J Korean Soc Traumatol.
2012 Dec;25(4):254-260.
Outcomes for Employment of a Trauma Clinical Nurse Specialist in the Treatment of Trauma Patients
- Affiliations
-
- 1Clinical Nurse Specialist (CNS), Department of Nursing, Asan Medical Center, Korea.
- 2Division of Trauma and Surgical Critical Care, Department of Surgery, Ulsan University College of Medicine, Asan Medical Center, Korea. skhong94@amc.seoul.kr
- 3Department of Surgery, Inje University College of Medicine, Haeundae Paik Hospital, Korea.
- 4Department of Orthopedic Surgery, Ulsan University College of Medicine, Asan Medical Center, Korea.
Abstract
- PURPOSE
Ongoing treatment and care, as well as initial stabilization, are required for trauma patients. With increasing number of sickest trauma patients and shortage of surgeons, the need for advanced practice nurse to provide and coordinate trauma care has been greater. The purpose of this study is to analyze the effect of hiring a trauma clinical nurse specialist and its influence on the treatment of trauma patients.
METHODS
Based on the employment of the clinical nurse specialist in December 2010, the patients were divided into two groups: patients admitted from January 1, 2010 to November 30, 2010 and patients admitted from December 1, 2010 to December 31, 2011. Retrospectively, data were collected using electronic medical records. The general characteristics, clinical courses, and ICU re-admission rates, collaboration (transfers to other departments and collaborative surgery) were compared.
RESULTS
To have a clinical nurse specialist on the trauma team resulted in a statistically significant reductions in the length of general ward hospital stay (p<0.05), the ICU re-admission rate, (p<0.03), the lead-time before transfer to other departments (p<0.05).
CONCLUSION
The clinical nurse specialist, as a professional practitioner, improved the quality of treatment through early detection and management of problems. In addition, as a coordinator, the clinical nurse specialist maintained a cooperative relationship with multi-disciplinary medical personnel. The trauma clinical nurse specialist contributed to the treatment of trauma patients positively through a decrease in ICU re-admission rate and length of hospital stay.
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