Implementation of a Nurse Practitioner Role in an Acute Care Setting

Advanced registered nurse practitioners (ARNP) are becoming a mainstay in primary and acute care settings because of the changes in the health care environment. Acute care hospitals are recognizing the need to provide expert clinical care in a holistic manner, which requires communication and recognition of the patient and patient’s needs as central to the care delivered. Patients with neurological acute care needs or injuries are often at high risk for fragmented care due to their complexity and rehabilitation needs. The goal of this demonstration project was to develop a more proactive, patient- focused care delivery model. Outcome data assessed included: influence of the ARNP on the discharge process, patient satisfaction, management structure, and enhancement of critical thinking by staff.