Core Competency: Managing Patient-Centered Care
Leadership Development SMART goal setting
Lauren Vadola
Chamberlain School of Nursing
Professor Clayton
NR 447 Collaborative Healthcare
Introduction As nurses we have numerous responsibilities and tasks we must complete, although 12 hour shifts seem like enough, it is often not! If is crucial for nurses to build time management and develop aims for their day to day, hour to hour, minute to minute duties. By setting an aim for their day it not only benefits the nurse but, the patient and the rest of the staff as well. By the term “aim” I mean a goal, after receiving hand off report from your nurse collegue a nurse can than gather that information to develop their goal for the day. Goals are important, they determine the focus of the nurse and allow them to accomplish their tasks efficiently and in a timely manner.
Core Competency: Managing Patient-Centered Care Let’s face it, a nurse would not have a career if it were not for patients, this does not mean I wish for people to get sick, instead it means that all of my efforts during my shift are geared towards the patient. By doing so I set fourth to do the very best I can for them and their families as well as boosting their spirits by offering for my time patients and a little bit of humor, if called for. I am the voice for my patients, I have the means and the ability to help my patients feel better if only for a short period of time, I …show more content…
also must utilize my resources around involving all disciplines of care. The core competency of patient-centered care described by the IOM (2003): “identify, respect, and care about patients’ differences, values, preferences, and expressed needs; relieve pain and suffering; coordinate continuous care; listen to, clearly inform, communicate with, and educate patients; share decision-making and management; and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health” (p. 4). Patients in my experience feel helpless, anxious and uneducated on their health as well as their plan of care. As their primary nurse in the hospital, I wear many hats, I am their nurse first but not limited to; their counselor, educator, advocate and their hand to hold. It is important that I find out what their needs are, opinions, and their complaints are in order to aid in improving outcomes and providing quality care. The hospital is a unit, it is not the nurses duty alone to provide quality care, however it is the nurses duty to assist in making other disciplines aware of this patients needs, wants, complaints and opinions. By involving all disciplines we will be more successful at improving the patients care in turn improving their outcome. “The main issue is to move away from a focus on disease or medical problems to focus on the individual. Patients who are involved in their own care have better outcomes (Institute of Medicine, 2003)”
KSA’s Knowledge, Skills, and Attributes: Tools for the trade Like anything else that needs to be renovated or fixed, tools are used in order to effectively accomplish such tasks. Nurses have a set of tools they utilize in their work to improve or fix the system. Knowledge, skills, and attitudes (KSAs) are the tools that nurses must possess to deliver safe, effective care. By utilizing such tools current and future nurses have the ability to continuously improve the quality and safety the healthcare system in which they work. One of the KSA tools, I am a firm believer in is “Communication about the patient.” In the SMART goal I will write about in the paragraph below, communication is the foundation. From the very first meeting with out patients we are already communicating, we communicate verbally and nonverbally. If there were no communication nothing would be happening, the patient would continue to suffer and I wouldn’t be fulfilling my duties. Whether it’s a patient crying out in pain, a one on one conversation with them, or even eye simple hand gesture we are actively communicating with one another. However communication between the nurse and patient is not the only thing necessary to aid in their care, we must have communication with doctors, questioning orders and advocating their needs, labs workers regarding blood results, transporters in terms of their wait for transport to diagnostic testing, etc. the lists of disciplines goes on and on. Patients are in contact will all aspects of the hospital and effective communication will reduce mistakes, improve care and provide positive outcomes.
Smart Goal Setting
In order to accomplish small day to day goals, it is encouraged that nurses set “SMART goals” which is a main agenda a plan of nursing action that involves other team members and the patient in order to improve patients quality of care and their health in the long run.
Goals are set unconsciously in every aspect of life: conducting our relationships, aims to achieve at work, and how we utilize our spare time. It all comes down to priorities, and what you would like to accomplish, whether making a conscious decision or going with subconscious
preferences.
