J Nurs Care Qual. 2008 Oct-Dec;23(4):338-44.

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

Gracias VH, Sicoutris CP, Stawicki SP, Meredith DM, Horan AD, Gupta R, Haut ER, Auerbach S, Sonnad S, Hanson CW 3rd, Schwab CW.

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Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, Philadelphia, USA.

Abstract

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.

PMID:: 18521045; [PubMed - indexed for MEDLINE]

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

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