Download or read book Patient Rounding written by Michelle Remillard and published by . This book was released on 2011 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Customer service and patient satisfaction have become more important as hospital data has become public. In addition, the measurement of patient satisfaction plays a progressively more important role in the growing push toward accountability among health care providers. As hospitals experience rising pressure to increase the quality of their patient outcomes, improve the safety of their patients and lower the cost of their care, more attention needs to be given to the liability of patient satisfaction scores. Hourly nursing rounds are a strategy to address these issues. Patient Rounding has been shown to increase patient satisfaction. The purpose of this study is to examine the effectiveness of systematic patient rounding on increasing patient satisfaction, in the Emergency Department setting.
Download or read book The Nerd s Guide to Pre Rounding written by Richard A. Loftus and published by Cambridge University Press. This book was released on 2006-06-12 with total page 89 pages. Available in PDF, EPUB and Kindle. Book excerpt: This 2006 book is a how-to guide for medical students moving from the classroom to the clinical/hospital setting; a particularly stressful transition in a student-physician's career. This handbook is made up of short, easily digestible passages that advise students on everything from reading an EKG or chest x-ray to tips on dealing with difficult residents and what to wear on wards. Passages are peppered with light-hearted anecdotes to bolster the spirits of students intimidated and overwhelmed by their responsibility as fledgling doctors. The handbook has been developed by Dr Richard Loftus, who wrote the first version of this guide after his 3rd year at University of California, San Francisco (UCSF). It contains appendices of useful information, including a PDF file of full size forms that can be accessed from our website.
Download or read book Hourly Rounding written by Kelsey Lynne Johnson and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly Rounding, also known as intentional rounding, is a fairly new concept in many medical facilities. Hourly rounding consists of asking patients important questions each hour to help keep patients more comfortable while also maintaining safety during the hospital stay. In order to assist hourly rounding in becoming an even bigger part of the health care routine, data needs to be collected from studies to see how well it really works. By doing a study and tracking the results over a six-month time frame, it will not only help hourly rounding become implemented on that particular floor, but it could also lead to the implementation of hourly rounding in many other places. Evidence based practice runs the health care profession. Once a theory is proven to work or proven to be the safer method, it will be implemented in a larger setting. Hourly rounding is hypothesized to decrease patient falls, patient call lights, and increase patient safety and satisfaction. Before the study begins, the staff and supervisors will be educated on the topic as well as what is expected from hourly rounding. There will be a staff meeting with pamphlets, power point presentations, and additional time to ask any questions that may arise. Once the information from the study has been collected and interpreted, we should see that patient satisfaction rises because patients feel a bigger sense of responsibility in their own care. Some patients have commented that hourly rounding made them feel more important. Patients need to feel like the center of their care and feel like their opinions truly matter. Hourly rounding is going to help hospitals achieve that goal.
Download or read book Healthcare Value Proposition written by Vincent K. Omachonu and published by CRC Press. This book was released on 2018-11-13 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Never before in the healthcare industry has there been such intense emphasis and open debate on the issue of quality. The steady rise in the cost of healthcare coupled with the need for quality have combined to put the healthcare industry at the top of the national agenda. Quality, costs, and service are not just socially provocative ideas. They are critical criteria for decision-making by patients, physicians, and many key constituents of healthcare organizations. The pursuit of improved performance has driven a host of executives and managers in search of techniques for structuring, rehabilitating, redesigning, and reengineering the organizations they serve. Unfortunately, the narrow-mindedness with which programs are implemented and the discontinuity in their application weaken the promise of success. The process of quality improvement can become an undisciplined search for illusions rather than reality. For many years, healthcare managers have embraced the narrow definition of performance solely in the context of financial success. Forward-thinking executives now realize that the road to financial success begins with success in quality and service. Quality and service are no longer separate issues – they are the same. Neither one by itself will bring about lasting success. The ultimate measure of performance is in an organization’s ability to create value for its customers, and true performance must be measured in the context of the customers’ total experience. This book is about how to manage performance in the context of value to the customer or patient. It brings together the many pieces of the performance improvement puzzle – quality, technology, costs, productivity, and customer service. The author also covers process improvement tools including Lean and Six Sigma, and how to create a culture of continuous improvement as well as how to improve the patient experience and productivity improvement strategies. The book is filled with examples, illustrations, and tools for improving key aspects of a healthcare organization’s performance.