SMART goals are essential in order to accomplish strategic goals and aid in managing such goals for ones self as well as, for the organization as a whole. Nurses can incorporate SMART goal setting and begin to bring structure to their goals and objectives. Instead of vague resolutions, SMART goal setting provides supportive pathways towards a certain objective, with clear milestones as well as estimation of the goal 's achievability. SMART goals are important in making best use of your time, which is vital time in a nurses’ career. Setting objectives that are specific, measurable, achievable, realistic and time-bound will help you not to waste time. Here is a SMART goal of my own developed in my current organization: My fellow coworkers and I at the hospital will gather patient feedback. Patient feedback includes press ganey surveys and patient callbacks. Callbacks are made to patients whom are discharged within 24-72 hours in order determine; how they’re recovering, how their hospital stay was, and we ways could help improve care and patient satisfaction. Press Ganey surveys are mailed to the homes of discharged patients where they answer questions involving all aspects of their care, as well as free space for comments and suggestions. By collecting this data we aim to improve patient outcomes. After 6 months we hope that patient satisfaction will increase, therefore decreasing readmission from chronic illnesses. These calls will be conducted in order to improve our Press Ganey score within 6 months. My second SMART goal is: I will work fellow coworkers at the hospital to improve patient care, safety, and satisfaction on a daily basis through “hourly rounding” in order assist in attaining Magnet status at our facility by 2015. These goals are important to our career by achieving Magnet Status through quality patient care, nursing excellence, and further enhancing the facility’s reputation.
Article Review In an article I have found “Post-discharged telephone calls and readmissions rates: A correlational study.” By, Marisa Schwartz RN, FNP-BC, discusses the results of evaluating the effectiveness of nursing callbacks after discharged in relation to readmission. This correlational study included 476 participants whom where medical patients discharged home. The patients were telephone 48-72 hours after their discharge by clinicians Follow-up calls provided patients with the opportunity to review their discharge instructions, medications, clinicians ensured outpatient follow-up was scheduled with a specialty or primary MD, and allowed the opportunity for the patient to ask questions regarding their medical concerns. The results were pretty significant; those 476 patients that received a post-discharge telephone call subsequently, did not have a 30-day hospital readmission. Results of this study apply great emphasis benefits of implementing a post-discharge telephone call back program as a means to help reduce 30- day hospital readmissions. A Second article that I found useful towards developing my SMART goal and ensuring its efficacy is “The impact of patient telephone call after discharge on likelihood to recommend in an academic emergency department.” Written by Guss DA, Gray S., Castillo, EM. In this article they are concerned with patient satisfaction. Patient satisfaction plays an important role on achieving academic stature, and impacts insurers payment. This study was conducted in University of California San Diego Healthcare system EDs. Press Ganey patient satisfaction surveys were utilized and mailed at random to 50% of all discharged patients. A Program of callbacks consisting of RNs and MDs, telephoned patients 1-5 days after discharge was initiated as well. A question in the press Ganey survey was, were you called back? The conclusion, patients that were called back were more likely to having a favorable impression, improving ED patient satisfactions.
Credible Website The Press Ganey website resourceful site to learn about the survey. On the website you will find the mission, history, and fundamental values of the survey’s purpose; to improve patient experience. It also provides information on why it is beneficial to utilize Press Ganey as well as, solutions for hospitals, private practices, ambulatory settings, also including home care. Press Ganey aims to gain insight on new ways to enhance patient care, improve outcomes, and control costs for facilities. Their mission is achieved by listening to the voices of patients, analyzing their feedback, and utilizing such information in improving care. By partnering up with more than 10, 000 organizations, they are able to provide the necessary advice to make changes and achieve overall excellence in service (Press Ganey Assocaites, Inc., 2013).
Summary
Based on the findings presented, in order to improve patient outcomes, and quality care the institution at whole must be involved. The patients are the core focus, communication is the key and allowing patients to have a voice even after discharge it essential. All disciplines must make the approach from the moment our patients come through those ED doors until after discharge to have an impact on our patients. Professional standards and education cannot be stressed enough to the staff. Constant observation and providing feedback to the entire team will enhance patient care and improve safety.
References
Institute of Medicine. (2003a). Health professions education. Washington, DC: National Academies Press.
Finkelman, A. (2012). Leadership and management for nurses: Core competencies for quality care (2nd ed.). Boston, MA: Pearson.
Schwartz, M. (2013). Post-discharge telephone calls and readmission rates. Proquest, UMI Dissertations Publishing. Retrieved from Desales University.
Guss D, Gray S, Castillo E. The impact of patient telephone call after discharge on likelihood to recommend in an academic emergency department. The Journal Of Emergency Medicine [serial online]. April 2014;46(4):560-566. Available from: MEDLINE, Ipswich, MA. Accessed November 23, 2014.
