Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11835
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dc.contributor.authorKaralapillai, Dharshien
dc.contributor.authorBaldwin, Ian Cen
dc.contributor.authorDunnachie, Gillianen
dc.contributor.authorKnott, Cameronen
dc.contributor.authorEastwood, Glenn Men
dc.contributor.authorRogan, Johnen
dc.contributor.authorCarnell, Erinen
dc.contributor.authorJones, Daryl Aen
dc.date.accessioned2015-05-16T01:27:51Z
dc.date.available2015-05-16T01:27:51Z
dc.date.issued2013-06-01en
dc.identifier.citationCritical Care and Resuscitation; 15(2): 97-102en
dc.identifier.govdoc23931040en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/11835en
dc.description.abstractPatients admitted to intensive care units have complex care needs. Accordingly, communication and handover of the medical care plan is very important.To assess changes in ICU nurses' understanding of the medical daily care plan after development and implementation of a pro forma to improve documentation and communication of the plan.The study was conducted between February and November 2012 in a mixed medical-surgical, 18-bed, closed ICU in a teaching hospital. Baseline and post-intervention surveys assessed ICU bedside nurses' self-reported understanding of elements of the daily care plan.After receiving input from bedside nurses and medical staff, we developed the daily care plan as a single-page pro forma for handwritten documentation of a clinical problems list, plan and interventions list, daily chest x-ray results, a modified FAST-HUG checklist, and discharge planning during the evening consultant ward round. The finalised pro forma was introduced on 25 July 2012.Introduction of the pro forma daily care plan was associated with marked and statistically significant improvements in nurses' self-reported understanding of a list of the patient's clinical problems, the management plan after the ward round, issues for discharge for the following day (all P < 0.001) and, to a lesser extent, the physiological targets and aims (P = 0.003) and interpretation of the daily chest x-ray (P < 0.001). In the post-intervention survey, only 4/118 free-text comments (3.4%) suggested that documentation of the plan was doctor-dependent, compared with 28/198 (14.1%) at baseline (P = 0.002).Introduction of a single-page, handwritten, structured daily care plan produced marked improvements in ICU nurses' self-reported understanding of elements of the medical plan, and may have reduced practice variation in medical plan documentation. The effects of this intervention on patient outcomes remain untested.en
dc.language.isoenen
dc.subject.otherCommunicationen
dc.subject.otherDocumentationen
dc.subject.otherFemaleen
dc.subject.otherHealth Services Needs and Demanden
dc.subject.otherHospitals, Teachingen
dc.subject.otherHumansen
dc.subject.otherInpatientsen
dc.subject.otherIntensive Care Unitsen
dc.subject.otherMaleen
dc.subject.otherNeeds Assessment.organization & administrationen
dc.subject.otherNursing Staff, Hospital.educationen
dc.subject.otherRetrospective Studiesen
dc.titleImproving communication of the daily care plan in a teaching hospital intensive care unit.en
dc.typeJournal Articleen
dc.identifier.journaltitleCritical Care and Resuscitationen
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen
dc.description.pages97-102en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/23931040en
dc.type.austinJournal Articleen
local.name.researcherBaldwin, Ian C
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptIntensive Care-
crisitem.author.deptAnaesthesia-
crisitem.author.deptIntensive Care-
crisitem.author.deptIntensive Care-
crisitem.author.deptIntensive Care-
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