Purpose/Objectives:
This paper describes nursing practices that encourage patient and family involvement across the healthcare continuum to improve patient and parent/caregiver satisfaction scores in pediatric inpatient and pediatric intensive care units.
Significance:
To improve patient satisfaction through a patient family-centered care model in the pediatric inpatient unit and pediatric intensive care unit at Cedars-Sinai Medical Center.
Background/Rationale:
The plan was to initiate a change in the nursing practice to follow the core concepts of patient family-centered care by developing standards of care via policies and procedures, protocols, and a patient family-centered care task force.
Description:
This was done by mandatory 4 hours of lecture explaining the concept and structure of patient family-centered care and mandatory 8 hours of interactive education to provide skills and tools for implementation for all healthcare practitioners. The study allowed for various rapid cycles Transforming Care at the Bedside (TCAB) projects, including, but not limited to, open visiting, presence during procedure, welcoming package, inviting and encouraging attendance and communication during interdisciplinary rounds, rooming in for parents/caregivers, RN-led medical/interdisciplinary rounds, increased RN time in direct patient care and visibility/availability of healthcare team members, and education brochures for patient and parents/caregivers.
Outcome:
Results were measured by reduction in problem scores in Picker National Survey 01-08 to 01-09 patient satisfaction reports. Pediatrics: Partnership between family and clinicians reduced problem score, 12%; more involvement in decision making, 19%; confidence and trust, 9%; and would recommend, 14%. Pediatric intensive care unit: Was prepared for child to move from ICU reduced problem score, 33%; confidence and trust, 39%; and would recommend, 14%.
Interpretation/Conclusion:
Utilizing patient family-centered care in pediatric inpatient unit and pediatric intensive care unit increased patient/staff satisfaction, patient safety, and parental involvement.
Implications for CNS Basic and Continuing Education:
In order to provide excellent patient care and safety, the pediatric inpatient unit and pediatric intensive care unit at Cedars-Sinai Medical Center implemented a change model in the delivery of care to a patient family-centered care.
Section Description
The 2010 National Association of Clinical Nurse Specialists (NACNS) Annual National Conference is planned for Portland, Oregon, on March 3 to 6. More than 375 clinical nurse specialists (CNSs), graduate faculty, nurse administrators, nurse researchers, and graduate students are expected to attend. This year's theme, "CNS as Internal Consultant: Influencing Local to Global Systems," demonstrates the breadth and depth of CNS practice and leadership at multiple levels in organizations and on healthcare.
A total of 142 abstracts were submitted for review, and 58 (not including student posters) were selected for either podium or poster presentations. Again, this year, there is a CNS student poster session; student abstracts will appear in a later issue of the journal. The abstracts addressed CNS practice in all 3 practice domains as described in the Spheres of Influence Framework for CNS Practice. Abstracts emphasized patient safety and quality care outcomes, leadership, CNS education, evidence-based practice, and new ways to shape CNS practice. Topics include CNS work activities incorporated into the 3 Spheres of Influence, the role of the CNS in developing clinical inquiry skills among staff nurses, use of simulation technology, strategies to maintain clinical excellence, the role of the CNS in National Database for Nursing Quality Indicators (NDNQI) activities, and many new and thoughtful ideas to support CNS education, practice, and research. Collectively, the abstracts represent the breadth, depth, and richness of the CNS's contribution to the well-being of individuals, families, and communities, as well as contributing to the advancement of the nursing profession.
The conference abstracts are published to share new knowledge with those unable to attend the conference. As you read each abstract, appreciate the intellectual talent and clinical scholarship of your CNS colleagues who are advancing the practice of nursing and contributing to the health of society through improved outcomes for patients and healthcare organizations. We encourage you to contact individual presenters to network, collaborate, consult, or share your thoughts and ideas on the conference topics.
Watch for next year's call for abstracts and consider submitting for presentation at the next NACNS annual conference scheduled for March 9-12, 2011, in Baltimore, Maryland.