Development, Testing and Implementation
13.5 Conclusion
Considering the multifaceted, comprehensive and long-lasting influences of becom- ing critically ill and receiving ICU treatment, there remains a need to maximise the quality of hospital care of ICU patients and to make allowance for evidence-based post-hospital care. The development of nurse-managed ICU follow-up started in the UK and Australia some decades ago. We joined the voyage about 10 years ago and have come far away in realising what our heterogeneous group of patients, having a seriously compromised health status, might need post discharge from our ICU. What we can contribute to helping patients gain the best possible health has become more distinct. The significance of recognising the multifariousness of the healthcare organisations within which we work and how that influences patient care has become more apparent to us and has called for a closer interdisciplinary collabora- tion. To maximise interdisciplinary collaboration, complexity leadership is appeal- ing. We aspire to the nature of such leadership as non-authoritarian, transformational, self-reflective and action oriented [64]. This all brings us to consider the next steps in researching the nurse-managed ICU follow-up practice.
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