Publication Date

3-13-2018

Document Type

Scholarly Project

Disciplines

Nursing Administration | Other Nursing

Abstract

The addition of Nurse Practitioners (NPs) on the trauma service at night was examined to see if it has positively impacted healthcare utilization and satisfaction in trauma patients. This four-month evidence-based, quasi-experimental project took place on the Trauma Medical Surgical Unit (TMSU) at a level II trauma center in California. Retrospective analysis of medical records and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) satisfaction surveys were performed for those trauma patients located on the TMSU 60-days prior to NPs starting at night and 60-days after. The measured outcomes were LOS, readmissions within 30-days of discharge, LOS after readmission, and HCAHPS survey questions seven, eight, and nine, which are relevant to provider-patient interactions. Pre-intervention population results were; 5.99 days LOS (mean=5.99, SD=4.49), 5.15 days LOS with outliers removed (mean=5.15, SD=3.02), 3.22 for each HCAHPS question measured (question 7 mean=3.22, SD=1.11, question 8 mean=3.22, SD=1.08, question 9 mean=3.22, SD=0.94), and two-readmissions to equal five-days LOS after readmission. Post-intervention population results were; 6.36 days LOS (mean=6.43, SD=6.02), 5.10 days LOS with outliers removed (mean=5.10, SD=3.03), 3.83, 3.94, and 3.72 respectively for each HCAHPS question measured (question 7 mean=3.83, SD=0.38, question 8 mean=3.94, SD=0.24, question 9 mean=3.72, SD=0.46), and zero-readmissions. Use of trauma NPs at night improved healthcare utilization and patient satisfaction, resulting in a cost-savings.

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