Recently on the post-surgical unit at Children’s Medical Center of Dallas (CMCD), the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPHS) scores have declined. It was noted that scores for nurse attentiveness to patient requests and responsiveness to call lights dropped, with an overall decrease in patient satisfaction scores. After careful review of the literature, CMCD plans to implement hourly rounding on the post-surgical unit. Current practice on the post-surgical unit at CMCD is for nurses to check on their patients every two hours.
Ethical Dilemma
Nurses make a moral commitment to care for all patients and take responsibility for the healthcare environment they work in. In the acute care setting, the bedside nurse plays an important role in improving patient satisfaction and maintaining a safe environment. Currently, patient satisfaction during hospitalization is measured by data collected from the HCAHPS
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An interdisciplinary team consisting of members from different areas of the hospital will come together to plan, design, execute, and evaluate this project. This particular model emphasizes the organizational process (Dontje, 2008). In order to use this model, staff will need to identify the clinical problem, form a mentor team, research and grade the current evidence, develop and implement an evidence-based practice standard, and evaluate the new practice (Dontje, 2008). The project will be implemented on the post-surgical unit at CMCD from May 2017 to November 2017. During this six-month time frame, data will be collected to evaluate the outcomes of hourly rounding. The main focus will be to measure HCAHPS scores regarding patient satisfaction and to measure daily call light usage to assess for an increase or decrease in frequency after implementation of hourly
Nurses provide a vital role in the health care system. Sure, we may not be able to diagnose or write prescriptions. However, we are the main advocates for the patients. We also stand by the side of our patients through their entire hospital stay. It is the nurse who notices the smallest changes in their patients.
Conclusion In conclusion, APNs are equipped to deliver the same safe, efficient, and high- quality care as physicians. The clinical and professional background of nurses gives them an extraordinary opportunity to change the healthcare landscape and promote cost-effective, compassionate, and patient-centered care for people. In a study performed by Dill, Pankow, Erikson, & Shipman (2013), the patient preferred the APN to physicians due to greater accessibility, more personalized and compassionate care, increased comfort with communication, and past positive
The review was completed in 2014. Some limitations where discussed they were throughout the research material. The conclusion was that patient outcomes were positive with intentional rounding and they were based off the results from the study. The study did state that they were not sure if intentional rounding was the cause of improved patient outcome or relationships that formed with the nurse and patient. The article
The team should analyze the study to see if the evidence supports the introduction of a nurse-led rounding program. The sixth phase is determining whether substantial proof exists to undertake a practice change. In this example, there is enough evidence to back the establishment of a nurse-led rounding program.
Bedside reporting has been shown to improve communication and quality of handoff between nurses. It is also credited to promote patient safety and improve patient satisfaction. Patient satisfaction, patient safety and nursing communication and quality of report from a 32 bed surgical hospital in Dallas, Texas is to be evaluated using various surveys, HCAHPS scores, incident reports, and call light logs. Data will be collected 2 months prior and 6 months following the implementation of bedside report. Scores and communication survey results will be reviewed in this time period to determine increases or decreases from pre-implementation results using traditional nurse-to-nurse report..
The HCAHPS Survey; Not the Best Way to Measure Quality Care Jennifer Rodriguez Keiser University The HCAHPS Survey; Not the Best Way to Measure Quality Care The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) Survey, also known as the CAHPS® Hospital Survey or Hospital CAHPS®, is a standardized survey and data that has been implemented since 2006 to measure patients view of their hospital care during their recent hospital stay. There are three goals of the HCAHPS Survey. First, the survey gets comparable data on patients' view of their care that allows for objective and meaningful comparisons to other hospitals on issues that are important to patients, including how well healthcare providers
The effectiveness of hourly rounding has been clearly outlined by various evidence based materials and nursing literature, guaranteeing its adoptability (Fagan, 2012). All the same, it is most for the healthcare organization to found out ways of making hourly rounding a policy, in order to help nurses internalize the strategy as part of normal caring
According to Stanton, low-staffed hospitals resulted in higher incidences of poor patient outcomes. Such as, UTIs, pneumonia, and fall. However, poor patient outcomes not only result from short-staffed nurses, but can also result from inadequate nursing assistants as well. NAs play a great role in providing basic daily care of patients. These professionals are very crucial in the healthcare industry but sadly, there are NA shortages.
What particular value will the nurse representative bring to the board unique and different from that already presented? Nursing provides the highest amount of patient contact care, providing care at the bedside throughout out the patient’s entire stay in the hospital. Fran Roberts, Ph.D., RN, FAAN, makes an excellent point when she describes a nurses perspective of a hospital from the inside out, offering a view that no other healthcare provider can (Roberts, 2014). Dr. Roberts goes on to explain that this unique perspective provides insight that no other board members can bring to the table, such as what it 's like to work short staffed, at what point patient safety becomes compromised, and experiences that no one can offer other than another nurse (Roberts, 2014).
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
Wheeling hospital collected data for patient satisfaction was collected from 4/1/2016 to 3/31/2017. Wheeling hospital completed 1779 surveys in this period with a response rate of 26%. This was a bit shocking due to more people taking the survey than previous thought. The state average of patient’s reporting their nurses communicated well is 81%, while the national is 80%. The hospital’s average was only 77%, and was not very shocking due to the importance of nurses being advocates for their patients.
Nurses will be assigned the even hours and nurses aids will be assigned the odd hours. The pilot trial for hourly rounding will continue for six months. On the first Monday of each month the interprofessional team will meet to discuss the results of hourly rounding as well as staff and patient feedback. With the collection of data over the next 6 months the team will evaluate if there is a decrease in patient injury and falls as well as in increase in patient
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
Empirical Referents Empirical referent studies support Watson’s theory by affirming the existence of a positive relationship between patient satisfaction and nurse caring behaviors in numerous clinical settings. Nursing education plays a significant role in the achievement the caring concept and is accentuated throughout the nurse's professional career (Labrague, Mcenroe-Petitte, Papathanasiou, Edet, & Arulappan, 2015). Patient satisfaction is a measurable component used to determine the care received from nurse clinicians. Stroehlein (2016) indicates that although there is a large constituent of many occupations, caring in the nursing occupation assumes an exceptional meaning with a higher purpose. Caring is multifaceted and comparable have determined individuals whose intention is to open the eyes of the society through rendering high quality patient care (Stroehlein, 2016).
The first criteria, satisfaction of residents, will be done by giving a short survey after receiving care to rate the services they received. If they rate less than 80% of good care, the management team will follow up to a provider who was rated less to take new measures. This survey will be analyzed every week. The supervision about equipment and hygiene will be done once a week, but in different days as a surprise. If equipment are not well maintained or placed; or hygiene is not there, the management team will reach out to employees in charge to advise and take new measures of solving the problem.