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Evaluating the role of the hospitalist nurse practitioner in facilitating early discharge of observation patients
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Lopez, Maria. Evaluating the role of the hospitalist nurse practitioner in facilitating early discharge of observation patients. Retrieved from https://doi.org/doi:10.7282/t3-67xs-ew73

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TitleEvaluating the role of the hospitalist nurse practitioner in facilitating early discharge of observation patients
NameLopez, Maria (author); Kamienski, Dr. Mary (chair); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-05 (degree)
SubjectNurse practitioner, Hospitalist, Nurse discharge role, Length of stay, Nurse practitioner versus physician, Observation care, Discharge planning, Family Nurse Practitioner in Emergency Care
Extent1 online resource (52 pages)
DescriptionPurpose of the Project:
Nurse Practitioners (NP) as a hospitalist is a growing trend in the healthcare industry. The purpose of this project was to evaluate the role of the hospitalist NP and its effectiveness in facilitating the early discharge of patients placed under observation status in the telemetry unit.

Methodology:
A retrospective chart review of forty random samples was done. An evaluation of the hospitalist NP discharge time of the observation patient in the telemetry unit and its association with the length of stay was conducted three months before and three months after implementing the hospitalist NP role. The theoretical framework used to guide this project was the Agency for Healthcare Research and Quality (AHRQ), Knowledge Transfer

Results:
The mean length of stay (LOS) of patients admitted by the hospitalist physician was 1.50 days (SD=0.69) while the hospitalist NP was 1.95 days (SD=0.95). There were no statistically significant differences between the two groups (t (38) =1.72; p=.09).

Implications for Practice:
Discharge bottleneck causes tremendous tension on organizational operations. Inefficient discharge planning is directly associated with increased LOS and patient and family dissatisfaction. The patients managed by the hospitalist NP can achieve a reduction in the LOS by effective and timely communication with the interdisciplinary team. The hospitalist NP care model can impact the quality of patient care and organization throughput.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-67xs-ew73
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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