Room for improvement There is no P/F input into personnel for the facility Environment & Design The environment somewhat supports family presence There is no P/F input into clinical design projects Information/Education There are numerous links to patient resources There are no P/F educators Diversity & Disparities The facility does have many assistance programs for the underserved The educational material is limited to the 3 most popular languages in the community Charting & Documentation Patients and family have access to an information portal they can comment on There is no ability for P/F to individually chart in the current EMR Care Support Patient families have the ability to activate a rapid response without staff Visiting hours are restricted in most areas of the hospital Care Pain is managed as a top priority with patient input The P/F are not involved in every aspect of care
ORGANIZATIONAL LEADERSHIP 5 Area of Improvement The area of patient-centered care that this section will focus on wit be in the domain of care support. At this time family members do not have 24/7 access to the patient on every unit of the hospital. This is currently restricted to the ICU’s and the emergency room. Labor and delivery has a similar policy but still does not allow all family to have unlimited access to the patient. Allowing family members to be at the patient bedside may be expected in some cultures, and adapting the policy to be culturally inclusive can assist in patient outcomes and elevate the diversity of the facility. Improvement Strategy The strategy to improve the current policy will start with the creation of a multidisciplinary team. This team would address the current limited policy and aid in the creation of a more culturally diverse and inclusive policy. The team members should include medical staff, security personnel and others that have a stake in the policy changes. The members could include physicians, nurses, security officers, and patient family members. Having a diverse multidisciplinary team will assist in the development of new and different ideas based on discipline, ethnic background and time with the patients. System or Change Theory In order for the multidisciplinary team to bring about this change in the noted weakness a change theory was selected to assist them. The theory that was chosen was that of Lewin (unfreezing, moving, and refreezing). According to Sullivan (2012) this theory focuses on “behavior as a dynamic balance of forces working in opposing directions within a field (such as an organization). Driving forces facilitate change because they push participants in the desired
ORGANIZATIONAL LEADERSHIP 6 direction. Restraining forces impede change because they push participants in the opposite direction” [ CITATION Sul12 \l 1033 ]. Using this change theory as an outline the team will tackle the changes needed to implement open visiting hours at the facility.
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- Spring '16