Download or read book Effect of a Focused Rounding Tool on Nurse Satisfaction of Interdisciplinary Rounds written by Katie Greenlee and published by . This book was released on 2021 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Communication and Satisfaction Through Hourly Rounds written by Karen E Sondeno and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The focus of this CNL project is quality improvement using high quality hourly rounds to achieve improved patient satisfaction and communication with nurses. It was determined by reviewing survey results that patient satisfaction and nurse communication is below National levels. Data shows that rounds are not being done well on a medical unit before the improvement project. It is proven that patients receive and perceive higher quality care and communication with increased nurse presence at the bedside. The population of the medical unit has high numbers of confused/dementia, and dual-diagnosis patients. It was determined that the unit would benefit from improved rounding and proof of the actual rounding with education on patient-centered rounds and a bedside checklist to document practice. At the time of implementation, the hospital had a crisis which monopolized all teaching, changes, and focus in order to continue operations. The CNL project was permitted to continue with a limited number of patients and only when the CNL intern was present on the unit. The bedside rounding tool was used with positive results aligned to the evidence used to support the project. Patients were able to indicate that rounds were being done regularly. The nursing relevance of patient-centered rounding is that it supports the significance of caring that takes place at the bedside by fostering trust and accountability. It can be assumed that use of this tool in similar microsystems would achieve positive outcomes similar to these outcomes.
Download or read book Studies in Computer Supported Cooperative Work written by John M. Bowers and published by North Holland. This book was released on 1991 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt: Computer Supported Cooperative Work (CSCW) examines the possibilities and effects of technological support for humans involved in group communication and work processes... attention has been devoted to how humans might interact, not so much with computers, but with each other through computer based technology. Based on papers delivered at a conference topics are dealt with under six sections: the concept of CSCW; generic models and configurable systems; empirical studies of cooperative work and system use; infrastructure for CSCW; CSCW and design: principles and practices.
Download or read book Impact of Hourly Rounding written by Kelli DiPietro and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals face increasingly high pressure to maintain quality care as evidenced by patient satisfaction as well as patient safety scores. The rigorous gravity of satisfaction and safety are factors that affect the return of satisfied patients and payment by the Centers for Medicare and Medicaid (CMS) (Hagland, 2011). Because nurses are seen as key providers and are the ones that are typically perceived as providers of timely pain management, ones who develop healthy, trusting relationships and communicators of much of the information that is provided in a hospital setting, many satisfaction scores are based on the quality of nurse care delivered. Due to the importance of nursing and their overall impact on patient's as well as hospital's bottom line, it imperative that the nurse excel at meeting and exceeding patient expectations. When nursing staff is overwhelmed and understaffed, the patient suffers. The suffering can cause longer stays and increased financial burden on the patient as well as the hospital. One way to improve outcomes is to design and implement an hourly or intentional rounding program to ensure that the patient's needs are being met and that patients feel well taken care of. There are different situations in a variety of facilities that can benefit from hourly rounding. The need to develop an program that is tailored to the necessities of a specific floor or unit is crucial in the success of the program. Based on research, hourly rounding can make a positive impact on patient and nurse satisfaction.
Download or read book Hourly Rounding and Nurse Responsiveness written by Liana Veir and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The focus of this paper is to identify how hourly rounding impacts patient outcomes and satisfaction. The identified current problem as frequent call light use and inattentiveness to patient needs, which decreases patient and nurse satisfaction. Through identification of the current problem and recognizing hourly rounding as a beneficial tool to be implemented to reduce poor outcomes and ultimately improve satisfaction. Patient outcomes concentrated on were falls and development of new pressure ulcers. Addressing patient needs of pain, potty, position, pump, possession and promise during each hourly round to decrease use of call light system and increase patient/staff interaction. The steps to implementing hourly rounding into a patient care and changing caregiver roles is thoroughly discussed in implementation and methods conducted in the organization. Followed by the dissemination to stakeholders and the nursing community through a practice conference held within the organization. The use of Organizational Change Theory was also proposed as strategy for change.
