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Now showing items 21-30 of 35
Improving patient care outcomes through better delegation-communication among nurses and assistive personnel
(2016-06-08)
In acute care settings, registered nurses must depend on and delegate to unlicensed assistive personnel when providing direct care to patients. The nurses’ ability to effectively delegate can affect the safety and ...
Interprofessional Collaboration: A Healthcare Professional's Duty
(2016-02-29)
Abstract
Today’s patients have complex healthcare needs and require more than one discipline to address issues regarding health status. As care needs become more complex, delivery processes involve numerous interfaces ...
Evaluation of COMFORT in strengthening family communication skills
(2016-06-02)
The purpose of this project was to evaluate the effectiveness of a COMFORT communication strategy that combines a didactic and simulated experience to strengthen perceived confidence and competence of advance practice registered nurses communicating with families facing difficult decisions and situations. The project explored the impact of the COMFORT protocol as an intervention strategy to strengthen perceived confidence and competence in communicating with families in crisis at end of life using a pre-post design. There was no significant change in the COMFORT protocol’s ability to increase perceived confidence or competence levels. APRN participants positively indicated the COMFORT protocol as an effective strategy for guiding difficult discussion (M = 4.35, SD = 0.48) and an effective strategy for APRN communication at end of life (M = 4.4, SD = 0.6) using a five point Likert scale....
Improving communication in the clinical environment through bedside shift report (BSR): A quality improvement project
(2016-10-20)
Effective communication is required during the handoff process to ensure essential patient information is relayed for continuity and quality of care. The author conducted a quality improvement initiative at a 380 bed acute ...
Improving patient satisfaction through implementing AIDET
(2017-06-23)
Hospital Consumer Assessment of Health- care Provider and System (HCAHPS) scores are key metrics that evaluate quality patient care within health- care system. Many studies reveal that an effective communication strategy ...
Improving Culturally Competent Care for International Students
(2017-08-31)
Background: As the international student population grows on college campuses across the United States (U.S.), health professionals are challenged to meet national and college health objectives for providing culturally competent care. International students often have unique cultural needs, have lower health literacy, and face language barriers when accessing health care in the U.S. The aim of this Doctor of Nursing Practice (DNP) project was to implement and evaluate an evidence-based practice change directed at addressing a gap in health care for Chinese international students.
Methods: This DNP quality improvement project introduced translated patient education materials from an online resource for health care providers to use with Chinese international students during the health care visit at a university health center. Provider training on the evidence for the translated materials and how to use them was conducted prior to implementation. The impact of the language materials was evaluated by the patients and providers through two Likert-type surveys. Quality indicators included patient satisfaction, perceived comprehension of the treatment plan, provider utilization and perception of the usefulness of the translated materials.
Results:Among 25 patient surveys collected over a three-month period, patient satisfaction was high, and 100% found the translated materials useful. In a group of eight providers surveyed, all agreed or strongly agreed that the translated materials were useful for the students. Positive patient perception of comprehension of the treatment plan was exhibited by favorable patient and provider responses to related survey items.
Conclusions: Despite overall perceived usefulness of the materials, provider utilization was variable. Reasons cited included adequate English proficiency and lack of pertinent topic on the website. Continued provider training is needed to address the communication and health literacy needs of Chinese international students. Potential future applications include expanding the resources available and offering to any patient whose primary language is not English, to enhance culturally competent care that will improve health outcomes and meet national standards for quality care....
Palliative care: Improving eligible patient identification to encourage early intervention
Palliative care (PC) encompasses a holistic way of caring for patients and families with chronic disease or life-limiting illness through optimal symptom management. Individuals in need of PC has reached 20 million annually ...
End of life discussions in the community
(2015-10-02)
Advance Care Planning (ACP) is a process of review and discussion between patients, family members, and healthcare providers that focus on goals of care rather than specific treatments. ACP should be initiated and implemented ...
Interdisciplinary rounding and its effect on communication and quality
Introduction: Communication is vital in healthcare. Ineffective communication has been often cited as one of the root causes of patient harm. Interdisciplinary rounding (IDR); a structured framework for communication between ...
Improving stress test procedural outcomes through effective communication tools
Low health literacy may lead to a lack of understanding of disease management and preparation needed before a procedure. Healthcare professionals must implement evidence-based measures that will facilitate healthcare ...