COMPARATIVE STUDY
JOURNAL ARTICLE

Critical care nurse practitioners improve compliance with clinical practice guidelines in "semiclosed" surgical intensive care unit

Vicente H Gracias, Corinna P Sicoutris, S Peter Stawicki, Denise M Meredith, Annamarie D Horan, Rajan Gupta, Elliott R Haut, Sue Auerbach, Seema Sonnad, C William Hanson, C William Schwab
Journal of Nursing Care Quality 2008, 23 (4): 338-44
18521045
This prospective study examined whether the integration of acute care nurse practitioners (ACNP) in a "semiclosed" surgical intensive care unit (SICU) model increased compliance with clinical practice guidelines (CPG). Patients were admitted to critical care services with a (a) "semiclosed"/ACNP team or (b) "mandatory consultation"/non-ACNP team. CPG compliance was significantly higher (P < .05) on the "semiclosed"/ACNP team for all 3 CPGs examined in the study.

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