Assignment: NPD Practitioners
Assignment: NPD Practitioners
Process for NPD tracking ROI to increase awareness
Reviewed 2 projects: peritoneal dialysis (PD) and colon clean closure (Colon).
PD: Results are 91% ROI; staff comfort level went from 2.8 to 4.2
Colon: 409% ROI if reduction of one SSI; staff comfort level was measured as 4.11
PD: Quarterly PD review, three stations with education and return demonstration
Colon: 30-minute live, poster presentations and electronic learning module
PD: Increased nurse comfort level with PD; decreased LOS by 1 day/ year; measured nurse comfort level and learning needs assessment
Colon: Reduced SSI rates and increased comfort level of nursing staff to prevent SSIs
Kram et al. (2015)
ABCDE bundle, delirium, EBP
Awakening, breathing, coordination, delirium, and early mobility
Saved an average of $2,156 per patient
Did not provide the cost of educating staff
Live CE in evidence for bundle; live CE on proper administration of ICDSC tool; online module and paper version available
Decreased average LOS by 1.8 days; reduced length of mechanical ventilation by 1 day; established baseline delirium prevalence of 19% over 3 months
Young et al. (2015)
Quasiexperimental, quality improvement project with pre- and postmeasurement design
$27,019 cost education (84 nurses; 41 PCTs)
Cost to care for single stage PrU can be up to $130,000, making this a good investment
Implementation of MEDLINE Pressure Ulcer Prevention program & Tracked for 24 months & Training: RN 7.5 hours, PCT 5.5 hours
& New skin care products & Algorithm for tx protocols
Significant reduction in nosocomial PrU preprogram (mean = 5.9) and postprogram (mean = 0.2)
Facility had nearly 6 PrUs per month, reduced to nearly 0
Note. CE = Continuing Education program; CLABSI = central line-associated bloodstream infections; ICDSC = Intensive Care Delirium Screening Check- list; LOS = length of stay; NPD = nursing professional development; PCTs = patient care technicians; PrU = pressure ulcer; QALYs = quality-adjusted life- years; ROI = return on investment; SSI = Surgical Site Infection; tx = treatment.
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for two different programs: Peritoneal Dialysis Quarterly Review (reduce length of stay) and a Colon Clean Closure program (reduced surgical site infection). In 2017, their NPDpractitioners challenged themselves to each completed an ROI calculation for at least one project, resulting in a to- tal of 13 calculations. From this effort, they reported an increased awareness of program effectiveness and eco- nomic impact of the NPD department activities and a collection of objective data to help with ‘‘future project de- cision-making.’’ Garrison and Beverage listed lessons learned as the need to (a) identify an economic impact leader within NPD; (b) repeatedly revisit the topic with articles, examples, and reminders to keep NPD practi- tioners engaged; (c) lead by example through completing calculations and sharing them with the team; (d) offer as- sistancewith calculating financial impactwith projects; and (e) add measuring economic impact of programs to the planning stage of programs. This NPD department’s pro- cess to incorporate economic impact into their practice is a challenge to all NPD practitioners. With publication of more financial measures, the value of NPD contributions will become more apparent to decision makers.
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