The University of Kansas Health System also has weaknesses one of the

The university of kansas health system also has

This preview shows page 6 - 8 out of 11 pages.

The University of Kansas Health System also has weaknesses, one of the organization's biggest weaknesses being the growth of the organization. The University of Kansas Health System built a new state of the art tower which opened in 2018, adding 150 beds and procedural areas; because of this and the demands of the area, the organization lacks qualified and trained staff members to keep up with the needs of the hospital and the patient population. With such rapid growth and demand, the University of Kansas Health System has had difficulties with meeting the hiring demands. The University of Kansas Health System is also always "chasing zero", this goal means zero harm to our patients, improving patient outcomes, and improving patient satisfaction. Quality improvement will always be an area of every organization that needs improvement and is something that every organization should have. Recommendation for Organizational Change
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ESSENTIALS OF ADVANCED NURSING PRACTICE FIELD EXPERIENCE 7 The recommended change for this organization and the specific unit is to implement changes to help critically ill patients achieve better sleep through implementing white noise machines, assessing if the patient can be "sleep bundled", and when appropriate providing a sleep packet for the patient. This recommendation is based on the data that was collected from HCAHPS scores and information gathered from the interview. Currently, the nurse is not required to assess or document if the patient may be “sleep bundled” or if that patient can receive a sleep packet; a patient is only assessed if the nurse thinks it may be necessary or remembers to. Night shift nurses are also the only shift that documents if the patient may need to be "sleep bundled", and is also the only shift that can assess the amount and quality of sleep the patient is receiving or getting. Recently, the Cardiac ICU's HCAHPS scores and patient satisfaction on the unit have decreased by 10%, with the unit currently having an 84% satisfaction; there have also been statements made about the unit being “very noisy during the night” and “constant interruptions”. Some of these factors can not be illuminated due to the fact that the unit is an Intensive Care Unit; telemetry alarms, IV pump alarms, advanced device alarms, and some interrupts are every ICU’s environment. However, there are ways for the nursing staff to improve or decrease some of these factors such as providing white noise machines, decreasing interruptions by “sleep bundling” the patient, and providing a sleep packet. “Sleep bundling” a patient is defined as not entering the patient’s room, unless necessary, between the hours of 2300 to 0400; this may include not taking hourly vital signs, completing assessments early or later, or gathering labs only before or after the times stated. The unit’s sleep packets include headphones, eye mask, earplugs, and a pamphlet about adequate sleep. All of these resources are currently available on
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