This document describes a project at Kaiser Permanente's Redwood City Medical Center to link Jean Watson's caring science theory to patient satisfaction measures in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Using a process called substruction, the project team created a conceptual model that maps the concepts of Watson's 10 Caritas processes to the 8 dimensions of care in HCAHPS. This visual model aims to help nurses understand how caring science principles relate to concrete aspects of patient experience measured by HCAHPS, with the goal of improving nursing practice and increasing patient satisfaction scores. The project team anticipates this model will provide a mechanism for nurses to mentally connect caring science and HCAHPS
Use of the Watson Caritas Patient Scoring tool to assess patient perspective on compassionate care, respect for personal beliefs, and caring-healing environment.
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...Kaiser Permanente
Kaiser Permanente, Northern California - Patient Care Services developed a Caritas in Action campaign to encourage caregivers to reflect authentic expressions of Jean Watson's Caring Science in their daily practice and within their medical center.
Introduction to Caring Science: Enhancing the Caring CultureKaiser Permanente
The purpose of this Caritas Coach project was to develop a 45-minute Introduction to Caring Science program guided by Watson’s Caring Science and Ten Caritas Processes that was both theoretical and experiential. The training was incorporated into new Registered Nurse Hospital Nursing Orientation.
Empowering Patients and Families to Preserve Dignity and Quality of Life thro...Kaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
Howdy! Just take a look at this sample of nursing care plan also you upload it from here https://www.nursingpaper.com/our-services/nursing-care-plan-writing-service/
Use of the Watson Caritas Patient Scoring tool to assess patient perspective on compassionate care, respect for personal beliefs, and caring-healing environment.
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...Kaiser Permanente
Kaiser Permanente, Northern California - Patient Care Services developed a Caritas in Action campaign to encourage caregivers to reflect authentic expressions of Jean Watson's Caring Science in their daily practice and within their medical center.
Introduction to Caring Science: Enhancing the Caring CultureKaiser Permanente
The purpose of this Caritas Coach project was to develop a 45-minute Introduction to Caring Science program guided by Watson’s Caring Science and Ten Caritas Processes that was both theoretical and experiential. The training was incorporated into new Registered Nurse Hospital Nursing Orientation.
Empowering Patients and Families to Preserve Dignity and Quality of Life thro...Kaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
Howdy! Just take a look at this sample of nursing care plan also you upload it from here https://www.nursingpaper.com/our-services/nursing-care-plan-writing-service/
The nursing care plan is a written document that presents information about clients in an organised and meaningful way. It contains information about actions that nurses have to take for addressing clients' diagnoses. If you are also the one who is looking for Nursing care plan Assignment assistance, then you can get in touch with these experts by visiting at My assignment services.
Name Group :
Hardiana Hardiana0512@gmail.com
Rara Wahdiana rara.wahdiana3@gmail.com
Yuni Maisaroh yuni_mai@yahoo.co.id
Nursing academy of east kotawaringin
www.akperkotim.ac.id/web/
The Director General of WA Health addressed the launch of Patient Experience Week. He spoke to the importance of compassionate care and outlined Recommendations from the WA Clinical Senate.
Nancy Fontaine and Tim Keogh on the patient experience revolution at Whipps C...The King's Fund
Nancy Fontaine, Deputy Director of Nursing, Patient Safety and Quality Whipps Cross University Hospital NHS Trust and Tim Keogh, Partner, April Strategy on the work that Whipps Cross has done to revolutionise patient experience.
Transition of Patient from Hospital to Home/Next Level of CareKaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
The emerging healthcare environment requires expanded patient access while delivering optimal outcomes and cost. As healthcare moves form a fee for service model to alternative delivery and payment models, there are opportunities for physical therapy to revolutionize the delivery of musculoskeletal medicine. Physical therapists are uniquely qualified to spearhead musculoskeletal care through direct access with the potential to improve patient satisfaction and outcomes while limiting unneeded medical care. While this model has been described in the military, there are few descriptions of this PT First approach in the private payer arena. This session will provide the attendee with a multifaceted perspective on the impact of physical therapy in emerging, collaborative healthcare models. Approaches to payers and employers with the business implications will be presented that influence these new models. Key strategies to implement a scalable, best practice model will be discussed including the logistical challenges and corollary solutions in the private arena. We will discus our experience implementing novel delivery models for management of neck, back, shoulder and knee pain. The session will deliver practical solutions to the challenges of implementing, assessing, and adapting a theoretical construct to a working viable program. Finally, the session will discuss how the use of a a large Patient Outcomes Registry and analysis of “big data” can drive best practice and inform development of the program.
