promoting_comfort_and_pain_management_on_an_adult_acute_medicineuUnit_6b2015
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A team of nurses at an adult acute medicine unit conducted a quality improvement project to better manage patient comfort and pain by developing a Comfort Menu listing non-pharmacological pain management options. They provided education to nurses on pain management best practices and evaluated nurse perceptions about pain. The team measured the success of the Comfort Menu by patient survey responses about pain control and hopes to see an improved Press Ganey score over 5%. Preliminary results found high patient usage and satisfaction with the Comfort Menu as well as improved patient responses about being included in their pain management plan and needs being met.
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Module 5 is on the SECOND test. I just put it up for people who want to read ahead in the event that Blackboard is not up by break.
Organizing nursing services and patient care
The document discusses organizing nursing services and patient care. It explains that nursing services aim to satisfy patients' nursing needs by working with allied health disciplines to provide comprehensive care. A well-organized nursing service is essential for a hospital to fulfill its responsibilities, as high-quality nursing care is directly related to the growth and development of nursing personnel. The document outlines different methods for organizing nursing services, assigning patient care, and classifying patients based on their care needs to ensure efficient staffing and delivery of care.
Ruthann Russo - Integrative Population Health Management - White Paper Part 1
The document discusses how implementing integrative health modalities (IHM) such as meditation, yoga, and massage therapy in inpatient hospital settings can improve patient satisfaction scores on the HCAHPS survey. Higher HCAHPS scores lead to increased hospital reimbursement from CMS. The document reviews research showing IHM is effective at reducing pain, anxiety, and depression in patients, thus enhancing the patient experience and satisfaction. The low cost of implementing IHM makes it a promising strategy for hospitals to boost HCAHPS scores and reimbursement while improving patient care.
113DNP Prospectus Comment by Cynthia Fletcher Th.docx
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DNP Prospectus Comment by Cynthia Fletcher: This is a good beginning Ann Marie. There are many areas that we will discuss at our meeting to improve clarity and congruence with a DNP Project.
Educating Inpatient Nurses to use Standardized Care Plans
Anne Marie Wouapet
Doctor of Nursing Practice – Nursing Informatics
A00505587
Prospectus: Educating Inpatient Nurses to use Standardized Care Plans
Problem Statement
Standardized care plans can be described as the pre-determined menu of interventions which are used for different patient situations (Monsen, Swenson & Kerr, 2016). Evidence-based care is the conscientious use of the most recent evidence to make decisions on the care of individual patients or in the delivery of health care services (Murdaugh, Parsons & Pender, 2018). The current best evidence is the most recent information which has been obtained from valid and relevant research about the effects of different types of healthcare, the accuracy of diagnostic tests, the potential for harm from exposure to different agents, or predictive power of prognostic factor (Schmidt & Brown, 2017). Standardized care plans form the main basis for the implementation of evidence-based care directly in practice and for the improvement of patient outcomes (Nussbaum et al., 2015; Yehuda & Hoge, 2016). A health care facility recently transitioned to the use of a new and better electronic health record system. The facility also purchased standardized care plans to increase efficiency in their operations. However, the compliance with using the standardized care plans was only 40 percent among the inpatient nurses. Comment by Cynthia Fletcher: ?Comment by Cynthia Fletcher: Questionable purpose.Comment by Cynthia Fletcher: Was it different for those who were not inpatient nurses?
Accordingly, the facility recently had a visit from the Joint Commission on Accreditation of Healthcare Organizations and received a negative rating because the nurses were not adding care plans based on the patients' primary problem or diagnosis in the patients' charts upon admission. This presents several specific problems in the healthcare facility. There is poor compliance from the nurses concerning the addition of standardized care plans to the charts of patients based on their diagnosis or primary problem(s). The system which the facility invested in was not being used for the improvement of patient outcomes and quality of care delivered. The focus of this project is the failure of inpatient nurses to make use of standardized care plans. The gap in nursing is the failure of delivery of evidence-based practice using the standardized care plans which result in poor patient outcomes and quality of life. One of the areas of knowledge that has not yet been explored is the cause of low rates of adoption of standardized care plans by nurses. Another gap is the lack of studies on nurses’ perception of the standardized care plans and how they affect their use in .
WORKSHEET 6.1A Evaluation Planning Questionnaire1. What .docx
WORKSHEET 6.1A: Evaluation Planning Questionnaire
1. What questions will your organization’s evaluation activities seek to answer?
2. What are the specific evaluation plans and time frames?
a. What kinds of data will be collected?
b. At what points?
c. Using what strategies or instruments?
d. Using what comparison group or baseline, if any?
(Continued)
Winning Grants Step by Step,Third Edition. Copyright © 2008 by John Wiley & Sons, Inc. All rights reserved.
WORKSHEET 6.1A: Evaluation Planning Questionnaire (Continued)
3. If you intend to study a sample of participants, how will this sample be constructed?
4. What procedures will you use to determine whether the program was implemented as planned?
5. Who will conduct the evaluation?
6. Who will receive the results?
7. How are you defining success for this program or project?
WORKSHEET 6.1A: Evaluation Planning Questionnaire
Use the filled-out Worksheet 6.1B in the book as an example to follow as you complete this questionnaire.
1. What questions will your organization’s evaluation activities seek to answer?
The following questions will be the main focus in performing the evaluation of the Children’s Care Academy of Pinellas complimentary nutritious food program:
· Is the complimentary food program helping to decrease hunger among the children?
· Are the complimentary snacks and meals provided to the children helping to provide parents and caregivers with increased quality family time at home?
