communicating the value of the work and the role of caregiver is essential. a caring team works...
TRANSCRIPT
Communicating the value of the work and the role of
caregiver is essential. A caring team works together to
promote harmony and healing among themselves as well as
those they serve, influencing the whole system.
Effective communication and collaboration between
nurses, physicians and ancillary staff is essential to positive
patient outcomes. This project focuses on addressing
multidisciplinary collaboration and effectiveness in order
to plan more efficient and satisfying discharge outcomes
with patients.
We intend to create a caring relationship with our patients
that promotes knowledge, growth, and empowerment and
enhances their awareness of health and well-being.
This project is a part of our organization’s effort in bringing human caring
science into the active practice of nursing staff in a 40 bed
Medical-Surgical/Telemetry-Stroke unit.
This project was designed to improve the way we round on our patients,
discharge process and patient flow (ED-Bed). The nurse manager and assistant
nurse managers utilized a valuable approach in rounding by creating a rounding
tool that emphasizes the caring-healing relationship between the nurses and the
patient.
I would like to acknowledge Kaiser Permanente’s leaders for bringing
the Caring Theory to our medical center. Deep appreciation to ninth
floor staff and management team in embracing the positive changes in
the unit.
The purpose of this project is to develop helping, trusting
and caring relationships with patients, families and the
members of the health care team.
Our aim is to improve the patient flow and service
experience of our patients through effective communication
and creation of a trusting relationship among caregivers.
We developed a tool to measure the caring/healing
relationship between the health care team and the patient.
This tool includes assessment of the patient’s
perceptions of caring, nurses caring behaviors,
abilities and efficacy.
It also helps to transform tasks into caring healing
interactions, creating a higher level of consciousness.
Healing and wellness are facilitated through an efficient
discharge process.
BACKGROUND
PURPOSE
SETTINGS/ PROJECT DESCRIPTION / PROCESS RESULTS/CONCLUSIONS
ACKNOWLEDGMENTS
Delete me & place your
LOGOin this area.
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A commitment to sustain an authentic trusting-caring relationship with another is the foundation of professional nursing practice.
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The Care rounds statements were focused on :
Communicating the daily routine and expectations on newly admitted
patients.
Asking if they know who is caring for them that day and if the nurses
are responsive to their needs in a courteous and respectful way.
Asking if they are kept informed about their daily care and pain
management.
Patients were asked about the consistency of the health care team in
providing care with loving kindness and patients were asked if they felt
that their cultural traditions and spiritual beliefs were supported.
Through consistent care rounds we assess the patients needs, experience,
and gauge Readiness for Discharge:
Patient’s discharge plan is discussed as early as admission.
We review the next day targeted discharge list, track and monitor the
progress of discharge readiness.
We follow-up on action items to facilitate next day timely discharge e.g.
pending tests, teaching, PT eval, transportation arrangement s and DME
(Durable medical equipment).
In AM we project the patients who potentially will be discharged in time
groupings (<1100H, 1100H-1500H, >1500H).
Developing a Helping-Trusting Caring Relationship
Vanessa A. Martinez, RN, BSNKaiser Permanente Oakland Medical Center, Oakland, California
Creating a culture for trusting caring relationships among
caregivers through a cross-functional team and improved
patient flow, as demonstrated by :
Making room for more admissions from ED or transfers.
Decreasing and eliminating overcrowding and surge alerts of
admissions during late afternoons.
Receiving positive feedback from our patients for the
excellent caring experience they had during their hospital stay:
quotes like “I want to take my Nurse home with me”
Receiving nurse award recognitions from patients two
months in a row for going above and beyond with care.
Linking staff engagement with all our initiatives in quality,
safety and patient satisfaction through skin and fall rounds, no
HAPU (hospital acquired pressure ulcer) and CLBSI (central
line blood stream infection).
Increasing patient satisfaction service scores to six points.
Decreasing patient overall length of stay