The nursing care plan is a written document that presents information about clients in an organised and meaningful way. It contains information about actions that nurses have to take for addressing clients' diagnoses. If you are also the one who is looking for Nursing care plan Assignment assistance, then you can get in touch with these experts by visiting at My assignment services.
Name Group :
Hardiana Hardiana0512@gmail.com
Rara Wahdiana rara.wahdiana3@gmail.com
Yuni Maisaroh yuni_mai@yahoo.co.id
Nursing academy of east kotawaringin
www.akperkotim.ac.id/web/
The Director General of WA Health addressed the launch of Patient Experience Week. He spoke to the importance of compassionate care and outlined Recommendations from the WA Clinical Senate.
Nancy Fontaine and Tim Keogh on the patient experience revolution at Whipps C...The King's Fund
Nancy Fontaine, Deputy Director of Nursing, Patient Safety and Quality Whipps Cross University Hospital NHS Trust and Tim Keogh, Partner, April Strategy on the work that Whipps Cross has done to revolutionise patient experience.
Transition of Patient from Hospital to Home/Next Level of CareKaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
The emerging healthcare environment requires expanded patient access while delivering optimal outcomes and cost. As healthcare moves form a fee for service model to alternative delivery and payment models, there are opportunities for physical therapy to revolutionize the delivery of musculoskeletal medicine. Physical therapists are uniquely qualified to spearhead musculoskeletal care through direct access with the potential to improve patient satisfaction and outcomes while limiting unneeded medical care. While this model has been described in the military, there are few descriptions of this PT First approach in the private payer arena. This session will provide the attendee with a multifaceted perspective on the impact of physical therapy in emerging, collaborative healthcare models. Approaches to payers and employers with the business implications will be presented that influence these new models. Key strategies to implement a scalable, best practice model will be discussed including the logistical challenges and corollary solutions in the private arena. We will discus our experience implementing novel delivery models for management of neck, back, shoulder and knee pain. The session will deliver practical solutions to the challenges of implementing, assessing, and adapting a theoretical construct to a working viable program. Finally, the session will discuss how the use of a a large Patient Outcomes Registry and analysis of “big data” can drive best practice and inform development of the program.
Webinar on Quality Improvement Strategies in a Team-Based Care Environment CHC Connecticut
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance. Many positions in primary care now require QI training as part of employees' professional development.
Our expert faculty discuss tools you can use to build and implement a QI infrastructure within your team-based setting to improve patient care.
Panelists:
• Deb Ward, RN, Senior Quality Improvement Manager, Community Health Center, Inc.
• Kathleen Thies, PhD, RN, Consultant, Researcher, Weitzman Institute
The Nurse Leader as Knowledge WorkerHenry Ehizokhale.docxarnoldmeredith47041
The Nurse Leader as Knowledge Worker
Henry Ehizokhale
Walden University
Transforming Nursing And Health Through Technology
NURS 6051
Nov 27, 2019
1
The Nurse Leader as Knowledge Worker
2
Purpose
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
The concept of a knowledge worker
The term “knowledge worker” was first coined by Peter Drucker. Ducker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services (CFI, 2019). He emphasized that due to the high level of productivity and creativity of knowledge worker, that they would be the most valuable assets in the 21st century organization. Professionals that can be referred to as knowledge worker includes engineers, pharmacists, architects, financial analysts, public accountants, physicians, scientists, design thinkers, and lawyers. Furthermore, knowledge workers have a high degree of expertise, experience, education and the primary purpose of their jobs involve the distribution, creation and application of knowledge.
3
Definition of a knowledge worker by Peter Drucker
Professional that are referred to as knowledge worker
Nursing Informatics
Nursing Informatics is a subset of informatics, specific to the nursing field and the role of the nurse in the healthcare setting. There has been several interpretation of nursing informatics. The American Nurses Association (ANA), identified nursing informatics as a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (ANA, 2001, pg.17).
4
Nurse leader as a knowledge worker.
A nurse leader is one who inspire others to work together to achieve a common goal, for instance enhanced patient care or satisfaction. All nurses are called to nurse leadership, however there are different levels of nurse leadership. Nurse leaders are expected to help the organization to fulfill the organization’s mission, vision, values, and strategies to achieve long-range plans. Nurse leaders part take in policy setting, overseeing quality measures are carried out, accountability for overall quality of patient care delivery, staff satisfaction and organizational outcomes. For a nurse leader as a knowledge worker to be productive in an organization, the nurse leader must understand that knowledge work requires continuous learning on the part of the knowledge worker, but equally continuous teaching on the part of the knowledge worker. Having said that, a knowledge worker nurse leader will depend hugely on evidenced based practice to be productive in a healthcare organization. The use of EBP by knowledge worker nurse leader will require learning and teaching. Most healthcare organizations or hospitals rely on evidenced based.
