Critical Care Clinical Nurse Specialist in Home Health Care

Abstract

Two surveys were designed and sent to health care providers in the Philadelphia metropolitan area. The purpose of the surveys was to explore whether there was a need for critical care CNSs (CCCNS) in the field of high-tech, complex home care and to determine the characteristics of that role. In addition, the surveys sought to identify the necessary curriculum content a CCCNS graduate program should include to prepare individuals for practice in home care. One survey was sent to home care providers and an amended version to in-hospital personnel identified as responsible for discharge planning. Eighty-three percent of the home care survey respondents and 85% of the in-hospital survey respondents perceived a need for a CCCNS in the high-tech, complex home care field. The identified roles of the CCCNS in home care were similar for both respondent groups. They included consultant to the home care agency, patient-family educator, staff educator, and hospital-to-home coordinator. Some suggestions for curriculum content included courses on technology, discharge planning, health policy, and chronic illness. Although a preliminary exploration, the surveys demonstrated the existence of patients with high-tech, complex home care needs and supported the belief that CCCNSs have a role in their care.