New cardiac models of care reduce patient access to specialist nurses: a Victorian cross-sectional pilot study (original) (raw)

Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 2014

Abstract

Several studies have shown that the acuity and complexity of patients admitted to coronary care units is rising. Advances in medical technology and management of these patients have resulted in shorter lengths of hospital stay. Together, these changing care patterns have led to an emergence of new models of care delivery that differ from traditional coronary care units (CCU). The effect of these new models on workforce and resources in this area is unknown. To describe the workforce and workplace resources of adult CCUs in Victoria, Australia. This pilot study used an investigator-developed survey to audit all adult CCUs operating in Victoria in 2010. A total of 24 CCUs participated in the audit of which the majority were located in metropolitan public hospitals. In terms of model of care of CCUs: 25% (6) of CCUs were a combination of a CCU/cardiology ward, 17% (4) a combined CCU/ICU or combined CCU/ICU/HDU and 12.5% (3) of CCUs were a dedicated unit. Only 15% (4) of all units met t...

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