Role of the clinical nurse specialist in improving patient outcomes after cardiac surgery

AACN Advanced Critical Care

Volumn 26, Issue 1, 2015, Pages 35-42

  Soltis, Lisa M ^a  

^a SENTARA HEART HOSPITAL   (United States)

Author keywords

Cardiac surgery; clinical nurse specialist; extubation; nursing; outcomes; performance; performance improvement

Indexed keywords

CLINICAL NURSE SPECIALIST; EXTUBATION; HEART SURGERY; HOSPITAL COST; HUMAN; INTENSIVE CARE NURSING; INTENSIVE CARE UNIT; LENGTH OF STAY; NURSE ATTITUDE; NURSING; PATIENT SAFETY; POSTOPERATIVE COMPLICATIONS; STATISTICS AND NUMERICAL DATA; TOTAL QUALITY MANAGEMENT;

AIRWAY EXTUBATION; CARDIAC SURGICAL PROCEDURES; CRITICAL CARE NURSING; HOSPITAL COSTS; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; NURSE CLINICIANS; NURSE'S ROLE; PATIENT SAFETY; POSTOPERATIVE COMPLICATIONS; QUALITY IMPROVEMENT;

EID: 84922022313     PISSN: 15597768     EISSN: 15597776     Source Type: Journal    
DOI: 10.1097/NCI.0000000000000070     Document Type: Conference Paper

References (15)

1. Duffy M , Dresser S , Fulton J . Clinical Nurse Specialist Toolkit: A Guide for the New Clinical Nurse Specialist . New York, NY : Springer Publishing Company ; 2009 .
2. Lewandowski W , Adamle K . Substantive areas of clinical nurse specialist practice: a comprehensive review of the literature . Clin Nurse Spec. 2009 ; 2 : 73-90 .
3. Rose L , Dainty K , Jordan J , Blackwood B . Weaning from mechanical ventilation: a scoping review of qualitative studies . Am J Crit Care. 2014 ; 23 : e54-e70 .
4. Konstantakos AK , Lee JH . Optimizing timing of early extubation in coronary artery bypass surgery patients . Ann Thorac Surg. 2000 ; 69 ( 6 ): 1842-1845 .
5. Reyes A , Vega G , Blancas R , et al. Early vs conventional extubation after cardiac surgery with cardiopulmonary bypass . CHEST . 1997 ; 112 : 193-201 .
6. Cheng D , Karski J , Peniston C , et al. Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resource use: a prospective, randomized, controlled trial . Anesthesiology . 1996 ; 85 : 1300-1310 .
7. Cheng D , Karski J , Peniston C , et al. Fast track cardiac surgery pathways: early extubation, process of care, and cost containment . Anesthesiology . 1998 ; 88 : 1429-1433 .
8. Ask the Experts . Crit Care Nurse . 2006 ; 26 : 3 .
9. Cheng D , Karski J , Peniston C , et al. Morbidity outcome in early versus conventional tracheal extubation after coronary artery bypass grafting: a prospective randomized controlled trial . J Thorac Cardiovasc Surg. 1996 ; 112 : 755-764 .
10. Rady MY , Thomas R . Perioperative predictors of extubation failure and the effect on clinical outcome after cardiac surgery . Crit Care Med. 1999 ; 27 : 340-347 .
11. Engoren M , Buderer N , Zacharias A , Habib R . Variables predicting reintubation after cardiac surgical procedures . Ann Thorac Surg. 1999 ; 67 : 661-665 .
12. Cheng D . Pro: early extubation after cardiac surgery decreases intensive care unit stay and cost . J Cardiothorac Vasc Anesth. 1995 ; 9 : 460-464 .
13. The Society of Thoracic Surgeons . http://www.sts.org . Accessed November 4, 2014.
14. Smiths-Medical . http://www.smiths-medical.com/bronchial-hygiene/acapella . Accessed November 5, 2014.
15. Rotondi A , Chelluri L , Sirio C , et al. Patients' recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit . Crit Care Med. 2002 ; 4 : 746-752 .