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CS93
Effect of Adoption of Family Centered Care on Patient/Family Satisfaction on a Progressive Care Unit.
By A. Vickers, G. Towne, E. Wells & L. Lewis; Carolinas Medical Center, Charlotte, NC
For further information, please contact: Amvic62345@aol.com
Purpose: To use the practice model of family centered care to increase patient and family satisfaction on a Progressive Care Unit.
Description: The current practice model of family centered care was reviewed by the staff in Journal Club. This was the first introduction to this practice model for our nurses. In addition, Elizabeth Wells presented AACN’s Synergy Model and Standard of Care for her clinical ladder project. One of the AACN standards states “The plan is developed collaboratively with the team, consisting of the patient, family, and healthcare providers, in a way that promotes each member's contribution toward achieving expected outcomes.” Also a survey was conducted by Elizabeth to evaluate the staff’s perception of increased family involvement in patient care. Based on the AACN information and results of the survey, the visiting hours were re-evaluated. The decision was made to initiate a family centered care practice model. This practice model allowed families the opportunity to be more involved in patient care, learning skills such as oral care, assisting with turning, skin care and other skills as appropriate. In addition, a communication board was placed in each room which contained information about the plan for the day. Family members were encouraged to write other information they felt to be important. Patients and families welcomed this opportunity to be more involved in their loved one’s care.
Evaluation and Outcomes: By shifting the practice model to patient and family centered care, the patient and family felt they had more control over their hospital experience. This was evidenced by the increase in patient and family satisfaction and decrease in the use of restraints. On daily rounds with the patients and families, the nurse manager noted an increase in positive comments. Family members were more involved in the care of the patient giving them a sense of purpose and increasing the patient and family satisfaction.
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