Changing the Work Environment in ICUs to Achieve Patient-Focused Care: Results

How could we not want those we love to receive care from competent, well-educated practitioners who embrace evidence-based practice and lifelong learning? Would we not expect that our families be treated with respect, their unique needs identified and met, and their wishes honored at the end of life? Continuous quality improvement efforts would drive care processes, and we would do our best to accommodate patients and their families even when, because of their limited knowledge or broken systems, they contribute to the difficulties we face in doing our job well. Source
As president of the ACCP from 2003 to 2004, one of us (R.S.I.) challenged the members who were attending the annual meeting to join a revolution in health care, a revolution that refocuses what we do on the patient. As an organization, the ACCP embraced patient-focused care by having members commit to the following pledge: I will strive to provide patient-focused care wherever and whenever I have the privilege of caring for patients. I will also work to ensure that all health-care systems in which I provide care are patient-focused. Patient-focused care is compassionate, is sensitive to the everyday and special needs of patients and their families, and is based on the best available evidence. It is interdisciplinary, safe, and monitored. To ensure the provision of patient-focused care in my professional environments, I shall willingly embrace the concepts of lifelong learning and continuous quality improvement.
The ACCP visibly commemorated its commitment to a patient-focused care initiative in two ways. The organization mailed a “commit to patient-focused care” pin and a copy of the pledge to each ACCP member, urging the members to wear the pin when caring for patients, and to sign, frame, and visibly display the pledge in members’ offices.  The ACCP also asked all new fellows of the group to recite the pledge during the convocation ceremony as the final step before induction as fellows. The favorable response provoked by this initiative throughout the United States and worldwide was striking. The concept of seeking to provide every patient with the same kind of care we would want for our family members universally resonated with ACCP members, no matter where the members lived.

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