Tag: patients

Changing the Work Environment in ICUs to Achieve Patient-Focused Care: Essential Need for Innovative Care Models

In designing a new and more effective structure, the UMass Memorial Medical Center team learned that it needed to communicate more effectively and in the process has strengthened its interdisciplinary relationships. Team members have more consistently come to understand and appreciate the perspective of others and, by constantly focusing on what is best for patients…

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

Appropriately educated and certified acute care nurse practitioners and physician assistants have been recruited to join the clinical teams and work with intensivists, house staff, and nurses to ensure that standards are consistently applied to achieve expert and rapid responses to patients’ short-term needs. In order to facilitate the entry of these care providers into…

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

The recommendations of the committee are presented to the medical center president and leadership council, who look to the committee for decision-making guidance where critical care is involved. Link Although the medical directors of each unit shown in Figure 1 still primarily report to the chairs of their respective clinical departments, the days of silo…

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Changing the Work Environment in ICUs to Achieve Patient-Focused Care: A Virtual Critical Care Department

Review all unit-based programs for improving quality and patients’ safety to ensure that collaboration and the evaluation of effectiveness are integral to each program. Develop a fix-the-ineffective-work-arounds task force to identify and fix as many broken systems as possible. Uncover the root causes of the broken system by inviting and actively listening to input from…

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Changing the Work Environment in ICUs to Achieve Patient-Focused Care: Unit-Based Strategies for the Serious Organization

What interdisciplinary strategies could a critical care unit put into action to indicate its seriousness in implementing the AACN standards for healthy work environments with a strong focus on patients and patients’ families? Here are some suggestions for making skilled communication and true collaboration the norm: •    Use techniques such as SBAR to guide interdisciplinary…

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

Techniques such as the situation-background-as-sessment-recommendation (SBAR) model are widely used to increase the effectiveness of communication, especially in critical situations. Structured forums such as ethics committees are used effectively to support clinicians in resolving disputes, to provide clinicians a broader view of the issues, and to ensure that patients’ values and wishes and, if appropriate,…

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Changing the Work Environment in ICUs to Achieve Patient-Focused Care: Two Critical Standards

We embrace the adoption of all six AACN standards as crucial for transforming the work environment. Yet, two of the standards, skilled communication and true collaboration, seem particularly necessary to achieve the goal of patient-focused care, because communication as well as continuity and concordance with the patients’ wishes are foundational premises of patient-focused care. Some…

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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…

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

Lip-service collaboration, on the other hand, is halfhearted. When we say that we want to hear the perspectives of others, we must really listen, and our actions must reflect an expanded worldview. Yet, when the stakes are highest and the potential for disagreement is the greatest, we are at the greatest risk for lip-service collaboration….

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Changing the Work Environment in ICUs to Achieve Patient-Focused Care: Response to a Flawed Health System

The decision of the AACN to establish standards for healthy work environments grew from a strategic planning process in which the association identified the three most important issues facing its members and critical care nurses at large on which the voice and actions of the AACN would have the greatest effect. A healthy work environment…

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