Press Ganey Associates, Inc. (2013). Press Ganey. Retrieved from http://www.pressganey.com/index.aspx
Lauren Vadola
Chamberlain School of Nursing
Professor Clayton
NR 447 Collaborative Healthcare
Introduction As nurses we have numerous responsibilities and tasks we must complete, although 12 hour shifts seem like enough, it is often not! If is crucial for nurses to build time management and develop aims for their day to day, hour to hour, minute to minute duties. By setting an aim for their day it not only benefits the nurse but, the patient and the rest of the staff as well. By the term “aim” I mean a goal, after receiving hand off report from your nurse collegue a nurse can than gather that information to develop their goal for the day. Goals are important, they determine the focus of the nurse and allow them to accomplish their tasks efficiently and in a timely manner.
Core Competency: Managing Patient-Centered Care Let’s face it, a nurse would not have a career if it were not for patients, this does not mean I wish for people to get sick, instead it means that all of my efforts during my shift are geared towards the patient. By doing so I set fourth to do the very best I can for them and their families as well as boosting their spirits by offering for my time patients and a little bit of humor, if called for. I am the voice for my patients, I have the means and the ability to help my patients feel better if only for a short period of time, I …show more content…
also must utilize my resources around involving all disciplines of care. The core competency of patient-centered care described by the IOM (2003): “identify, respect, and care about patients’ differences, values, preferences, and expressed needs; relieve pain and suffering; coordinate continuous care; listen to, clearly inform, communicate with, and educate patients; share decision-making and management; and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health” (p. 4). Patients in my experience feel helpless, anxious and uneducated on their health as well as their plan of care. As their primary nurse in the hospital, I wear many hats, I am their nurse first but not limited to; their counselor, educator, advocate and their hand to hold. It is important that I find out what their needs are, opinions, and their complaints are in order to aid in improving outcomes and providing quality care. The hospital is a unit, it is not the nurses duty alone to provide quality care, however it is the nurses duty to assist in making other disciplines aware of this patients needs, wants, complaints and opinions. By involving all disciplines we will be more successful at improving the patients care in turn improving their outcome. “The main issue is to move away from a focus on disease or medical problems to focus on the individual. Patients who are involved in their own care have better outcomes (Institute of Medicine, 2003)”
KSA’s Knowledge, Skills, and Attributes: Tools for the trade Like anything else that needs to be renovated or fixed, tools are used in order to effectively accomplish such tasks. Nurses have a set of tools they utilize in their work to improve or fix the system. Knowledge, skills, and attitudes (KSAs) are the tools that nurses must possess to deliver safe, effective care. By utilizing such tools current and future nurses have the ability to continuously improve the quality and safety the healthcare system in which they work. One of the KSA tools, I am a firm believer in is “Communication about the patient.” In the SMART goal I will write about in the paragraph below, communication is the foundation. From the very first meeting with out patients we are already communicating, we communicate verbally and nonverbally. If there were no communication nothing would be happening, the patient would continue to suffer and I wouldn’t be fulfilling my duties. Whether it’s a patient crying out in pain, a one on one conversation with them, or even eye simple hand gesture we are actively communicating with one another. However communication between the nurse and patient is not the only thing necessary to aid in their care, we must have communication with doctors, questioning orders and advocating their needs, labs workers regarding blood results, transporters in terms of their wait for transport to diagnostic testing, etc. the lists of disciplines goes on and on. Patients are in contact will all aspects of the hospital and effective communication will reduce mistakes, improve care and provide positive outcomes.
Smart Goal Setting
In order to accomplish small day to day goals, it is encouraged that nurses set “SMART goals” which is a main agenda a plan of nursing action that involves other team members and the patient in order to improve patients quality of care and their health in the long run.
Goals are set unconsciously in every aspect of life: conducting our relationships, aims to achieve at work, and how we utilize our spare time. It all comes down to priorities, and what you would like to accomplish, whether making a conscious decision or going with subconscious
preferences.