Download or read book Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes written by Institute of Medicine and published by National Academies Press. This book was released on 2015-12-15 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interprofessional teamwork and collaborative practice are emerging as key elements of efficient and productive work in promoting health and treating patients. The vision for these collaborations is one where different health and/or social professionals share a team identity and work closely together to solve problems and improve delivery of care. Although the value of interprofessional education (IPE) has been embraced around the world - particularly for its impact on learning - many in leadership positions have questioned how IPE affects patent, population, and health system outcomes. This question cannot be fully answered without well-designed studies, and these studies cannot be conducted without an understanding of the methods and measurements needed to conduct such an analysis. This Institute of Medicine report examines ways to measure the impacts of IPE on collaborative practice and health and system outcomes. According to this report, it is possible to link the learning process with downstream person or population directed outcomes through thoughtful, well-designed studies of the association between IPE and collaborative behavior. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes describes the research needed to strengthen the evidence base for IPE outcomes. Additionally, this report presents a conceptual model for evaluating IPE that could be adapted to particular settings in which it is applied. Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes addresses the current lack of broadly applicable measures of collaborative behavior and makes recommendations for resource commitments from interprofessional stakeholders, funders, and policy makers to advance the study of IPE.
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Download or read book The Effect of Nurse Hourly Rounding on Falls and Patient Satisfaction written by and published by . This book was released on 2014 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Aim: This study aims to determine the effect of Hourly Rounding by nursing staff on patient satisfaction scores and patient safety... Conclusion: There was a strong correlation seen between Patient Falls and Hourly Rounding." p.2-3.
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 Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Download or read book Educating Nurses written by Patricia Benner and published by John Wiley & Sons. This book was released on 2009-12-09 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for Educating Nurses "This book represents a call to arms, a call for nursing educators and programs to step up in our preparation of nurses. This book will incite controversy, wonderful debate, and dialogue among nurses and others. It is a must-read for every nurse educator and for every nurse that yearns for nursing to acknowledge and reach for the real difference that nursing can make in safety and quality in health care." —Beverly Malone, chief executive officer, National League for Nursing "This book describes specific steps that will enable a new system to improve both nursing formation and patient care. It provides a timely and essential element to health care reform." —David C. Leach, former executive director, Accreditation Council for Graduate Medical Education "The ideas about caregiving developed here make a profoundly philosophical and intellectually innovative contribution to medicine as well as all healing professions, and to anyone concerned with ethics. This groundbreaking work is both paradigm-shifting and delightful to read." —Jodi Halpern, author, From Detached Concern to Empathy: Humanizing Medical Practice "This book is a landmark work in professional education! It is a must-read for all practicing and aspiring nurse educators, administrators, policy makers, and, yes, nursing students." —Christine A. Tanner, senior editor, Journal of Nursing Education "This work has profound implications for nurse executives and frontline managers." —Eloise Balasco Cathcart, coordinator, Graduate Program in Nursing Administration, New York University
Download or read book Transformational Tool Kit for Front Line Nurses An Issue of Nursing Clinics of North America written by Francisca Cisneros Farrar and published by Elsevier Health Sciences. This book was released on 2015-04-07 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses are faced with unprecedented challenges and opportunities. Healthcare delivery models are transforming that require adaptive and flexible nurses. The primary role of the frontline nurse is providing patient care. To be successful in this role it requires numerous competencies supported by evidence-based data. Frontline bedside nurses are fundamental to the success of value-based care delivery models. These transformational models rely on robust nursing contributions for success. Most frontline nurses don't understand value-based care models and their role in promoting positive outcomes for reimbursement. This issue is a tool kit to empower our frontline nurses for challenges they are facing with transformations occurring at their bedside practice site. The articles will be a best practice handbook for frontline nurses by providing resources to develop clinical skills to provide safe, quality, and accountable patient care needed for new healthcare delivery models.
