ABSTRACT
This report describes a Nursing Care Quality Initiative (NCQI) through which a new model of care for hospitalized older adults and their families, the Family-Centered Geriatric Resource Nurse (FCGRN) model, was introduced. Eighteen units in 10 hospitals participated in the NCQI Project. Educational, clinical, and evaluation components of the NCQI Project are described.
Subject(s)
Aged , Family Nursing/organization & administration , Family , Geriatric Nursing/organization & administration , Hospitalization , Models, Nursing , Nurse Clinicians/organization & administration , Patient-Centered Care/organization & administration , Total Quality Management/organization & administration , Aged/psychology , Attitude of Health Personnel , Attitude to Health , Education, Nursing, Continuing , Family/psychology , Geriatric Nursing/education , Health Knowledge, Attitudes, Practice , Humans , Inservice Training , Nurse Clinicians/education , Nurse Clinicians/psychology , Nurse's Role , Nursing Evaluation Research , Nursing Staff, Hospital/education , Nursing Staff, Hospital/organization & administration , Nursing Staff, Hospital/psychology , Program Evaluation , Quality Indicators, Health CareABSTRACT
This article describes outcomes of a new model of care for hospitalized elders and their families. Patient functional and cognitive status on admission and discharge were evaluated for changes as a result of an educational program for preparing family-centered geriatric resource nurses. Patients in the intervention group (n = 173) demonstrated significant improvements in outcome measures (functional and cognitive status) from admission to discharge. A subset (n = 50) was selected from the 173 subjects who comprised the intervention group; this subset was compared with control subjects (n = 44); no statistically significant differences were noted between the 2 groups. Suggestions for future research are presented.
Subject(s)
Activities of Daily Living , Geriatric Assessment , Geriatric Nursing/organization & administration , Hospitalization , Mental Competency , Nurse Clinicians/organization & administration , Total Quality Management/organization & administration , Aged , Aged, 80 and over , Education, Nursing, Continuing/organization & administration , Family Nursing/organization & administration , Geriatric Nursing/education , Hospitals, Voluntary , Humans , Inservice Training/organization & administration , Mental Status Schedule , Models, Nursing , New York , Nurse Clinicians/education , Nursing Evaluation Research , Outcome Assessment, Health Care , Patient-Centered Care/organization & administration , Program EvaluationABSTRACT
Skin care and pressure ulcer prevention programs abound, although their content varies and their outcomes are often difficult to quantify. This article describes 2 complementary programs, their quality improvement processes, and a variety of ways of measuring their success. The first program was broad in scope, emphasizing system-wide changes in administration and coordination of resources, while the second focused on nursing education on high-risk units. These 2 approaches could be adapted for use in any health care setting.
Subject(s)
Geriatric Nursing/education , Geriatric Nursing/standards , Patient Care Team/standards , Pressure Ulcer/prevention & control , Skin Care/standards , Total Quality Management/organization & administration , Aged , Benchmarking/organization & administration , Education, Nursing, Continuing/organization & administration , Evidence-Based Medicine , Hospital Units , Hospitals, Voluntary , Humans , Incidence , Inservice Training/organization & administration , New York/epidemiology , Nursing Staff, Hospital/education , Nursing Staff, Hospital/standards , Outcome and Process Assessment, Health Care , Practice Guidelines as Topic , Pressure Ulcer/epidemiology , Quality Indicators, Health Care , Risk FactorsSubject(s)
Humans , Female , Pregnancy , Physical Therapy Modalities , Exercise Therapy , Gynecology , Obstetrics , Pregnant WomenSubject(s)
Humans , Female , Pregnancy , Physical Therapy Modalities , Gynecology , Obstetrics , Exercise Therapy , Pregnant WomenABSTRACT
This article describes the development of the FAMILY card, a family assessment instrument used in the Nursing Care Quality Initiative (NCQI) to assess the involvement and needs of family members of hospitalized elders. Through the NCQI project, particular attention has been paid to integrating both clinical expertise in geriatric nursing care and the principles of family-centered care into the nursing care provided by staff on the NCQI study units. Two case studies illustrating use of the SPICES geriatric assessment instrument and the newly developed FAMILY assessment card are included as exemplars.
