivery for cardiac patients: Implications for workforce planning and patient outcomes

Driscoll, A Currey, J

George, M Davidson, PM

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Publication Type:: Journal Article
Citation:: Australian Critical Care, 2013, 26 (2), pp. 55 - 57
Issue Date:: 2013-05-01

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Field	Value	Language
dc.contributor.author	Driscoll, A	en_US
dc.contributor.author	Currey, J https://orcid.org/0000-0002-0574-0054	en_US
dc.contributor.author	George, M	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.date.available	2012-08-14	en_US
dc.date.issued	2013-05-01	en_US
dc.identifier.citation	Australian Critical Care, 2013, 26 (2), pp. 55 - 57	en_US
dc.identifier.issn	1036-7314	en_US
dc.identifier.uri	http://hdl.handle.net/10453/32197
dc.description.abstract	Background: Traditional dedicated coronary care units (CCU) are being decommissioned and cardiology precincts are evolving. These precincts often have cardiac and non-cardiac patients with a diverse array of acuity levels. Critical care trained cardiac nurses are frequently caring for lower acuity patients resulting in a deskilling of this experienced workforce. Aim: The aim of this paper was to discuss the implications of restructuring CCUs on nursing workforce and patient outcomes. Method: An integrated literature review was conducted. The following databases were searched for articles published between January 2000 and December 2011: Ovid Medline, CINHAL, EMBASE and Cochrane. Additional studies obtained from the articles searched and policy documents from key professional organisations and government departments were reviewed. Results: This review has highlighted the association between workforce, qualifications and quality of care. Studies have shown the relationship between an increase in critical care qualified nursing staff and an improvement in patient outcomes. Inadequate staffing levels were also shown to be associated with an increase in adverse events. Cardiology precincts have the potential to adversely impact on critical care trained cardiac nursing workforce and patient outcomes. Conclusion: The implications that these new models have on the critical care cardiac nurse workforce are crucial to health care reform, quality of in-hospital care, sentinel events and patient outcomes. © 2012 Australian College of Critical Care Nurses Ltd.	en_US
dc.relation.ispartof	Australian Critical Care	en_US
dc.relation.isbasedon	10.1016/j.aucc.2012.08.001	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Models, Nursing	en_US
dc.subject.mesh	Health Care Reform	en_US
dc.subject.mesh	Nursing Staff, Hospital	en_US
dc.subject.mesh	Coronary Care Units	en_US
dc.subject.mesh	Quality of Health Care	en_US
dc.subject.mesh	Critical Care Nursing	en_US
dc.subject.mesh	Workforce	en_US
dc.title	Changes in health service delivery for cardiac patients: Implications for workforce planning and patient outcomes	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	26	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	26	en_US

Abstract:

Background: Traditional dedicated coronary care units (CCU) are being decommissioned and cardiology precincts are evolving. These precincts often have cardiac and non-cardiac patients with a diverse array of acuity levels. Critical care trained cardiac nurses are frequently caring for lower acuity patients resulting in a deskilling of this experienced workforce. Aim: The aim of this paper was to discuss the implications of restructuring CCUs on nursing workforce and patient outcomes. Method: An integrated literature review was conducted. The following databases were searched for articles published between January 2000 and December 2011: Ovid Medline, CINHAL, EMBASE and Cochrane. Additional studies obtained from the articles searched and policy documents from key professional organisations and government departments were reviewed. Results: This review has highlighted the association between workforce, qualifications and quality of care. Studies have shown the relationship between an increase in critical care qualified nursing staff and an improvement in patient outcomes. Inadequate staffing levels were also shown to be associated with an increase in adverse events. Cardiology precincts have the potential to adversely impact on critical care trained cardiac nursing workforce and patient outcomes. Conclusion: The implications that these new models have on the critical care cardiac nurse workforce are crucial to health care reform, quality of in-hospital care, sentinel events and patient outcomes. © 2012 Australian College of Critical Care Nurses Ltd.

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http://hdl.handle.net/10453/32197