· Is the complimentary food program aiding in the healing process for parents and caregivers receiving treatment at the adjacent cancer center?
· Is the current menu efficiently providing the proper foods within the set budget?
2. What are the specific evaluation plans and time frames?
The complimentary food program will be evaluated for its effectiveness six months after its inception, with quarterly assessments thereafter. This is will include assessing the food budget and meal planning process. The new healthy snack program will be evaluated within two weeks of initiation. Parents and caregivers will be interviewed on a montly basis with the cancer center surveys held on a quarterly basis. The food budget will be analyzed monthly to start then quarterly thereafter.
· Observe children during meal and snack times to see if they are enjoying the new healthier snack choices and menu items.
· Conduct one-on-one interviews with the parents and caregivers to see if the newly initiated food program is contributing to reducing hunger among children lending to increased quality family time together.
· Survey the adjacent cancer center regarding healing processes among the parents and caregivers.
· Analyze the effectiveness of the menu and food budget. This
is to ensure the academy is able to purchase heart-healthy foods the children will enjoy within the allotted food budget.
a. What kinds of data will.
Similar to promoting_comfort_and_pain_management_on_an_adult_acute_medicineuUnit_6b2015 (20)
Improved Patient Satisfaction At Apollo – A Case Study
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surgical nurses in teaching hospitals in Ireland understanding pain
surgical nurses in teaching hospitals in Ireland understanding pain
HRSA Comprehensive Geriatric Education Grant Poster
HRSA Comprehensive Geriatric Education Grant Poster
2011/2012 Always Event℠ Challenge Grant Recipient Project Overviews
2011/2012 Always Event℠ Challenge Grant Recipient Project Overviews
Ruthann Russo - Integrative Population Health Management - White Paper Part 1
Ruthann Russo - Integrative Population Health Management - White Paper Part 1
113DNP Prospectus Comment by Cynthia Fletcher Th.docx
113DNP Prospectus Comment by Cynthia Fletcher Th.docx
WORKSHEET 6.1A Evaluation Planning Questionnaire1. What .docx
WORKSHEET 6.1A Evaluation Planning Questionnaire1. What .docx
promoting_comfort_and_pain_management_on_an_adult_acute_medicineuUnit_6b2015
- 1. RESEARCH POSTER PRESENTATION DESIGN © 2011 www.PosterPresentations.com Promoting Comfort and Pain Management on an Adult Acute Medicine Unit Prior to the start of this QI project: • Develop a Comfort Menu (CM) listing non-pharmacological interventions that patients could use to aid in pain control by November 1, 2014 • Evaluate the unit nurses perceptions regarding pain management and provide in-services regarding quality pain management by November 30, 2014 The success of this QI project will be measured by patients responses to questions related to pain/comfort on the unit discharge cards and an improvement (5%) in Press Ganey scores “How well your pain was controlled” . Nurses on the unit were given the “Knowledge & Attitudes Survey Regarding Pain” to evaluate their perceptions regarding pain management. The results from the survey (n=25) were that 68% answered the questions correctly and 72% felt their ability to care for patients with chronic pain was good/very good. Education was provided to nursing staff regarding quality pain management to dispel any myths about managing patients with chronic pain and complex medical diagnoses. In November, the Comfort Menu (CM), listing available non-pharmacological items to promote comfort, was given to patients on admission and the admitting nurse was responsible for explaining the use and purpose of the menu to the patient. Audits were performed to ensure compliance of distributing and explaining the Comfort Menu to patients. We found that although patients stated they received the CM 91.3% of the time, they did not always receive education on its use. Emails were sent to nurses to remind them of the importance of managing patients pain. We also collected feedback from patients to determine if the CM was beneficial. Survey question results were: Was the Comfort Menu a valuable resource (n=81)? Yes=91% No=2% and I have/will use the Comfort Menu (n=83)? Yes=90% N0=4% Patient discharge card questionnaire responses January 2015- April 2015 (n=105): “Were you included in the management of your pain/comfort plan of care while you were hospitalized?” 98% responded yes and 2% responded no and “Was your pain/comfort managed to meet your needs?” yes= 96% yes and no=4% Ongoing audits are being conducted to ensure consistent distribution of the Comfort Menu and that nurses and providing education on its use. The long term goal of this project is continuous staff engagement on improving pain management and comfort of patients. Although the Press Ganey data is highly variable, the use of the Comfort Menu, staff education, and increased awareness may assist with improving future patient satisfaction scores related to pain. The keys to success to the project were: • The process was led by staff • Listening to the patient/family voice • Leadership support • Partnering with the Pain Committee Samantha Budd Susan Holmes-Walker Julie Grunawalt Sandra Kendziora Winnie Wood In September 2014 Press Ganey patient satisfaction pain scores on 6B, an Internal Medicine Unit, were well below University of Michigan Health System (UMHS) standards. In August 2014 the unit data was 82.8 and in September it was 81.4 and the Hospitals goal was to achieve 88.8 or higher. A team of nurses on the unit conducted a quality improvement (QI) project to address comfort and pain management with patients on the unit by implementing a Comfort Menu listing patient and nurse focused strategies. The purpose of the project was to improve our patients’ pain experience during their hospitalization and potentially improve patient pain satisfaction scores attained after discharge PLAN: Background Goals Established DO: Analysis and Interventions to Improve our Processes ACT: Sustain & Spread ACT: Keys to Success Team Members and Contacts CHECK: Results, Outcomes Achieved 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Aug Sept Oct Nov Dec Jan Feb Mar How Well Your Pain Was Controlled (Press Ganey Monthly Mean)