Assessment 2
Quality Improvement Proposal
Overview:
Write a quality improvement proposal, 5–7 pages in length, that provides your recommendations for expanding a hospital's HIT to include quality metrics that will help the organization qualify as an accountable care organization.
Health care has undergone a transformation since the release of the Institute of Medicine's 2000 report
To Err Is Human: Building a Safer Health System.
The report highlighted medical errors as a contributing factor leading to poor patient outcomes. The Institute of Medicine challenged organizations to implement evidence-based performance improvement strategies in order to improve patient quality and safety. Multiple governmental and regulatory agencies, such as the Centers for Medicare and Medicaid Services (CMS) and the Agency for Healthcare Quality and Research (AHRQ), vowed to strengthen and improve incentives for participation, safety, quality, and efficiency in accountable care organizations (ACOs).
Health information technology (HIT) performs an essential role in improving health outcomes of individuals, the community, and populations. Health organizations, consumer advocacy groups, and regulatory committees have made a commitment to explore current and future opportunities that HIT offers to continue momentum to meet the Institute of Medicine's goal of improving safety and quality.
Understanding HIT is important to improving individual, community, and population access to health care and health information. HIT enables quick and easy access to information for both patients and providers. Accessible information has been shown to improve the patient care experience and reduce redundancies, thereby reducing health care costs.
This assessment provides an opportunity for you to make recommendations for expanding a hospital's HIT in ways that will help the hospital qualify as an ACO.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 2: Explain the relationship between care coordination and evidence-based data.
Recommend ways to expand an organization's HIT to include quality metrics.
Identify potential problems that can arise with data gathering systems and outputs.
Competency 3: Use health information technology to guide care coordination and organizational practice.
Describe the main focus of information gathering in health care and how it contributes to guiding the development of organizational practice.
Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Write clearly and concisely, using correct grammar and mechanics.
Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
Reference
.
Ammonoosuc Community Health Services EMR Medical Record Case StudyGE Healthcare - IT
For Ammonoosuc Community Health Services, an Electronic Medical Record proves essential in delivering award-winning care and achieving Level 3 recognition as a patient-centered medical home
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
Slideshare hcahps, data driven analysis: how to improve top box scores for co...CRUZ CERDA
In this teaching (fictitious) case study, the authors explore how actual HCAHPS survey data can affect CMO reimbursement and thus revenue. Specifically the authors focused on nurse communication scores as a way to enhance patient experience and increase reimbursements. by @cruzcerda3
REPORT: How healthcare systems are optimizing their workforceMichele Ertl-Rosner
Healthcare industry survey and research showcase the most effective workforce management initiatives and key success factors. Features customer success stories focused on patient centered care and staffing.
All "ways of knowing" take place during a birthing. Using Quality Improvement tools such as PDSA, NKE+ provides family centered communication and better teamwork to meet the patient and family goals.
The Evolution of Caring Science throughout the Transdisciplinary TeamKaiser Permanente
Caring Science is a framework for healthcare disciplines to focus on the patients needs through the continuum of care. Communication, teamwork, & colloboration are essential strategies for a seamless experience for our patients.
For exceptional care in any setting, care of self, care of our patients and families, and care of the team are necessary ingredients.This outpatient example explains the steps.
Focus on how small actions have a large impact on patient care. For example: helping to facilitate sleep hours with use of lowering the lights, quiet voices at night and warm blankets to tuck in.
Sharing Caritas Through Art - Healing with BraceletsKaiser Permanente
Beaded bracelets made by members of a Caring Council are given to co-workers, patients and family members with simple messages of encouragement and gratitude.
Visual expression of how caregivers within KP San Francisco’s Periop department live and care about patients with the knowledge and forethought use of the Caring Science Theory as a daily practice.
NICU Staff created a parents guide to educate families with newborns who experience withdrawal symptoms caused by the effects of maternal drug use from a Caring Science perspective.