Download or read book Nursing Leadership and Management for Patient Safety and Quality Care written by Elizabeth Murray and published by F.A. Davis. This book was released on 2021-11-08 with total page 684 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take an evidence-based approach that prepares nurses to be leaders at all levels. Learn the skills you need to lead and succeed in the dynamic health care environments in which you will practice. From leadership and management theories through their application, you’ll develop the core competences needed to deliver and manage the highest quality care for your patients. You’ll also be prepared for the initiatives that are transforming the delivery and cost-effectiveness of health care today. New, Updated & Expanded! Content reflecting the evolution of nursing leadership and management New! Tables that highlight how the chapter content correlates with the core competencies of BSN Essentials, ANA Code of Ethics, and Standards of Practice or Specialty Standards of Practice New!10 NCLEX®-style questions at the end of each chapter with rationales in an appendix New & Expanded! Coverage of reporting incidents, clinical reasoning and judgment, communication and judgment hierarchy, quality improvement tools, leveraging diversity, security plans and disaster management, health care and hospital- and unit-based finances, and professional socialization Features an evidence-based and best practices approach to develop the skills needed to be effective nurse leaders and managers—from managing patient care to managing staff and organizations. Encompasses new quality care initiatives, including those from the Institute of Medicine (IOM) Report, AACN Essentials of Baccalaureate Education, and Quality and Safety Education for Nurses (QSEN) Report which form the foundation of the content. Discusses the essentials of critical thinking, decision-making and problem solving, including concepts such as SWOT, 2x2 matrix, root-cause analysis, plan-do-study-act, and failure mode and effects analysis. Demonstrates how to manage conflict, manage teams and personnel, utilize change theory, and budget Uses a consistent pedagogy in each chapter, including key terms, learning outcomes, learning activities, a case study, coverage of evidence, research and best practices, and a chapter summary.
Download or read book Emergency Department Compliance Manual 2016 Edition written by Ginsberg, Martin, Kelley and published by Wolters Kluwer. This book was released on 2016-03-18 with total page 1192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency Department Compliance Manual, 2016 Edition provides everything you need to stay in compliance with complex emergency department regulations. The list of questions helps you quickly locate specific guidance on difficult legal areas such as: Complying with COBRA Dealing with psychiatric patients Negotiating consent requirements Obtaining reimbursement for ED services Avoiding employment law problems Emergency Department Compliance Manual also features first-hand advice from staff members at hospitals that have recently navigated a Joint Commission survey and includes frank and detailed information. Organized by topic, it allows you to readily compare the experiences of different hospitals. Because of the Joint Commission's hospital-wide, function-based approach to evaluating compliance, it's been difficult to know specifically what's expected of you in the ED. Emergency Department Compliance Manual includes a concise grid outlining the most recent Joint Commission standards which will help you learn what responsibilities you have for demonstrating compliance. Plus, Emergency Department Compliance Manual includes sample documentation that hospitals across the country have used to show compliance with legal requirements and Joint Commission standards: Age-related competencies Patient assessment policies and procedures Consent forms Advance directives Policies and protocols Roles and responsibilities of ED staff Quality improvement tools Conscious sedation policies and procedures Triage, referral, and discharge policies and procedures And much more!
