IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0234879.html
   My bibliography  Save this article

Efforts to reduce the length of stay in a low-intensity ICU: Changes in the ICU brought about by collaboration between Certified Nurse Specialists as head nurses and intensivists

Author

Listed:
  • Tomohide Fukuda
  • Hironori Sakurai
  • Masanori Kashiwagi

Abstract

Certified Nurse Specialists (CNS) are advanced practice nurses that often play a role in management. This study aims to investigate whether cooperation between CNSs in the position of Intensive Care Unit (ICU) head nurse and intensivists change the length of stay for ICU patients. A single centered retrospective cohort study design was followed. A multivariable regression analysis was performed to determine whether there is a difference in patients’ length of ICU stay for two years before and after CNS as ICU head nurse and an intensivist started collaborating. The patients’ diagnosis, age, gender, scheduled/emergency admission, surgical history, length of ICU stay, usage of ventilator, and details of ICU treatment were collected from the institution’s electronic medical records. During the study period (April 2015 to March 2019), 3,135 patients were admitted to ICU, with 1,471 in the before collaboration group and 1,664 in the after-collaboration group. Collaboration between the CNS as head nurse and intensivists was significantly associated with shorter length of ICU stay (coefficient -0.03 [95% CI, -0.05–0.01], p

Suggested Citation

  • Tomohide Fukuda & Hironori Sakurai & Masanori Kashiwagi, 2020. "Efforts to reduce the length of stay in a low-intensity ICU: Changes in the ICU brought about by collaboration between Certified Nurse Specialists as head nurses and intensivists," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-9, June.
    • Handle: RePEc:plo:pone00:0234879
    DOI: 10.1371/journal.pone.0234879
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0234879
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0234879&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0234879?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Agezegn Asegid & Tefera Belachew & Ebrahim Yimam, 2014. "Factors Influencing Job Satisfaction and Anticipated Turnover among Nurses in Sidama Zone Public Health Facilities, South Ethiopia," Nursing Research and Practice, Hindawi, vol. 2014, pages 1-26, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shahrzad Yektatalab & Marzieh Momennasab & Soroor Parvizy & Noushin Mousazadeh, 2022. "Improving Nurses’ Job Satisfaction: an Action Research Study," Systemic Practice and Action Research, Springer, vol. 35(1), pages 15-32, February.
    2. Linda Ng & Robert Eley & Anthony Tuckett, 2016. "Exploring factors affecting registered nurses' pursuit of postgraduate education in Australia," Nursing & Health Sciences, John Wiley & Sons, vol. 18(4), pages 435-441, December.
    3. Saleh Alzahrani & Abd Alhadi Hasan, 2019. "Transformational Leadership Style on Nursing Job Satisfaction Amongst Nurses in Hospital Settings: Findings From Systematic Review," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(6), pages 1-25, June.
    4. Dong‐Min Son & Ok‐Kyung Ham, 2020. "Influence of group resilience on job satisfaction among Korean nurses: A cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3473-3481, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0234879. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.