DNP 835 Topic 7 DQ 1 Explain how the four dimensions of patient and family centered care are applied or can be applied within your organization
DNP 835 Topic 7 DQ 1 Explain how the four dimensions of patient and family centered care are applied or can be applied within your organization
Reflect on the “IHI Module PFC 102: Key Dimensions of Patient and Family Centered Care” module. Explain how the four dimensions of patient- and family-centered care are applied or can be applied within your organization. How does your organization collaborate with patients and families to redesign care?
Reflecting on the “IHI Module PFC:102: Key Dimensions of Patient and Family Centered Care” helped me identify key strategies that may be applied in my organization. DeRosa et al. (2019) shared that the institute for the patient- and family-centered care (IPFCC) identifies four core concepts of PFCC: dignity and respect, information-sharing, participation, and collaboration. DeRosa et al. (2019) noted that these core concepts recognize that health care improves when patients and their families have their perspectives and beliefs incorporated into care, when they receive accurate and level-appropriate information, and when they are encouraged to participate in decision-making for their care and to collaborate beyond their care to improve policies, programs, facilities, research, and education. The four core concepts are critical to the care of the patient and their caregivers, and Healthcare professionals must deliver this form of care when providing care to our patients.
Halimi & Snyder (2018) designed and launched the “My Story” summary page in their EPIC portal by using the electronic health record (EHR) to document the patient’s preferences and create a nursing goal that would identify patient preferences more effectively in the EHR. The authors noted that this helped the team members know their patients and choices. This would be an excellent tool for my organization as it would allow all team members to know the patient’s preferences regarding their care. According to the literature, patients involved and participating in their care are more likely to comply with the treatment plan. We currently have a whiteboard in every patient’s room with specific areas to write the patient’s preferred name, their health team members, the number of their nurses, and any diagnostic test or procedures that need to be done. The whiteboard is to be updated every shift during bedside shift reports while engaging the patient and family members so they feel they are up to date and part of the care plan. Collaboration amongst the healthcare team and the patient’s feedback after discharge helps us elevate areas of opportunity in care delivery.
DeRosa, A. P., Baltich Nelson, B., Delgado, D., & Mages, K. C. (2019). Involvement of information professionals in patient-and family-centered care initiatives: a scoping review. Journal of the Medical Library Association, 107(3), 314–322. https://doi-org.lopes.idm.oclc.org/10.5195/jmla.2019.652
Halimi, M. S., & Snyder, D. (2018). My Story: Supporting compassionate connections. American Nurse Today, 13(12), 80–85. https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=134199470&site=eds-live&scope=site . DNP- Patient Outcomes And Sustainable Change Assignment
Many patients have complex medical needs therefore it is important that providers establish individualized care plans. Creating individualized plans of care creates a patient-centric environment. Providing patient centered care has been associated with increased patient satisfaction, but more importantly, improved patient care outcomes as the physical and social needs of the patient are met (Jannick Kuipers, 2019). To do this successfully, care providers must be able to actively listen to patients and allow their patient values to guide clinical decision making.
There are four dimensions of patient centered care: dignity and respect, information sharing, participation in healthcare, and collaboration. These four dimensions are widely incorporated in my healthcare organization. We maintain dignity and respect in care delivery by extending care beyond the bedside. Working in a Veterans Hospital one thing we are most proud of is the Final Salute we provide. When Veterans pass away staff prep the Veteran and drape the Veteran in a United States flag. All staff then gather outside the patient room and salute the Veteran as they proceed to the morgue. Patients have been very pleased with this brief ceremonial procession as this pays much respect to the Veteran and signifies that care does not end at the bedside. As it relates to information sharing, we have daily interdisciplinary team huddles. Research shows that team huddles increase continuity care as the entire team can coordinate care and focus on the patient (Garner et al., 2018). This also allows the team to be on one accord and the information the patient receives is more consistent. To ensure participation in care one thing the organization could incorporate is asking patients about their preferences. Taking preferences into account allows patient to feel involved in care and promotes patient participation. Lastly, the organization has better patient outcomes because of the collaboration between clinical and non-clinical staff. Safe patient-centric care is not just delivered from clinical staff as it is important to recognize the impact that non-clinical staff can have on care delivery. For instance, using a collaborative approach in what time to clean the patients room is important. We try to have environmental services to clean patient rooms while they are at procedures as this decreases the number of interruptions in the patient room.
One priority focus for the organization is improving the patient experience. Patients and their families can give real time feedback on their experience. This feedback is used to strategize and improve care delivery to not only meet patient care needs but satisfy the patient. This approach has improved the patient experience scores in several departments.
References
Gardner, A., Shunk, R., Dulay, M., Strewler, A., & O’Brien, B. (2018). Huddling for High-Performing Teams. National Library of Medicine, 35(9), 16-22.
Jannick Kuipers, S., Murray Cramm, J., & Nieboer, A. P. (2019). The importance of patient-centered care and Co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. International Journal of Integrated Care, 19(4), 315. https://doi.org/10.5334/ijic.s3315
