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  • Activities undertaken by Intensive Care Unit Liaison Nurses in Argentina

    Author(s)
    Alberto, Laura
    Gillespie, Brigid M
    Green, Anna
    del Carmen Martinez, Maria
    Canete, Angel
    Zotarez, Haydee
    Alberto Diaz, Carlos
    Enriquez, Marcelino
    Geronimo, Mario
    Chaboyer, Wendy
    Griffith University Author(s)
    Chaboyer, Wendy
    Gillespie, Brigid M.
    Year published
    2017
    Metadata
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    Abstract
    Background: The Intensive Care Unit Liaison Nurse (ICULN), also known as an outreach nurse, is an advanced practice nursing role that emerged in the late 1990s in Australia and the United Kingdom (UK). Little is known about this role in less developed economies. Objective: To describe the activities undertaken by ICULNs in Argentina. Methods: Prospective, descriptive, observational, single site study in an Argentinean metropolitan tertiary referral hospital. Adult patients under ICULN follow up were included in the sample. Data on ICULN activities and patients were collected using an established tool developed by The Australian ...
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    Background: The Intensive Care Unit Liaison Nurse (ICULN), also known as an outreach nurse, is an advanced practice nursing role that emerged in the late 1990s in Australia and the United Kingdom (UK). Little is known about this role in less developed economies. Objective: To describe the activities undertaken by ICULNs in Argentina. Methods: Prospective, descriptive, observational, single site study in an Argentinean metropolitan tertiary referral hospital. Adult patients under ICULN follow up were included in the sample. Data on ICULN activities and patients were collected using an established tool developed by The Australian Intensive Care Unit Liaison Nurse Forum. Descriptive statistics were used to summarise the findings. Results: Two hundred patients were visited by the ICULNs during the study period. The mean age of patients was 52.5 years (SD 17.7). Cardiovascular disease (n = 104, 52%), respiratory disease (n = 90, 45%) and diabetes (n = 40, 20%) were the most common comorbidities. 110 (55%) patients had surgical procedures. The primary reasons for ICULN visit were follow up post ICU discharge (n = 138, 69%) and ward referral (n = 46, 23%). 136 (68%) patients received up to 3 visits; the remaining 64 (32%) patients received ≥4 visits. In those patients in need of ≥4 visits ICULNs initiated more non-medical treatments (100%), referred to escalate treatment (35%) and to a higher level of care (13.8%) than in those who were visited up to 3 times. Conclusions: This study is the first to document ICULN activity in Argentina using an international framework and data set. These findings can assist with understanding an advanced practice nursing role in Argentina. It may facilitate future comparisons with other contexts and could help managers implementing the role in similar settings. Further investigation will help develop this practice and document its influence on patient outcomes.
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    Journal Title
    Australian Critical Care
    DOI
    https://doi.org/10.1016/j.aucc.2016.06.002
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version.
    Subject
    Clinical sciences
    Nursing
    Nursing not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/100217
    Collection
    • Journal articles

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