Download or read book Proactive Patient Rounding and Effect on Patient Satisfaction written by Regina L. Salyer and published by . This book was released on 2016 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective implementation of nursing staff proactive rounding, a structured method of consistent proactive inquiry and responsiveness to patient needs, has been linked to improved patient satisfaction. Barriers and challenges to proactive rounding processes must be overcome for successful and effective implementation and sustainment to take place. The purpose of this evidence-based quality improvement practice project was to pilot implementation of structured proactive nursing staff hourly rounding and effectively integrate it into current practice to improve patient satisfaction. The project utilized a quasi-experimental nonequivalent group design on a 39-bed medical surgical/telemetry unit to compare top box Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction scores before and after implementation of a structured proactive rounding process. A total of 59 nursing staff participants took part in the educational sessions. This included clinical care supervisors, RNs, and patient care assistants. Two-sample t-tests performed on HCAHPS top box composites performed on August 2015-August 2016 data (including project month), revealed that the t-statistics were not significant at the .00625 Bonferroni corrected critical alpha level. The differences in top box scores were not significant. A clinically significant increase was noted in the domain “Response of Hospital Staff” from July to August 2016, increasing from 51.7 to 58.9 percent although less than the score reported from August 2015 (61.5 percent). Clinically significant increases in HCAHPS composite top box scores during the three-week timespan of returned surveys were noted in all but three top box scores: Care Transitions reduced from 35.6 to 16.7 percent, Responsiveness of Hospital Staff scores fluctuated between 50 to 100 percent, and Hospital Environment fluctuated between 50 percent and 75 percent. Leader rounding patient satisfaction data revealed clinically significant percentage changes. One-sample t-tests between proportions were performed for each of the leader rounding questions results. The difference between yes responses and no or na/no response answers for each question both before and after the start of the project were significant at the Bonferroni corrected critical alpha level of .007. Two-sample t-tests between proportions were performed on each leader-rounding question to determine whether there was a significant difference between the yes responses for each question both before and after project implementation. The t-statistic was not significant at the Bonferroni corrected critical alpha level of .007. The difference between yes responses were not significant. Clinical significance could be observed through increased positive responses from before project implementation to after in the areas of pain control, staff rounding every hour, staff assisting timely, and whether patients perceived they were getting rest at night. Reductions in responses were noted in the areas of whether caregivers are explaining what they are doing and why, and an increase was noted in the number who had questions regarding their discharge. Communication, understanding, accountability, and engagement are core essentials that can be utilized in the development of processes that contribute to patient satisfaction, including proactive rounding. Process development, implementation, and evaluation are shared actions involving both nursing staff and leaders. Further research should assess sustainability of proactive rounding and competency of the practice through a long-term study utilizing multiple units or multiple sites.
Download or read book Quality Improvement A Guide for Integration in Nursing written by Anita Finkelman and published by Jones & Bartlett Learning. This book was released on 2020-12-09 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Quality Improvement A Guide for Integration in Nursing, Second Edition is an integral resource for both nursing students and professionals. Quality improvement is a crucial part of healthcare and one that nurses are charged with implementing daily as they care for patients.
Download or read book Research for Advanced Practice Nurses written by Magdalena A. Mateo, PhD, RN, FAAN and published by Springer Publishing Company. This book was released on 2009-07-13 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a Doody's Core Title! "This book should provide graduate nursing students with the knowledge to evaluate research evidence and use it in practice. With the increasing focus on EBP, this book should serve as a useful resource." Score: 100, 5 stars --Doody's Achieve competency in evidence-based practice now! This book provides practical ways for nurses to develop competency in evidence-based practice (EBP) by effectively using and appraising clinical studies. In this single, introductory volume, Mateo and Kirchoff present everything that advanced practice nurses and graduate students need to know to translate clinical research into practice. With this book, readers will learn the essential methods that are used to achieve EBP, such as how to find and evaluate research articles, design questionnaires and data collection forms, analyze quantitative data, and much more. Key features: Includes guidelines on how to evaluate the strengths and failures of research articles Presents data collection methods for physiological and psychosocial data Explains how to evaluate the ethical aspects of a study Provides guidelines on how to present and publish research findings Contains appendices with examples of evidence-based practice activities and protocols as well as a resource list of relevant websites By knowing how to appraise the available evidence and its implications for clinical care, readers will learn to seamlessly translate evidence into practice.
Download or read book Peer Review in Nursing written by Barbara Haag-Heitman and published by Jones & Bartlett Publishers. This book was released on 2010-04-05 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Peer Review in Nursing: Principles for a Successful Practice is the first nursing publication that approaches the definition and implementation strategies for peer review within an organizational setting. Using a professional model, with shared governance as a framework, the authors discuss the difference between manger initiated staff performance evaluation of the past and the true peer review aspects of professional practice for the future. This text follows in line with the Magnet program requirement “that nurses at all levels use self appraisal performance review and peer review, including annual goal settings, for the assurance of competence and professional development” page 30 of the 2008 Magnet manual. This unique text teaches nurses the skills they need to demonstrate organizational processes, structures, and outcomes that help insure accountability, competence and autonomy. Features a forward by Tim Porter-O'Grady and a reprint of the 1988 ANA Guidelines for Peer Review!
