Nurse Project Consultant: Critical Care Nurses Move Beyond the Bedside to Affect Quality and Safety

Author:

Mackinson Lynn G.1,Corey Juliann2,Kelly Veronica3,O’Reilly Kristin P.4,Stevens Jennifer P.5,Desanto-Madeya Susan6,Williams Donna7,O’Donoghue Sharon C.8,Foley Jane9

Affiliation:

1. Lynn G. Mackinson is a nurse specialist in Cardiology at Beth Israel Deaconess Medical Center, Boston, Massachusetts.

2. Juliann Corey is a direct care nurse in the medical intensive care unit at Beth Israel Deaconess Medical Center.

3. Veronica Kelly is a surgical intensive care nurse at Beth Israel Deaconess Medical Center.

4. Kristin P. O’Reilly is the director of project management and process improvement at Beth Israel Deaconess Medical Center.

5. Jennifer P. Stevens is a pulmonary and critical care physician, health services researcher, and the associate director of the medical intensive care unit at Beth Israel Deaconess Medical Center.

6. Susan Desanto-Madeya is an associate clinical professor in the William F. Connell School of Nursing at Boston College, Chestnut Hill, Massachusetts; and the Beth Israel Alumnae Association Endowed Nurse Scientist at Beth Israel Deaconess Medical Center.

7. Donna Williams is the nurse specialist for the cardiac intensive care unit and cardiac step-down unit at Beth Israel Deaconess Medical Center.

8. Sharon C. O’Donoghue is a nurse specialist in the medical intensive care units at Beth Israel Deaconess Medical Center.

9. Jane Foley is associate chief nurse for critical care and medical-surgical nursing at Beth Israel Deaconess Medical Center.

Abstract

A nurse project consultant role empowered 3 critical care nurses to expand their scope of practice beyond the bedside and engage within complex health care delivery systems to reduce harms in the intensive care unit. As members of an interdisciplinary team, the nurse project consultants contributed their clinical expertise and systems knowledge to develop innovations that optimize care provided in the intensive care unit. This article discusses the formal development of and institutional support for the nurse project consultant role. The nurse project consultants’ responsibilities within a group of quality improvement initiatives are described and their challenges and lessons learned discussed. The nurse project consultant role is a new model of engaging critical care nurses as leaders in health care redesign.

Publisher

AACN Publishing

Subject

Critical Care Nursing,General Medicine

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