This is a collaborative project joining Volunteer services and unit, where we provide a healing environment that promotes transpersonal experiences, by offering our members hand-massages.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Are There Any Natural Remedies To Treat Syphilis.pdf
Linking Caritas to HCAHPS: From Theoretical Construct to Empirical Survey Outcomes
1. Kaiser Permanente, Northern California
Caritas Consortium 2013
Linking Caritas to HCAHPS: From Theoretical Construct to
Empirical Survey Outcomes
Caritas in Action
How Caring Science informs and inspires KP caregivers and affirms our commitment to provide our
patients and their families exceptional care
2. Linking Caritas to HCAHPS: From Theoretical
Construct to Empirical Survey Outcomes
Intent to Contribute Statement:
Context: Although the theory of caring science can be useful in many aspects of nursing care, the
language of the caritas processes is viewed by some registered nurses as abstract and difficult to
conceptualize for inpatient direct care nursing practice. Patient Care Services at RWC Medical
Center embarked on a project to translate the language and ideas found in the theory into concrete
and relevant practices that could be understood and used by direct care registered nurses.
Simultaneously the leadership group sought to link the ideas of the theory with the critically
important aspects of patient satisfaction as measured by the HCAHPS (Hospital Consumer
Assessment of Healthcare Providers and Systems) surveys. Using a variation of the process of
substruction, we were able to create a single page graph that visually displays how the concepts
and ideas of the caring science theory are directly linked to the dimensions of patient satisfaction
in the HCAHPS survey and also directly relevant to the care of patients by direct care nurses.
Substruction has been used to assess whether there is congruence between the theoretical and
operational aspects of a research study. It can be used as a strategy to analyze the level s of
abstraction of the variables in the study and to hypothesize the potential relationships among the
variables.
3. Linking Caritas to HCAHPS: From Theoretical
Construct to Empirical Survey Outcomes
… Continued
We evaluated seven of the caritas processes (processes 4-10) and estimated the linkage between
the processes and the eight dimensions of the HCAHPS survey. We were able to explicitly link the
abstract theoretical constructs to the concrete survey empirical indicators.
Anticipated Outcomes: We anticipate this initial step will provide a mechanism for inpatient nurses
and managers to mentally link the caritas processes and the HCAHPS dimensions of care. As the
links becomes clearer, we anticipate that the nurses and managers will be able to use these links to
explain to others (and to themselves) how these two important groups of concepts actually are
similar and can be used to work together to better nursing practice. Ultimately, we anticipate that
this step, along with other work, will be used to increase inpatient satisfaction and as a
result, improve the HCAHPS scores.
4. Linking Caritas to HCAHPS: From Theoretical
Construct to Empirical Survey Outcomes
Inspired Contributor(s) 1 :
Jean Ann Seago
Ada Walker
-----Service Area: San Mateo
Medical Center: RWC
Affiliation: PCS
-----Year Shared: 2013
Venue: Caritas Consortium
Format: Poster, PowerPoint
ID #: E10
1
Names as listed in Lotus Notes, otherwise personal e-mails indicated
Keyword TAGs:
Identifier
Consortium2013-July, San
Mateo, Redwood
City, Podium, Poster, Patient Care
Services
Hospital
Initiatives, Patients/Families
Descriptor
Caritas
Consciousness, HCAHPS, Researc
h and Metrics
5. Linking Caritas to HCAHPS: From Theoretical
Construct to Empirical Survey Outcomes
6. Watson Caring Theory
• The theoretical framework in which nursing care is
delivered at KP RWC Medical Center
• The theory provides guidance to Registered Nurses
about establishing caring relationships with patients
and providing patients with a holistic care
experience
Page 6
7. CMS HCAHPS
• The Centers for Medicare and Medicaid Hospital
(CMS) Consumer Assessment of Healthcare
Providers and Systems (HCAHPS) is a
national,
standardized,
publicly reported survey of patients' perspectives of their hospital
care
• This 27-item survey is provided to each discharged
hospitalized patient in the US to measure patient
satisfaction
Page 7
8. Purpose
• To propose a conceptual model of how the theory
and the evaluation of inpatient satisfaction might be
connected to improve patient care in hospitalized
patients
Page 8
9. Substruction
• Using a process called substruction, a conceptual
model was created to illustrate how the two might
be linked
Concepts
Sub-Concepts
Empirical Indicators
Page 9
Constructs
Measurement
10. Key Words of the Theory
• Relationships
• Connections
• Authentic
• Caring
• Healing
• Trusting
• Helping
Page 10
(Constructs)
11. Ten Caritas Processes™
(Concepts)
1. Embrace altruistic values and Practice loving
kindness with self and others.
2. Instill faith and hope and honor others.
3. Be sensitive to self and others by nurturing
individual beliefs and practices.
