1
|
Swink K, Berris M, King S, Frame S, Munoz R, Magallon AL. Innovation in Nurse Staffing Models: Implementing a Tele-Critical Care Nurse Program in a Pediatric Cardiac Intensive Care Unit. AACN Adv Crit Care 2023; 34:334-342. [PMID: 38033215 DOI: 10.4037/aacnacc2023719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Abstract
A pediatric tele-critical care nursing program provides an extra layer of surveillance for patients and alerts bedside nurses of abnormal trends to mitigate adverse events. Although workforce turnover combined with patient complexity and acuity in a pediatric cardiac intensive care unit strains the sustainability of a healthy work environment, these variables have also opened the door to an innovative approach to tele-critical care nursing care delivery. In addition to virtual surveillance, a clinical bedside intervention was developed to provide hands-on assistance to bedside nurses. This article describes the evolution of this novel technique for enhancing nursing care delivery.
Collapse
Affiliation(s)
- Kellie Swink
- Kellie Swink is Clinical Nurse Program Coordinator, Division of Cardiac Critical Care Medicine, Telemedicine Program, Children's National Hospital, 111 Michigan Avenue, NW, Washington DC, 20010
| | - Menchee Berris
- Menchee Berris is Clinical Nurse Program Coordinator, Division of Cardiac Critical Care Medicine, Telemedicine Program, Children's National Hospital, Washington, DC
| | - Simmy King
- Simmy King is Chief Nursing Informatics and Education Officer, Division of Nursing, Children's National Hospital, and George Washington University, School of Medicine and Health Sciences, Washington, DC
| | - Shaun Frame
- Shaun Frame is Director, Nursing Inpatient Heart Institute, Children's National Heart Institute, Children's National Hospital, Washington, DC
| | - Ricardo Munoz
- Ricardo Munoz is Chief, Division of Cardiac Critical Care Medicine, Executive Director of Telemedicine, and Co-director, Children's National Heart Institute, Children's National Hospital, Washington, DC
| | - Alejandro Lopez Magallon
- Alejandro Lopez Magallon is Medical Director, Telemedicine Program, Division of Cardiac Critical Care Medicine, Children's National Hospital, Washington, DC
| |
Collapse
|
2
|
Gonzalez M, Williams LM, Yanello K, White J, Meyer S, Powell L, Benneche KA, Knoblach C, Jacobs L, Rincon TA. Innovations in Tele-Critical Care Nursing During the COVID-19 Pandemic. AACN Adv Crit Care 2023; 34:324-333. [PMID: 38033216 DOI: 10.4037/aacnacc2023152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Abstract
For decades, tele-critical care (TCC) programs have provided expert population surveillance with standardized clinical interventions for critically ill patients. The COVID-19 pandemic created massive strains on critical care resources. For this report, standard questions were used to solicit COVID-19 pandemic workflow and service modifications from a network of TCC leaders to describe the rapid expansion of TCC-supported services during the pandemic. In this article, leaders from 7 TCC programs report on the effective use of services to support changing hospital needs during the pandemic in areas such as clinical education, personal protective equipment stewardship, expansion of virtual care, and creative staffing models, among others.
Collapse
Affiliation(s)
- Miguel Gonzalez
- Miguel Gonzalez is Nurse Manager, Tele-Critical Care & Virtual Sepsis Unit, Baptist Health South Florida, 6855 Red Road, Coral Gables, FL 33143
| | - Lisa-Mae Williams
- Lisa-Mae Williams is Operations Director, Tele-Critical Care & Virtual Sepsis Unit, Baptist Health South Florida, Coral Gables, Florida
| | - Kim Yanello
- Kim Yanello is Telehealth Product Manager, Ascension Illinois, Boilingbrook, Illinois
| | - Jason White
- Jason White is Clinical Nurse Manager, Tele-ICU, St Louis, Missouri
| | - Shelley Meyer
- Shelley Meyer is Assistant Nurse Manager, Tele-ICU, St Louis, Missouri
| | - Lillian Powell
- Lillian Powell is Administrative Director, Connected Care, Dartmouth-Hitchcock, Lebanon, New Hampshire
| | - Kara A Benneche
- Kara A. Benneche is Assistant Vice President, Operations, Telehealth Services, Northwell Health, Syosset, New York
| | - Carol Knoblach
- Carol Knoblach is retired from Sutter Health Valley, Sacramento, California
| | - Lynn Jacobs
- Lynn Jacobs is retired from UW Health eICU, University of Wisconsin, Madison, Wisconsin
| | - Teresa A Rincon
- Teresa A. Rincon is Assistant Professor, UMass Chan Medical School, Tan Chingfen Graduate School of Nursing, Worcester, Massachusetts, and Senior Telehealth Consultant, Blue Cirrus Consulting, Greenville, South Carolina
| |
Collapse
|
3
|
Williams LM, Carpenter D, Mercier M, Reynolds E, Davis T. Healthy Work Environment Standards in Tele-Critical Care Nursing. AACN Adv Crit Care 2023; 34:350-358. [PMID: 38033213 DOI: 10.4037/aacnacc2023407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Abstract
The COVID-19 pandemic exacerbated staffing challenges in intensive care units, with increased burnout and moral distress cited as major problems. A healthy work environment is critical to nurses' success and wellbeing. During the pandemic, a survey by the American Association of Critical-Care Nurses revealed decreased composite scores in each of the 6 critical elements of a healthy work environment. Hospital units that improved even 1 critical element reported higher job satisfaction. The use of telehealth tools by expert nurses expanded care delivery during the pandemic by improving response to acutely and critically ill patients while supporting hospital-based nurses. All of the critical elements of a healthy work environment are relevant to the tele-critical care nurse's role and challenges. This article describes how tele-critical care nurses were affected by the pandemic and how healthy work environment strategies promoted successful nurse and patient outcomes.
Collapse
Affiliation(s)
- Lisa-Mae Williams
- Lisa-Mae Williams is Operations Director, Tele-Critical Care and Virtual Sepsis Unit, Baptist Health South Florida, 6855 Red Rd, Coral Gables, FL 33143
| | - Dawn Carpenter
- Dawn Carpenter is Nurse Practitioner, Guthrie Healthcare System, Sayre, Pennsylvania, and Associate Professor, University of Massachusetts, Worcester, Massachusetts
| | - Marie Mercier
- Marie Mercier is Nurse Manager, Virtual Critical Care, Atrium Health, Mint Hill, North Carolina
| | - Erin Reynolds
- Erin Reynolds is Medical-Surgical ICU Clinical Director, Inova Fairfax Medical Campus, Falls Church, Virginia
| | - Theresa Davis
- Theresa Davis is Assistant Vice President of Nursing, High Reliability Center, Inova Health System, Falls Church, Virginia, and current AACN president
| |
Collapse
|
4
|
Williams LM. Using Remote Technology in Patient Care. Crit Care Nurse 2023; 43:74-76. [PMID: 38035615 DOI: 10.4037/ccn2023741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Affiliation(s)
- Lisa-Mae Williams
- Lisa-Mae Williams is the Operations Director of the tele-critical care and virtual sepsis unit, Baptist Health South Florida, Coral Gables, Florida
| |
Collapse
|
5
|
KÜRTÜNCÜ M, KURT A, ARSLAN N. AN EXAMINATION OF NURSES’ ACCEPTANCE OF MOBILE HEALTH APPLICATIONS. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2021. [DOI: 10.33808/clinexphealthsci.905574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|