Download or read book Issues in Nursing Research Training and Practice 2013 Edition written by and published by ScholarlyEditions. This book was released on 2013-05-01 with total page 1155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Issues in Nursing Research, Training, and Practice: 2013 Edition is a ScholarlyEditions™ book that delivers timely, authoritative, and comprehensive information about Nurse Practitioners. The editors have built Issues in Nursing Research, Training, and Practice: 2013 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Nurse Practitioners in this book to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Nursing Research, Training, and Practice: 2013 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.
Download or read book Importance of Patient Rounding written by Jean Novales and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to researched studies, there is a correlation between alarm fatigue and the decreased numbers in patient satisfaction. Nurses have become desensitized to the alarms occurring, and only answering to the alarms and not to the patient themselves. This is a proposal for the unit to serve as a experimental in-service for the rest of the hospital to increase the patient satisfaction, decrease falls and pressure ulcer numbers by promoting the use patient rounding. Nurses will be tested on their knowledge of the equipment alarms around the unit, furthermore will be reeducated on the use of the monitors' alarms, the charting system in which hourly rounding is intended, and a patient satisfaction survey to aid the unit to have a reputable standing in the community and for hospital reimbursement.
Download or read book Essentials for Nursing Practice E Book written by Patricia A. Potter and published by Elsevier Health Sciences. This book was released on 2018-03-12 with total page 1299 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get a solid foundation in essential nursing principles, concepts, and skills! Essentials for Nursing Practice, 9th Edition combines everything you need from your fundamentals course and streamlines it into a format that's perfect for busy nursing students. The ninth edition retains many classic features, including chapter case studies, procedural guidelines, and special considerations for various age groups, along with new content including a chapter on Complementary and Alternative Therapies, interactive clinical case studies on Evolve, a new Reflective Learning section, and QSEN activities to encourage active learning. Thoroughly reviewed by nursing clinical experts and educators, this new edition ensures you learn nursing Essentials with the most accurate, up-to-date, and easy-to-understand book on the market. - Progressive case studies are introduced at the beginning of the chapter and are then used to tie together the care plan, concept map, and clinical decision-making exercises. - Focused Patient Assessment tables include actual questions to help you learn how to effectively phrase questions to patients as well as target physical assessment techniques. - Nursing skills at the end of each chapter feature full-bleed coloring on the edge of the page to make them easy to locate. - Safety guidelines for nursing skills sections precede each skills section to help you focus on safe and effective skills performance. - Detailed care plans in the text and on Evolve demonstrate the application of the 5-step nursing process to individual patient problems to help you understand how a plan is developed and how to evaluate care. - Unexpected outcomes and related interventions for skills alert you to possible problems and appropriate nursing action. - Patient Teaching boxes help you plan effective teaching by first identifying an outcome, then developing strategies on how to teach, and finally, implementing measures to evaluate learning. - Care of the Older Adult boxes highlight key aspects of nursing assessment and care for this growing population. - Key points neatly summarize the most important content for each chapter to help you review and evaluate learning. - Evidence-Based Practice boxes include a PICO question, summary of the results of a research study, and a F description of how the study has affected nursing practice — in every chapter. - Patient-Centered Care boxes address racial and ethnic diversity along with the cultural differences that impact socioeconomic status, values, geography, and religion. - 65 Skills and procedural guidelines provide clear, step-by-step instructions for providing safe nursing care. - 5-step nursing process provides a consistent framework for clinical chapters. - Concept maps visually demonstrate planning care for patients with multiple diagnoses. - NOC outcomes, NIC interventions, and NANDA diagnoses are incorporated in care plans to reflect the standard used by institutions nationwide.
