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June 7, 2017AACN Advanced Critical Care

Nurse practitioners integrated into intensive care unit staffing models yield patient outcomes that are either positively impacted or no different from physician outcomes.

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Why the study?

Does supplementing intensivist staffing with nurse practitioners impact outcomes in critically ill patients?

Population

Critically ill patients in the intensive care unit

Comparison

Nurse practitioners as part of intensive care… vs Physician-only staffing models

Design

Review

Key result

Nurse practitioners integrated into intensive care unit staffing models yield patient outcomes that are either positively impacted or no different from physician outcomes.

Authors

TWTracie WhiteJKJustin KokiousisSEStephanie Ensminger

Discussion

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Member takes

Overview

Supports NP integration in ICUs; leaves open need for RCTs to confirm outcomes and guide practice.

Structured PICO

Does supplementing intensivist staffing with nurse practitioners impact outcomes in critically ill patients?

P
Population
Critically ill patients in the intensive care unit
I
Intervention
Nurse practitioners as part of intensive care unit intensivist staffing
C
Comparator
Physician-only staffing models
O
Outcome
Patient outcomes

Nurse practitioners can effectively supplement intensivist staffing in the ICU with outcomes comparable to or better than physician-only models.

Limitations

  • Successfully integrating nurse practitioners into an intensive care unit team is not adequately discussed in the literature.

Cite This Study

White et al. (2017) conducted a review in Critically ill patients. Nurse practitioners in intensive care unit staffing vs. Physician-only staffing was evaluated on Patient outcomes. Nurse practitioners integrated into intensive care unit staffing models yield patient outcomes that are either positively impacted or no different from physician outcomes.

synapsesocial.com/papers/6a12f60c83732aa7db9ea377https://doi.org/10.4037/aacnacc2017949
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intensive care unit staffing and quality of care: challenges in times of an intensivist shortage2014 · 9 citations
  2. 2Shortage of intensive care specialists in the United States: recent insights and proposed solutions2015 · 24 citations
  3. 3Critical Care Medicine in the United States2013 · 137 citations
  4. 4Physician staffing pattern in intensive care units: Have we cracked the code?2012 · 22 citations
  5. 5Nurse staffing and patient outcomes in critical care: A concise review2010 · 297 citations