RESUMO
Increasingly, healthcare organizations are adopting patient and family advisory councils as a key strategy to create a culture grounded in patient- and family-centered principles and improve the patient experience. In the 1st of a 3-part series, the chief nurse executive and the director of patient- and family-centered care at a Magnet®-designated academic medical center discuss how a stronger patient voice can lead to better care and improved clinical outcomes. The authors examine ways in which the Magnet culture helped drive change and offer tips to establish a successful patient and family advisory council.
Assuntos
Comitês Consultivos/organização & administração , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Satisfação do Paciente , Assistência Centrada no Paciente/organização & administração , Relações Profissional-Família , Relações Profissional-Paciente , Comportamento Cooperativo , Humanos , Melhoria de QualidadeRESUMO
Bioethics mediation training offers knowledge and skills valuable for clinical ethics consultants who are engaged in high conflict situations. Furthermore, clinicians with this training can support organizational efforts to create a culture that is centered on the values, needs, and care preferences of patients and their families, rather than on those of the clinician or organization. Patient-centeredness is a hallmark of quality and an essential component for patients' safety. Clinicians with mediation training have the communication skills to address the myriad needs of patients and their loved ones, needs that are challenging to meet in inpatient hospital settings. The author illustrates principles of mediation such as validating patients' emotions, revealing the interests of all stakeholders, and shaping a shared solution to demonstrate how these skills have broad applicability in patient care settings.
Assuntos
Comunicação , Conflito de Interesses , Eticistas/normas , Negociação/métodos , Assistência Centrada no Paciente , Relações Médico-Paciente/ética , Cuidadores , Emoções , Humanos , Cultura Organizacional , Participação do Paciente , Satisfação do Paciente , Assistência Centrada no Paciente/ética , Assistência Centrada no Paciente/métodos , Assistência Centrada no Paciente/normas , ProcuradorRESUMO
MUCH HAS been written on the need to move to a more patient- and family-centred system of healthcare delivery. Recognised steps that nursing staff can take to design patient-centred care delivery models include, for example, unrestricted visiting for family members, hourly rounding and having open medical record policies.
RESUMO
Nurses can foster partnerships with patients and families during acute care hospitalizations.
Assuntos
Cuidadores , Comunicação , Relações Profissional-Família , Atitude Frente a Saúde , Cuidadores/ética , Cuidadores/psicologia , Humanos , Narração , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Alta do Paciente , Relações Profissional-Família/ética , Qualidade da Assistência à SaúdeRESUMO
Evidence-based practice (EBP) is an evolutionary step in the nursing model of excellence in professional practice at the Hospital of the University of Pennsylvania. A healthcare culture focused on excellence and world-class patient care requires that nursing research and EBP are integrated into the professional practice model and nursing care delivery. To achieve this, it requires the development of staff expertise, time allocation for staff to participate in scholarly activities, resources that support EBP and research, and expert consultants in EBP and nursing translational research. This article describes the systems and structures in place to provide staff with resources in order to translate research and deliver EBP and the multiple initiatives in disseminating evidence to the point of care.
Assuntos
Difusão de Inovações , Prática Clínica Baseada em Evidências , Pesquisa em Enfermagem , Recursos Humanos de Enfermagem Hospitalar , Pesquisa Translacional Biomédica , Governança Clínica/organização & administração , Educação Continuada em Enfermagem/organização & administração , Prática Clínica Baseada em Evidências/educação , Prática Clínica Baseada em Evidências/organização & administração , Bolsas de Estudo/organização & administração , Hospitais Universitários/organização & administração , Humanos , Disseminação de Informação , Relações Interinstitucionais , Internet/organização & administração , Mentores , Modelos de Enfermagem , Pesquisa em Enfermagem/educação , Pesquisa em Enfermagem/organização & administração , Recursos Humanos de Enfermagem Hospitalar/educação , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Philadelphia , Comitê de Profissionais/organização & administração , Apoio à Pesquisa como Assunto/organização & administração , Escolas de Enfermagem/organização & administração , Visitas de Preceptoria/organização & administração , Pesquisa Translacional Biomédica/educação , Pesquisa Translacional Biomédica/organização & administraçãoRESUMO
This article describes the experience of an advanced practice nurse in a challenging clinical situation. A mother with mental illness and mental retardation seeks to retain parental rights and care for her newborn with cystic fibrosis. The nurse provides leadership to the hospital team and serves as an advocate throughout legal proceedings. A systematic, nonjudgmental, and empathic approach to gathering information, working with the family, welfare, and legal representatives is described. Enacting a complex and court-mandated homecare education regimen to the disabled mother is discussed. Preparation to testify in a termination of parental rights proceeding is outlined and a summary description of the testimony provided.