Download or read book Nursing Procedures Made Incredibly Easy written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2015-08-25 with total page 1002 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perform nursing procedures safely and accurately, with the freshly updated Nursing Procedures Made Incredibly Easy, Second Edition. Written in the popular, lighthearted Incredibly Easy style, this comprehensive guide offers expert, step-by-step direction on a broad range of fundamental and system-based nursing procedures. This enjoyable way to learn nursing’s best practices will help you stay up-to-date with the latest in technology, nursing standards, NCLEX preparation, and safe, quality care. · NEW and updated content offers: o crucial patient care methods o current nursing practice guidelines o directions for using the latest medical technology o directions for ensuring patient safety and providing quality care · Coverage of topics including: o Fundamental nursing procedures - Easy-to-follow algorithms for a patient’s entire hospital stay, from intake to discharge, including surgical care o Specimen collection - Clear directions on collecting blood, urine, and other specimens o Physical treatments - Techniques for heat and cold application, baths, support devices, wound care, drug administration, I.V. therapy, and more o System-based procedures - Directions on procedures for all body systems · Clear direction to meet the needs of your maternal, neonatal, and pediatric patients · Easy-to-follow format for each procedure - Quick-skim paragraphs and bulleted lists specify equipment, step-by-step instructions, and practice pointers · Nursing procedures guides such as comparing biological dressings and assessing pressure ulcers · Special features: o Just the facts – Outline of chapter content at start of every chapter o Write it down - Essential documentation points for each procedure o Ages and stages – Issues where patient’s age impacts a procedure o Handle with care - Patient care tips for elderly, pediatric, and bariatric patients o Memory joggers – Simple tricks for remembering complex concepts o Warning - Possible dangers, risks, complications, or contraindications associated with a particular procedure o Quick Quiz – Questions & Answers at the end of every chapter
Download or read book Critical Care of the Pediatric Patient An Issue of Pediatric Clinics written by Derek S. Wheeler and published by Elsevier Health Sciences. This book was released on 2013-06-28 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Wheeler is providing a much needed update on the topic of critical care medicine for the pediatrician. He organized the issue to give a full overview on those topics that most pertinent to practicing clinicians. His authors are top experts in their fields, and they are writing clinical reviews devoted to The Evolving Model of Pediatric Critical Care, The High Reliability Pediatric Intensive Care Unit, Telemedicine and the Pediatric Intensive Care Unit, Resuscitation and Stabilization of the Critically Ill Child, Monitoring and Management of Acute Respiratory Failure, Monitoring and Management of Shock, Cardiac Intensive Care, Monitoring and Management of Acute Kidney Injury, Critical Care of the Bone Marrow Transplant Patient, Neurocritical Care, Ethics and End-of-Life Care, Delirium in the Pediatric Intensive Care Unit, and Family-centered Care in the Pediatric Intensive Care Unit.
Download or read book Improving Patient Care and Safety Through Hourly Rounding written by Josily Koithara and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient care, safety and satisfaction are top priority for the health care team when providing in-patient care. Patients must be monitored and cared well to improve their health conditions and to avoid further complications during hospital stay. Risk of hospitalized patients fall is the most concern for nurses. Hospital acquired new incidents like patient fall and pressure ulcers has a negative impact on patient recovery, causes lengthy hospital stay, financial burden for hospitals and increases nursing burnouts. Patients with stroke are at high risk for fall. In earlier studies it is found that 14% of the stroke patients fell at least once during their hospital admission (Tutuarima, Meulen, and Limburg, 2012). Frequent monitoring of the patients by nurses can prevent never events. But nurses attempt to be proactive on avoiding these issues are impaired by factors like high patient ratios, lack of time , frequent call lights and stress from meeting the patients demands. Planned hourly rounding is a proactive approach to patient care. Hourly rounding reduces patient fall, skin break downs, call light use, noise level and also improve patient satisfaction. Studies on hourly rounding to increase the patient safety and patient satisfaction showed a 52% decline in call light use after implementing hourly rounding and unit was quiet and nurses could spend more time for patient care and logs (Ford, 2010). Intentional rounding researches showed significant reduction in fall rate with one hour rounding. With the implementation of hourly rounding on the stroke and cardiac inpatient unit of the Texas Health Resources Hospital, the purpose is to prevent unwanted events and to improve patient satisfaction and safety.
Download or read book Nursing Research Reading Using and Creating Evidence written by Houser and published by Jones & Bartlett Learning. This book was released on 2018 with total page 522 pages. Available in PDF, EPUB and Kindle. Book excerpt: « Nursing Research: Reading, Using, and Creating Evidence, Fourth Edition focuses on the concept that research is essential as evidence for nursing practice. Written in a conversational tone and using a reader-friendly approach, this text teaches students how to translate research into evidence in a practical way. The text enables students to gain a fundamental understanding of all types of research used for evidence through its emphasis on research methods, use of research evidence in clinical decision-making, and ways to engage in evidence-based practice. The Fourth Edition highlights the importance of translating research findings into evidence as the most critical step for improving patient care. This updated edition contrasts six different models for organizational evidenced-based practice, including Magnet designation requirements, collaboration between researchers and practitioners for knowledge translation, community and home health evidence-based practice, and the challenges of creating an organizational culture that values evidence-based practice. »--