Download or read book Quality By Design written by Eugene C. Nelson and published by John Wiley & Sons. This book was released on 2011-01-14 with total page 507 pages. Available in PDF, EPUB and Kindle. Book excerpt: Quality by Design reflects the research and applied training conducted at Dartmouth Medical School under the leadership of Gene Nelson, Paul Batalden, and Marjorie Godfrey. The book includes the research results of high-performing clinical microsystems, illustrative case studies that highlight individual clinical programs, guiding principles that are easily applied, and tools, techniques, and methods that can be adapted by clinical practices and interdisciplinary clinical teams. The authors describe how to develop microsystems that can attain peak performance through active engagement of interdisciplinary teams in learning and applying improvement science and measurement; explore the essence of leadership for clinical Microsystems; show what mid-level leaders can do to enable peak performance at the front lines of care; outline the design and redesign of services and planning care to match patient needs with services offered; examine the issue of safety; describe the vital role of data in creating a rich and useful information environment; provide a core curriculum that can build microsystems’ capability, provide excellent care, promote a positive work environment, and contribute to the larger organization. Ancillary materials for use in classroom teaching, training, or coaching are available at https://clinicalmicrosystem.org/
Download or read book Johns Hopkins Nursing Evidence based Practice written by Deborah Dang and published by SIGMA Theta Tau International. This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Appendix F_Nonresearch Evidence Appraisal Tool"--"Appendix G_Individual Evidence Summary Tool"--"Appendix H_Synthesis Process and Recommendations Tool" -- "Appendix I_Action Planning Tool" -- "Appendix J_Dissemination Tool
Download or read book Service Fanatics How to Build Superior Patient Experience the Cleveland Clinic Way written by James Merlino and published by McGraw-Hill Education. This book was released on 2014-10-27 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE PROVEN MODEL FOR DRIVING POSITIVE ORGANIZATIONAL CHANGE Cleveland Clinic has long been recognized for driving some of the best clinical outcomes in the nation, but it was not always a leader in patient experience. There was atime when this revered organization ranked among the lowest in the country in this area. Within ten years, however, it had climbed to among the highest and has emerged as the thought leader in the space. How did Cleveland Clinic turn itself around so effectively and so quickly? More important, how can you do the same with your organization? In gripping, visceral, on-the ground fashion, Service Fanatics reveals the strategies and tactics the Clinic applied to become one of today's leading patient-experience healthcare organizations--methods that seamlessly translate to any business seeking to improveits customer experience. This strategic guide covers: How the Clinic's leaders redefined the concept of patient experience and developed a strategy to improve it Critical lessons learned regarding organization, recruitment, training, and measuring service excellence Ways in which the Clinic aligned its entire workforce around its Patients First strategy How leaders improved the critical element of physician communication Rather than view patients simply as sick people who need treatment, Cleveland Clinic sees them also as important stakeholders in the organization's success. Patients are customers--who desire, pay for, and deserve the best possible care and experience during what is often a challenging time in their lives. Featuring customer service case studies, as well as invaluable insight from C-level executives at top corporations in various industries, Service Fanatics provides actionable lessons for any manager and business leader beyond healthcare. Whether you run a healthcare institution, nonprofit, or for-profit business, Service Fanatics will help you create the kind of customer experience that promises to transform your organization into an industry powerhouse.
Download or read book How to Build Social Science Theories written by Pamela J. Shoemaker and published by SAGE Publications. This book was released on 2003-12-10 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Click ′Additional Materials′ to read the foreword by Jerald Hage As straightforward as its title, How to Build Social Science Theories sidesteps the well-traveled road of theoretical examination by demonstrating how new theories originate and how they are elaborated. Essential reading for students of social science research, this book traces theories from their most rudimentary building blocks (terminology and definitions) through multivariable theoretical statements, models, the role of creativity in theory building, and how theories are used and evaluated. Authors Pamela J. Shoemaker, James William Tankard, Jr., and Dominic L. Lasorsa intend to improve research in many areas of the social sciences by making research more theory-based and theory-oriented. The book begins with a discussion of concepts and their theoretical and operational definitions. It then proceeds to theoretical statements, including hypotheses, assumptions, and propositions. Theoretical statements need theoretical linkages and operational linkages; this discussion begins with bivariate relationships, as well as three-variable, four-variable, and further multivariate relationships. The authors also devote chapters to the creative component of theory-building and how to evaluate theories. How to Build Social Science Theories is a sophisticated yet readable analysis presented by internationally known experts in social science methodology. It is designed primarily as a core text for graduate and advanced undergraduate courses in communication theory. It will also be a perfect addition to any course dealing with theory and research methodology across the social sciences. Additionally, professional researchers will find it an indispensable guide to the genesis, dissemination, and evaluation of social science theories.
Download or read book Pediatric Intensive Care Nursing An Issue of Critical Care Nursing Clinics of North America E Book written by Melissa Nunn and published by Elsevier Health Sciences. This book was released on 2023-08-04 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Critical Care Nursing Clinics, guest editor Dr. Melissa Nunn, Instructor of Clinical Nursing at LSU Health New Orleans School of Nursing, brings her considerable expertise to the topic of Pediatric Intensive Care Nursing. Top experts in the field present systematic, evidence-based processes for decision making and care, addressing topics such as palliative communication in the PICU; dialysis care in the PICU; caring for hematology/oncology emergencies in the PICU; nurse-led rounds in the PICU; asthma care protocol implementation in the PICU; and more. - Contains 12 relevant, practice-oriented topics including acute pain management protocols in the PICU; kangaroo care implementation; unplanned extubations in the PICU; pediatric delirium screening in the ICU; battling alarm fatigue within the PICU; and more. - Provides in-depth clinical reviews on pediatric intensive care nursing, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
