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Home oxygen therapy assessment for COPD patients discharged from hospital: Respiratory NP model of care


Hall, T and Champion, R and Tori, KE, Home oxygen therapy assessment for COPD patients discharged from hospital: Respiratory NP model of care, Australian Journal of Advanced Nursing, 33, (4) pp. 17-25. ISSN 1447-4328 (2016) [Refereed Article]

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Objectives: The research aim was to examine the impact of the introduction of the Chronic Respiratory Disease Nurse Practitioner (CRD NP) Model of Care (MOC) on the assessment for short term oxygen therapy (STOT), provision of care, and patient outcomes for patients discharged with oxygen therapy post an acute exacerbation of chronic obstructive pulmonary disease (COPD).

Design: A retrospective uncontrolled comparative clinical audit was conducted in two six-month periods pre (2009) and post (2011) the introduction of the CRD NP MOC.

Setting: Tertiary referral centre in central Victoria, Australia. Subjects A total of 301 patient admissions with a discharge diagnosis of COPD were examined for hypoxia at rest and on exertion prior to discharge.

Main outcome measures: The audit focused on the incidence of assessment for STOT prior to discharge, supply of STOT where indicated on discharge, and incidence of re-admission within 28 days of discharge with COPD related symptoms.

Results: A statistically significant increase in the proportion of appropriate patients assessed with arterial blood gas analysis for eligibility of STOT from 7.7% in 2009 to 45% in 2011. Provision of STOT on discharge increased from 26.7% to 44.4%. Re-admission to hospital within 28 days of discharge for patients with STOT decreased from 25% in 2009 to 12.5% in 2011.

Conclusion: Since the introduction of the CRD NP MOC there has been an increase in patient assessment for STOT, provision of STOT, reduction in hospital re-admissions, improved adherence to procedure protocols, improved patient outcomes and cost savings for the hospital.

Item Details

Item Type:Refereed Article
Keywords:COPD, discharge, home oxygen therapy, hypoxia, nurse practitioner
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Tori, KE (Associate Professor Kathleen Tori)
ID Code:133917
Year Published:2016
Web of Science® Times Cited:1
Deposited By:Nursing
Deposited On:2019-07-16
Last Modified:2019-08-23

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