05 Oct Respond with ½ page to east post below add 1apa r
Respond with ½ page to east post below add 1apa reference to each post Post 1, Professor and Class,Describe caring attributes of the culture where you currently practice. Which attributes stand out as having significant influence on patients, nurses, and other healthcare professionals?Hello Professor and class,I work for a very large Integrated Delivery Network (IDN) which encompasses four hospitals and they have established core values with behavior expectations at every level of employee interaction. ICARE Values are taken seriously in this IDN and I have watched clinicians with excellent skill sets be exited from our organization because they could not be team player and were toxic in a team setting. In my department of home care, our Operations Director gives everyone the opportunity to be the best clinical team member in our agency. She embraces the ICARE values and expects everyone from the Director of Nursing down to the receptionist to engage fellow employees with respect. She also exhibits grace for bad days, values mistakes as teaching opportunities and has created a non-punitive work environment.ICARE values incorporate the following:Integrity – holding each other and ourselves accountable to what is right when no one is looking and being consistent that what we say is what we do. It means keeping our promises, owning our mistakes and elevating the standard for individual performance.Compassion – walking alongside our clients and clinical team through the seasons they are experiencing – sharing in the emotions and feelings of our patients, families, and coworkers – simply being kind. When we do this, a culture of trust and dignity is formed. Supervisors are instructed to have an ‘open door’ policy for our nurses with the expectation that if the nurse’s needs are met, the patients’ needs will be met.Accountability – taking full responsibility for our actions and care we give.Respect – maintaining dignity, not judging, placing value on every life we touch by treating them honestly and with compassion whether it is a patient or team member.Excellence – providing safe, evidence-based care; not embellishing our charting but being committed to providing quality, safe careHow do you see effective communication relating to patient outcomes in this setting? What is the evidence for thisBoth nurse-physician collaboration and nurse-nurse collaboration are significantly associated with patient safety outcomes. Findings from a study by Ma, Park, and Shang suggest that improving collaboration among healthcare providers should be identified as an important strategy for promoting patient safety. They concluded that collaboration between both interdisciplinary andintradisciplinary are necessary for better patient outcomes (Ma, Park, & Shang 2018). Creating a client-centered care plan could have a narrow focus if it only revolved around one discipline. The creative, client-centered care plan encompasses clinicians with a wide variety of disciplines that address all aspects of patient needs. Safety, improved quality outcomes, and education are all enhanced by collaboration with others in their respective fields of expertise. Each discipline brings a unique perspective and expertise to meet patient goals (Ma, Park, & Shang 2018). As a home care supervisor, I oversee most communication between the members of my team. The value of competent communication for streamline patient-centered which increases quality outcomes care cannot be stressed enough.One strategy I employ is to require the clinicians on my team to provide a handoff report in a centralized electronic medical document directly attached to the patient’s chart. This chart is web-based and provides current patient status, in real time, to all clinicians with access. When a patient is admitted to home care, collaborative communication with each clinician seeing that patient within the first week of admission creates a patient-specific plan of care. This team could include skilled nursing, therapy, or a medical social worker. After each clinician assesses a patient, their evaluation can generate creative and critical contributions to the development of a comprehensive and customized care plan for the patient. Once this is done, my staff will have multidisciplinary team meetings twice a month with a focus on high-risk patients. In this forum, concerns regarding safety, patient decline or progress, achievement toward patient-centered goals and advancement towards discharge are addressed and action plans are designed. Effective and open communication within the team is essential to achieving successful patient outcomes (Chamberlain Lesson, week 2) and to keep our patients safe. Our home care agency collects all outcome data so the future analysis will allow us to evaluate the effectiveness of communication and enable us to refine and improve communication strategies throughout our IDN with the goals of reduced rehospitalization and improved customer satisfaction.The Johns Hopkins Model and the Promoting Action on Research Implementation in Health Services Framework, Advancing Research and Clinical Practice Through Close Collaboration, or Iowa models emphasize team decision-making (Chamberlain Lesson, Week 2). These models can direct a clinical team in incorporating effective team communication by providing strategies that move an individual focus toward an intradisciplinary team effort.References:Ma, C., Park, S. H., & Shang, J. (2018). Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A cross-sectional study. International Journal of Nursing Studies, 85, 1–6. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.ijnurstu.2018.05.001 Post 2 It is great to hear that the iCARE values are highly regarded in your institution and are shared by all involved in patient care and beyond. How are these taught to new hires so they can integrate into the culture of the institution seamlessly? Is this a process that you feel could be improved upon in any way?
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