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Improving self-management in a complex population through patient-centered education and interdisciplinary communication
(2016-10-19)
The residual cognitive and physical deficits of traumatic brain injury and stroke create unique challenges during rehabilitation. A microsystem assessment of an inpatient rehabilitation unit serving traumatic brain injury ...
Decreasing blood pressure readings using a patient-centered interprofessional team approach
(2016-10-07)
Background and Purpose: Hypertension is one of the most modifiable risk factors for the prevention of heart disease. Current practice involves medical management of hypertension by the primary care provider. Provision of medical management alone is not improving blood pressures of patients with hypertension. Therefore, a patient-centered interprofessional team was developed to address the lack of a coordinated approach to the management of hypertensive patients.
Methods: The family nurse practitioner as clinician guides the interprofessional team in the management of hypertension. An interprofessional team was implemented in a rural Midwestern family practice clinic. Patients included were 18 to 60 years old with a diagnosis of hypertension. At least two previous blood pressure readings were required, and the last reading must have remained elevated over 140/90. Initial blood pressure readings were compared to final visit readings to measure improvement. Systolic blood pressure was reduced significantly throughout the project (p = 0.0067).
Conclusion: Implementation of the interprofessional team in the management of hypertension has provided a positive improvement in the BP of the patients participating.
Implications for Practice: The interprofessional team design supports the perfect environment for advanced practice nursing leadership.
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Implementing strategies to improve patient perception of nursing communication
(2016-12-16)
According to the Joint Commission (TJC), effective communication and patient and family centered care impacts quality and safety (2014). The aim of this project was to improve patients’ perception of nurse communication ...