We are a large teaching facility with many entries by different people in the

We are a large teaching facility with many entries by

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the ability to chart and I am not sure I am on board with this much patient centered involvement.  We are a large teaching facility with many entries by different people in the patient’s chart, if the patients and families also charted it might be very confusing to figure out who charted what and  how much weight to give a particular entry or note.      The domain of care support received high scores.  My facility encourages family members to  be a part of the care team.  Families have 24hour access to their loved ones and in the ICU areas,  the patient rooms are designed with a family room area (Vanderbilt Patient and Family  Engagement, 2018).  Families are encouraged to stay, be a part of the care team and participate 
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ORGANIZATIONAL LEADERSHIP & INTERPROFESSIONAL TEAM DEVELOPMENT in rounds and shift report.  Families have access to the rapid response system and there is ample  signage in all patient care areas with directions on using this system.  Patient’s medication  history must be updated for each outpatient test or appointment and is always available on line  for the patient or family.   Patient/family find support, disclosure, apology with error and harm  received a median score.  No written policy could be located regarding this practice but I have  personally witnessed it twice at this facility.      The domain of care received high marks.  My facility encourages patient/family collaboration in goal setting and they are treated as partners in care area (Vanderbilt Patient and Family  Engagement, 2018). Patients/families are involved in care planning and transitions, especially  when the patient is transitioned to a rehabilitation facility.  This involvement is critical to the  recovery of the patient.  Pain is managed in partnership with the patient and family.   AREA OF IMPROVEMENT      Although my facility does an excellent job of adhering to the core concepts of patient  centered care, there is one area that is missing.  Patient and families have no participation in  interview teams or search committees.  Involving patients/families in the process of finding and  hiring new care team members would potentially attract people that are committed to the patient  centered care concept and improve communication within the care team. SYSTEM OR CHANGE THEORY      To develop a strategy for changing this weakness, I would apply Lewin’s change theory  (Sullivan, 2017).  To create the perception that a change is needed I would apply stage one of  Lewin’s theory, unfreezing.  To unfreeze the old way of interviewing and searching for team  members, I would present supporting evidence to the staff then allow time for staff to voice 
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ORGANIZATIONAL LEADERSHIP & INTERPROFESSIONAL TEAM DEVELOPMENT concerns, comments and recommendations.  This is a new concept in health care and involving  patients/families in this process will initially be alarming and foreign to staff so it may take some time to get used to the idea.      To move toward the new norm, I would create a multidisciplinary team to revise the Search  and hire policy.  Once the policy is revised and approved, I would educate the staff about the 
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  • Fall '18
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