ESSENTIALS OF ADVANCED NURSING PRACTICE 11 hours have ended A final

Essentials of advanced nursing practice 11 hours have

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ESSENTIALS OF ADVANCED NURSING PRACTICE 11 hours have ended. A final recommendation is to provide patients with a survey to discuss and voice their concerns about noise levels on the unit. The survey can include the times and places where the most noise occurs for research purposes. Rationale for recommended change Barbosa et al. (2015) purport that patient-centered care leads to “positive outcomes including fewer conflicts and complaints and a better quality of care.” Utilizing a holistic approach to care, patient’s needs are always at the forefront. Providing care for a patient is more than giving medications and performing treatment. Providing a safe, quiet, and restful environment is part of providing patient-centered care. By formulating a noise level survey for each patient to complete, Rachael can obtain information regarding noise perceptions of the patients. This will allow her to analyze if the noise is coming from staff members or from regular hospital equipment flow, then plan her interventions accordingly. By incorporating a noise level decibel monitor, Rachael can begin to track times and areas of increased noise and intervene accordingly. By knowing when are where the most noise is located, Rachael can zone in on interventions to provide opportunities of growth for staff. By incorporating noise level champions or “yacker trackers,” and new documentation requirement in the medical record, staff can begin holding each other accountable for the noise level throughout the night, and begin documenting that they have indeed provided teaching regarding the “welcome quite time” packet and its contents. Measures to evaluate Improving customer satisfaction is one of the four core principles of clinical practice benchmarking. According to the U.S. Department of Health & Human Services Agency of Healthcare Research and Quality (2018), benchmarking allows the comparison of a practice’s
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ESSENTIALS OF ADVANCED NURSING PRACTICE 12 performance against an external standard. Benchmarking can be used as a tool to assess one’s own performance against other entities. The national benchmark of performance that will be utilized is the HCAHPS from NTC and will be compared to another hospital in Salinas named Salinas Valley Memorial Hospital (SVMH). For example, NTC and SVMH are the only two hospital in Salinas, California. According to the Centers for Medicare & Medicare Services (2018), NTC scored a 46%, and SVMH scored a 44%, on the survey portion where the patient was asked if the room was always quiet at night. NTC is scoring 2% higher than its competitor hospital SVMH. In comparison with the national benchmark average of 62%, NTC is 16% below the national benchmark average (Medicare, 2018). Therefore, noise level surveys and HCAHPS will be used to measure effectiveness of the recommended change over time. With a goal to use the recommended patient surveys to identify where the source of the noise is coming from, recommendations can be made to intervene and provide opportunities for learning and growth for the units. Once the noise level decibel monitors
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