It is unknown whom the information and measurements of race, ethnicity, and language are reported to. However, it is a part of each patient’s initial admission charting. There is a fair amount of educational materials at appropriate literacy levels, yet the language is limited to Spanishand English. Charting & DocumentationPatient and families do have access to their health records and have the option of them being printed out or put on a disk. Requests for charts must be made in person and can take seven to ten days to be received. Patients and families do not have access toadd to charting or records.Care SupportThe care support domain is strong for this hospital. Patients and families can take part in rounds and shift report and have 24/7 access to patients; they are considered part of the team. They are encouraged to stay during Patients and families do not activate rapid responses.
ORGANIZATIONAL LEADERSHIP 6rescue events, receive updatedmedication history each visit and are treated with respect by team members. CareThis domain of Care is also very strong in this facility. Patients and families are engaged and collaborate with clinicians for the best outcome. They are listened to, respected, and treated as partners in the care of the patient. Clinicians actively involve families in care planning and transitions. Painprevention and management are addressed with the patient and the family. Pain management is an important goal for this hospital because it is believed to increase patient satisfaction. While pain reduction is a priority in this hospital, sometimes the high patient to nurse ratio can extend the time a patient has to wait for pain medication to be delivered. Area of ImprovementThe patient and family-centered self-assessment tool show this hospital to be strong in many areas surrounding the patient and family participation. One area that could be enhanced is the area of patients and families serving as advisors. These domain elements are as follows patients and families serving on hospital committees, advisory councils and participating in quality and safety rounds. Improvement StrategyA multidisciplinary team of five people will be used to implement the change. The team will be able to bring a unique perspective from their backgrounds and specific areas of practice.
ORGANIZATIONAL LEADERSHIP 7The team members will consist of representatives from physicians, nursing, administration, a project manager and a patient or family member. This group together will focus on patient-centered care and will represent multiple areas of the hospital. By involving the patient and family, the weaknesses within the hospital regarding patient care can be focused on and improved. System or Change TheoryThe Change Theory in the Lewin Change Model will be used to make this improvement to the domain of advisors. According to Sullivan, (2017) the Lewin model proposes a driving force to facilitate change by pushing members in the wanted direction by examining the forces and shifting the balance in the chosen direction. There is a three-step process within this model: unfreezing, moving, and refreezing (Sullivan, 2017). This theory will guide the team to move
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