Article in Critical Care Nurse examines progressive mobility in a transitional care program and role of progressive care nurses on an interprofessional team
ALISO VIEJO, Calif. — June 1, 2015 — Transitional care has emerged as a way to reduce hospital readmissions, and progressive care nurses can play an integral role in efforts to help patients achieve functional recovery faster in post-acute care, according to an article in the June issue of Critical Care Nurse (CCN).
The article, “Progressive Mobility as a Team Effort in Transitional Care,” reviews post-acute transitional care as provided at a skilled nursing facility in western New York and examines the individual roles of various interdisciplinary team members, including progressive care nurses.
Patients recently discharged from the hospital may move to a transitional care facility as they strive to regain their functional abilities and independence. Their diverse conditions may include congestive heart failure, chronic obstructive pulmonary disease, pneumonia and postoperative debility, all requiring skilled nursing and rehabilitation.
“With the increased focus on reducing readmissions, it has become imperative for all members of the interprofessional team to coordinate plans of care for each patient in transitional care,” said lead author Margaret Ecklund, RN, MS, CCRN, ACNP-BC.
Ecklund is a lead advanced practice nurse for the complex care transitional program in the Rochester General Health System, New York.
In the article, she discusses the importance of interdisciplinary team strategies for incorporating progressive mobility and functional independence into the daily routines of transitional care patients.
Mobility is a core component of patients’ care plans and a crucial element of their being discharged home. It is also a key indicator for insurance coverage for post-acute stay at a transitional care facility.
“Mobility gets woven into the fabric of daily activity, rounds and plan of care,” Ecklund said. “In a culture of progressive mobility, team members hold one another accountable for their roles in safe mobility.”
Transitional facilities are among the growing number of healthcare environments where progressive care nurses care for high acuity patients who are not in intensive care but require highly skilled nursing.
The journal article adds to the body of knowledge related to progressive care nursing, which is the unifying term for the increased level of care and nursing vigilance needed by patients who have complex healthcare needs but are not critically ill.
The American Association of Critical-Care Nurses (AACN) introduced the term progressive care more than a decade ago to describe the care needs of acutely ill patients who are moderately stable with a high risk of instability.
Other common terms for progressive care settings include stepdown, intermediate, telemetry, transitional, high acuity, direct observation or medical-surgical progressive care units. Progressive care nurses also may practice in long-term acute care hospitals, where patients — especially those who are ventilator-dependent — may receive care.
The association offers myriad resources specifically for progressive care nurses. In recent years, the association published a clinical guide of essentials for progressive care nursing and the core curriculum for this emerging practice and launched PCCN certification — AACN Certification Corporation’s fastest-growing credential.
As AACN’s bimonthly clinical practice journal for high acuity, progressive and critical care nurses, CCN is a trusted source for information related to the bedside care of critically and acutely ill patients.
Access the article abstract and full-text PDF by visiting the CCN website at http://www.aacn.org/education/publications/ccn.
About Critical Care Nurse: Critical Care Nurse (CCN), a bimonthly clinical practice journal published by the American Association of Critical-Care Nurses, provides current, relevant and useful information about the bedside care of critically and acutely ill patients. The journal also offers columns on traditional and emerging issues across the spectrum of critical care, keeping critical care nurses informed on topics that affect their practice in high acuity, progressive and critical care settings. CCN enjoys a circulation of more than 100,000 and can be accessed at http://www.aacn.org/education/publications/ccn
About the American Association of Critical-Care Nurses: Founded in 1969 and based in Aliso Viejo, California, the American Association of Critical-Care Nurses (AACN) is the largest specialty nursing organization in the world. AACN joins together the interests of more than 500,000 acute and critical care nurses and claims more than 235 chapters worldwide. The organization’s vision is to create a healthcare system driven by the needs of patients and their families in which acute and critical care nurses make their optimal contribution.
American Association of Critical-Care Nurses
Aliso Viejo, CA 92656-4109
Phone: (949) 362-2000
Fax: (949) 362-2020