SMART goals are essential in order to accomplish strategic goals and aid in managing such goals for ones self as well as, for the organization as a whole. Nurses can incorporate SMART goal setting and begin to bring structure to their goals and objectives. Instead of vague resolutions, SMART goal setting provides supportive pathways towards a certain objective, with clear milestones as well as estimation of the goal 's achievability. SMART goals are important in making best use of your time, which is vital time in a nurses’ career. Setting objectives that are specific, measurable, achievable, realistic and time-bound will help you not to waste time. Here is a SMART goal of my own developed in my current organization: My fellow coworkers and I at the hospital will gather patient feedback. Patient feedback includes press ganey surveys and patient callbacks. Callbacks are made to patients whom are discharged within 24-72 hours in order determine; how they’re recovering, how their hospital stay was, and we ways could help improve care and patient satisfaction. Press Ganey surveys are mailed to the homes of discharged patients where they answer questions involving all aspects of their care, as well as free space for comments and suggestions. By collecting this data we aim to improve patient outcomes. After 6 months we hope that patient satisfaction will increase, therefore decreasing readmission from chronic illnesses. These calls will be conducted in order to improve our Press Ganey score within 6 months. My second SMART goal is: I will work fellow coworkers at the hospital to improve patient care, safety, and satisfaction on a daily basis through “hourly rounding” in order assist in attaining Magnet status at our facility by 2015. These goals are important to our career by achieving Magnet Status through quality patient care, nursing excellence, and further enhancing the facility’s reputation.
Article Review In an article I have found “Post-discharged telephone calls and readmissions rates: A correlational study.” By, Marisa Schwartz RN, FNP-BC, discusses the results of evaluating the effectiveness of nursing callbacks after discharged in relation to readmission. This correlational study included 476 participants whom where medical patients discharged home. The patients were telephone 48-72 hours after their discharge by clinicians Follow-up calls provided patients with the opportunity to review their discharge instructions, medications, clinicians ensured outpatient follow-up was scheduled with a specialty or primary MD, and allowed the opportunity for the patient to ask questions regarding their medical concerns. The results were pretty significant; those 476 patients that received a post-discharge telephone call subsequently, did not have a 30-day hospital readmission. Results of this study apply great emphasis benefits of implementing a post-discharge telephone call back program as a means to help reduce 30- day hospital readmissions. A Second article that I found useful towards developing my SMART goal and ensuring its efficacy is “The impact of patient telephone call after discharge on likelihood to recommend in an academic emergency department.” Written by Guss DA, Gray S., Castillo, EM. In this article they are concerned with patient satisfaction. Patient satisfaction plays an important role on achieving academic stature, and impacts insurers payment. This study was conducted in University of California San Diego Healthcare system EDs. Press Ganey patient satisfaction surveys were utilized and mailed at random to 50% of all discharged patients. A Program of callbacks consisting of RNs and MDs, telephoned patients 1-5 days after discharge was initiated as well. A question in the press Ganey survey was, were you called back? The conclusion, patients that were called back were more likely to having a favorable impression, improving ED patient satisfactions.
Credible Website The Press Ganey website resourceful site to learn about the survey. On the website you will find the mission, history, and fundamental values of the survey’s purpose; to improve patient experience. It also provides information on why it is beneficial to utilize Press Ganey as well as, solutions for hospitals, private practices, ambulatory settings, also including home care. Press Ganey aims to gain insight on new ways to enhance patient care, improve outcomes, and control costs for facilities. Their mission is achieved by listening to the voices of patients, analyzing their feedback, and utilizing such information in improving care. By partnering up with more than 10, 000 organizations, they are able to provide the necessary advice to make changes and achieve overall excellence in service (Press Ganey Assocaites, Inc., 2013).
Summary
Based on the findings presented, in order to improve patient outcomes, and quality care the institution at whole must be involved. The patients are the core focus, communication is the key and allowing patients to have a voice even after discharge it essential. All disciplines must make the approach from the moment our patients come through those ED doors until after discharge to have an impact on our patients. Professional standards and education cannot be stressed enough to the staff. Constant observation and providing feedback to the entire team will enhance patient care and improve safety.
References
Institute of Medicine. (2003a). Health professions education. Washington, DC: National Academies Press.
Finkelman, A. (2012). Leadership and management for nurses: Core competencies for quality care (2nd ed.). Boston, MA: Pearson.
Schwartz, M. (2013). Post-discharge telephone calls and readmission rates. Proquest, UMI Dissertations Publishing. Retrieved from Desales University.
Guss D, Gray S, Castillo E. The impact of patient telephone call after discharge on likelihood to recommend in an academic emergency department. The Journal Of Emergency Medicine [serial online]. April 2014;46(4):560-566. Available from: MEDLINE, Ipswich, MA. Accessed November 23, 2014.
Press Ganey Associates, Inc. (2013). Press Ganey. Retrieved from http://www.pressganey.com/index.aspx