Clinical Nurse Specialist–Led Implementation of an Early Discharge Protocol After Cardiac Surgery

Abstract

Purpose/Aims Current practice in Korean medical institutions executes prolonged average length of stay post–cardiac surgery, imposing higher risks of mortality and morbidity, along with administrative issues resulting in long waiting lists for future cardiac surgery. The purpose of this article is to develop and evaluate an early discharge protocol after cardiac surgery led by clinical nurse specialist in a Korean medical institution. Description of the Project/Program The project of implementing early discharge protocol seeks to provide an efficient delivery system for patients who are undergoing cardiac surgery. To evaluate the efficacy of this project, a group of cohorts administered with early discharge protocol was compared against the control group for their length of hospital stay, adverse complications, and clinical outcomes such as postoperative mortality and morbidity. Outcomes The early discharge protocol group had a decreased hospital length of stay by 30% (P < .05) compared with the control group under the conventional discharge protocol while maintaining patient safety and minimizing exposure of patients to further risks of mortality and morbidity. Conclusion Clinical nurse specialist–led early discharge protocol in patients who received cardiac surgery decreases length of stay, thus minimizing exposure of patients to further risks of mortality and morbidity.

The level of adherence to best-practice guidelines by interprofessional teams with and without acute care nurse practitioners in cardiac surgery: A study protocol

“…In postoperative cardiac surgery, ACNP have been implemented in interprofessional teams and performed activities such as the clinical and psychosocial assessment of patients, the prescription and management of pharmacotherapy, laboratory tests and clinical interventions, lifestyle promotion, teaching of coping strategies, preparation for hospital discharge, and the management of consultations and external resources [ 24 ]. International research teams [ 23 , 25 ] have examined the practice of ACNP within postoperative cardiac surgery settings. They identified significant associations between the ACNP’ practice and higher patient satisfaction during their hospital stay, higher rates of patients participating in cardiac rehabilitation programs, and reduced length of stay at the hospital after the cardiac surgery.…”