These first 3 processes are generally thought to relate to the
nurse preparing herself to provide care using the Watson Theory
Page 11
12. Ten Caritas Processes™
(Concepts)
4. Develop helping – trusting- caring relationships.
5. Promote and accept positive and negative feelings
as you authentically listen to another’s story.
6. Use creative scientific problem-solving methods for
caring decision making.
Page 12
13. Ten Caritas Processes™
(Concepts)
Share teaching and learning that addresses the
individual needs and comprehension styles.
8.
Create a healing environment for the physical and
spiritual self which respects human dignity.
9.
Assist with basic physical, emotional, and spiritual
human needs.
10. Open to mystery and allow miracles to enter.
Understanding from the patient’s point of view
7.
Page 13
14. HCAHPS Dimensions of Care
(Sub-Concepts)
• Communication-Nurses & Doctors
• Responsiveness
• Pain Management (Communication)
• New Medication (Communication)
• Hospital Environment (Quiet; Clean)
• Discharge Information (Communication)
• Overall Quality
Page 14
15. 8 Dimensions of the HCAHPS Survey
Dimension (sub-concepts)
Survey Items (Empirical Indicators)
1.
Communication-Nurses
1.
Courtesy, Respect, Listen, Explain
2.
Communication-Doctors
2.
Courtesy, Respect, Listen, Explain
3.
Responsiveness-Staff
3.
Call Button Soon Enough; Toilet
Help Soon Enough
4.
Pain Management
4.
How often, pain well controlled;
How often staff did everything
they could to help pain
Page 15
16. 8 Dimensions of the HCAHPS Survey
Dimension (sub-concepts)
Survey Items (Empirical Indicators)
5.
Communication-New Meds
5.
Before giving med- tell Reason;
Before giving med-tell Side Effects
6.
Hospital Environment
6.
Room & Bathroom Clean; Area
around room Quiet at night
7.
Discharge Information
7.
Communicate about needed help;
Written information about
symptoms or potential problems
8.
Overall Rating
8.
Worst Hospital→Best Hospital
Page 16
17. Watson Science of Caring & HCAHPS
Abstraction Level
Constructs →
(Caritas Key Words)
↓
Relationships −
Connections
Concepts
(Caritas Processes) → #4-Helping, Caring
#5-Authentic Listening
#10-Understanding Pat. View
↓
−
Authentic
↓
SubConcepts → Communication − Communication − Responsiveness
(HCAHPS Dimensions) Nurses
Doctors
Hosp. Staff
↓
Empirical
→
Indicators
(Survey Items)
↓
−Courtesy/
−Courtesy/
Respect
−Listen
−Explain
Respect
−Listen
−Explain
↓
−Call Button
Soon Enough
−Toilet Help
Soon Enough
↓
Measurement →
(1-4; 0-10; Y/N)
1-4
1-4
1-4
↓
Scoring
Caring
−
Healing
#6-Scientific Prob Solv #5-Authentic Listen #5-Authentic Listen #8-Healing Envir #7-Teaching/
#8-Dignity
#6-Scientific Prob Solv #6-Scientific Prob Solv #9-Human Needs Learning
#9-Human Needs
#9-Human Needs
#7-Teaching, Learning
#10-Understand Pat. View
↓
↓
−
→ Percentage of 4s, Yeses, and 9s or 10s; aka “topbox”
↓
−
Pain
−
Management
↓
↓
Communication
New Meds
↓
−
↓
Healing
− Discharge −
Environment Information
↓
↓
↓
−How often, pain
−Before giving, new −Room &
−Communicate
well controlled
med reason
Bathroom Clean about needed help
−How often, staff did −Before giving, new −Area around −Written Information
everything they could med side effects room Quiet
about symptoms
to help with pain
at night
or potential
problems
1-4
1-4
1-4
Y/N
All
↓
Overall
↓
−Worst
Hospital
↓
−Best
Hospital
0-10
18. Conclusion
• The model can be used to help visually explain how
constructs and concepts of the Watson Science of
Caring Theory can be linked to the HCAHPS survey
scores
Page 18
19. References
• Dulock, HL, Holzemer, WL. Substruction: improving the
linkage from theory to method. Nurs Sci Q 1991
Summer;4(2):83-7.
• Watson, J. Caring Science
(Definitions, Processes, Theory).http://watsoncaringscience.o
rg/about-us/caring-science-definitions-processes-theory/.
Accessed April 15, 2013
• Centers for Medicare & Medicaid Services, Baltimore, MD.
Accessed April 15, 2013. http://www.hcahpsonline.org.
Page 19