Ward nurses’ perspectives of the ICU liaison nurse: A qualitative descriptive study.

Abstract

Various studies have appraised the value of the Intensive Care Liaison Nurse (ICULN) role in relation to clinical outcomes for patients and financial benefits for healthcare providers from reduced length of hospital stay or a reduction in unplanned ICU readmissions. However, there is little academic exploration of the ward nurses’ perspectives of the role and whether it can affect ward nurses’ confidence in identifying and managing the deteriorating patient. This study addresses this gap by examining both those perspectives. Overall, participants the believe that the ICULN contributed to improved patient care by reducing MET/Code calls, improved ward based critical care knowledge through education, improved ward nurses confidence in dealing with the deteriorating patient, and the provision of technical support. This study has been able to show that the ICULN offers value beyond reduced LOS and avoiding ICU readmissions. The clinical expertise being shared at the bedside works to foster an environment of learning; building capability in the ward nurses. Ward nurses reported increased confidence in dealing with deteriorating patients, likely because of this knowledge exchange and positive approach of the ICULN but also due to the reassurance that assistance is easily accessible when needed.