member each time he makes rounds The patients/family member is typically listened to, respected and treated as a partner in care Pain is managed effectively The nursing plan of care is done by the admitting RN and is typically not completed with the patient or family and based greater on the medical diagnosis than the actual needs of the patient Nursing staff tend to not listen to, respect, or treat the “frequent flyer” as a partner in care as much as they may someone they have never taken care of \ Area of Improvement Although there are numerous areas of improvement that should be made in order for this facility to effectively practice Patient- and Family- Centered Care, the domain chosen from the PFCC Organizational Self-Assessment Tool that needs the most improvement is the Leadership/Operations Domain. This Domain was chosen because all elements associated with it received the lowest score. It was also chosen because that is where Patient-and-Family Centered
ORGANIZATIONAL LEADERSHIP AND INTERPROFESSIONAL 12 Care should begin; with the leaders and areas of operation. The element chosen to be focused on in this area of weakness is having an explicit expectation, accountability, and measurement of Patient Family Centered Care. In order to begin the PFCC process, there must be an explicit expectation, accountability, and means of measurement Improvement Strategy In order to have an explicit expectation, accountability, and measurement of PFCC, all disciplines in the institution need to be on board with the process. The strategy to increase patient-centeredness in the organization will focus on education. The first step will be educating and getting the staff on board with practicing PFCC. This will require a shift from the community and institutional focus to a Patient-and-Family Centered focus. A multidisciplinary approach will be used. The members of the team should consist of the leaders of each major discipline. These include the manager of the Emergency Department, the CNO, the Med Surg manager, RT Director, and PT Director. The members of the team will be asked to take the PFCC Organizational Self-Assessment Tool. Once each member of the team has taken the assessment, the entire team will meet and discuss the results. After the results are discussed, the team leader will educate the members about how using PFCC will have a positive impact on the quality of patient care, the safety of the patients, staff retention, and the financial status of the institution. The impact of this change will be measured using Patient Satisfaction Surveys and the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS). These tools are already in use. However, the goal is to see an increase in Patient Satisfaction and superior performance on the HCAHPS. Each team member will be responsible for educating their department about the change in focus to PFCC. Education also needs to be given regarding the impact this change
ORGANIZATIONAL LEADERSHIP AND INTERPROFESSIONAL 13 will have on the institution and each employee’s job satisfaction. Often times, staff is only told to
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- Fall '17