| Learning Objective #1: Identify the impact of an APN on patient care outcomes in a medical/surgical setting | |||
| Learning Objective #2: Identify and apply Five Practices of Leadership in a medical/surgical setting to improve patient care outcomes |
Method: An APN was recruited to be a member of the unit leadership team to create a center of excellence in clinical scholarship, staff education, innovation, and research. The Kouzes & Posner's Five Practices of Leadership was used by the leadership team as a framework. A Clinical Learning, Innovation and Research (CLIR) Unit was created to provide the structure and evidence-based care pathways were developed to guide best practice.
Results: From 2003 to 2004 the average LOS has decreased from 8.0 days to 5.5 days. Necessary patient referrals to rehabilitation were decreased from 80% to 40% without an increase in readmissions to acute care facilities. Positive relationships have been built with partnering facilities and patient and staff satisfaction are continuously improving.
Conclusions: The APN role is integral in increasing efficiencies and quality of care. The APN makes a difference in patient care outcomes.