staff. Nurses and auxiliary staff are being overworked, increasing the risk of burnout, resulting inthem leaving and finding other means of employment. Evidence-based practice activities that are currently taking place at Florida Hospital includes the commitment to improve patient safety. Florida Hospital has remained focused on transforming the health care experience. The vision of Florida Hospital is to provide patient and family-centered care with the help of highly-competent professionals to work in a collaborative environment using clinical evidence-based practice of standards. As a result of the consistently high patient experience scores, their collaborative team of physicians, nurses, volunteers, and supportive staff are all committed to the patient and family centered model of care. A nursing structure called shared governance, a model that features unit-based and facility clinical practice councils, was created by Florida Hospital to include the fall prevention committee, the nurse quality council, the nursing patient satisfaction committee, the nurse executive council, and the nursing peer review committee. These multidisciplinary teams consist of nurses, educators, physicians, clinicians, and supportive staff that meet on a regular basis to discuss ways of improving patient satisfaction and patient quality. These multidisciplinary teams follow evidence-based practices and process improvement techniques in efforts to enhance the patient’s quality of care.
9Quality improvement projects are the focus for the leaders at Florida Hospital. There are many quality improvement projects that are currently taking place. The quality improvement department, in addition to the education department, are working together to develop a solution to improve quality of care. A quality improvement project that the nurse manager is currently involved in seeks to improve and prevent falls on her unit. Per the nurse manager, her unit has had approximately 30 falls this year and efforts are being made to improve and prevent the risk for falls on her unit in efforts to improve care of the patient. The ultimate goal is to improve the quality of care for the patient and this goal will be achieved once there is a decrease of falls on the unit.A6. Recommendation for Organizational ChangeA recommended organizational change is to properly staff the unit with the appropriate staff members. The staff nurse ratio need to be 1:4 and the nurse assistant ratio need to be 1:20. This change will prioritize patient-centeredness by improving the quality of care a patient receives while on the Clinical Transition Unit at Florida Hospital. The nurse manager stated that her unit has had approximately 30 falls this year and this is a direct effect of the decrease in staffing. Research has shown there is a link between inadequate nurse staffing and negative patient outcomes. Inadequate nurse staffing levels leads to higher rates of adverse outcomes,
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