Rationale for Recommended Change A6a Texas Children’s Hospital has large opportunity for improvement in the field of continued education. The organization is a level one trauma facility and cares for complex and high-acuity patients from all over the nation. The organization does not currently have simulation labs that are available for TCH healthcare employees. The recommended change for this organization is to construct a simulation lab in each of the five buildings of the main TCH campus. Each lab will focus on the types of patients cared for in those buildings such as the Pavilion for Women will have pregnant mannequins that can go through a labor and present with complications. This will give the NPD team and unit nurse educators a space for required training, optional classes, mock codes, and any other educational needs. This will be a space for healthcare providers that perform direct patient care such as registered nurses and physicians. A simulation will enhance the needs of the community by preventing medical errors, relieve anxiety and stress of medical staff, and creating a positive attitude environment. There was a qualitative descriptive study performed on nursing students in a hospital simulation lab setting (Ter Beest, Bemmel, & Adriaansen, 2018). The study focused on the nurse-patient relationship and the nurse developing empathy. The conclusion of this study was that the students experienced the need and importance for empathy and were directly confronted with patient’s responses (Ter Beest, Bemmel, & Adriaansen, 2018). Also, the study found that the nursing students became more independent and were more likely to not be scared of patient’s emotional responses that could arise in a hospital setting (Ter Beest, Bemmel, & Adriaansen, 2018). This evidence proves that a simulation lab can decrease the anxiety and allow the medical staff to anticipate negative patient
CONSULTATIVE CHANGE RECOMMENDATIONS 12 reactions like anger. TCH’s main competitors are Children’s National Main Hospital in Washington, D.C., Cincinnati Children’s, and Boston Children’s Hospital. Each of these hospitals rank high in the type of patient care they provide. They each have a publicly known simulation center specific for their healthcare providers. This places TCH at a lower level that is not deserved and clearly defines an area for improvement within the institution. A simulation lab will address the community of Houston’s needs by health care generally improving within the facility of TCH. When medical staff of a hospital feel empowered, educated, and confident, that naturally enhances patient-centered care and directly effects patient outcomes. For example, a nurse who is confident during an unplanned intubation will cause the family to be more likely calm and cooperative. Another example, in the emergency department, if the physician has more practice performing mock codes with his employees, the family and patient are more likely to have a better experience and feel comfortable returning to that hospital.
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