In my current facility, we practice primary nursing. Primary nursing is having one nurse provide direct care for a small group of patients. The setting is an inpatient youth psychiatric unit with the nurse to patients ratio is 1 to 7. The children's age ranges from 6 to 21 years old. The children are there to overcome life’s challenges and help rebuild self-esteem and develop emotional stability. The patients participate in individual, group, and family therapy. The patients may participate in different therapy activities as art, music, and recreational therapy. According to the Institute for Healthcare …show more content…
Improvement (n.d.), the patient and family-centered care organization self-tool allows organizations to understand the range and span of elements of the patient and family-centered care, and to assess where they are against leading practice. By analyzing my current facility using the patient and family-centered assessment, I identified the gaps in patient –centered care. In my current facility, patient and family center care is a high priority because of the age of our patients. Beginning with leadership and operations domain the score was 4 or higher.
The leaders are very knowledgeable about the patients and their family members. For example, the leaders participate in all team meeting regarding the patient and family care needs. The leaders along with other health care staff meet with family members to discuss the patient's care and develop patient's health care goals. Next is our mission, vision, and values which scored a 4 or higher. Our mission statement states help children and families live successfully. My facility develop a policy which supports the children and family based on the fundamental beliefs that all children served by our facility deserve to be safe from harm, nurtured by life-long families, and provided with the same protection and support that any loving parent would expect for their children. Some of our values state children needs come first always, children are raised best by their families, and we provide a safe place by striving to achieve positive lasting results. The goal is explained to the patients and family members. The goal is to have a successful treatment and continue to have good health. We allow the patients and family members
to assist in developing their own health care plan. Ever patient and family members receive the patient's bill of rights. The domain advisor score was one or lower, unfortunately, there is no board or family council at my facility. We currently have an office of compliance and performance quality improvement which is responsible for managing the quality and training programs. Next is the domain for quality improvement and personal, which was a one because the patients and families are not actively involved with this department. Environment and design domain score is five. The facility has a family oriented designed. The campus is a therapeutic psychiatric environment. It is on 1200 acres with a lake, sports field, running track, and playground. Information and education score was a four. My facility web portals provide resources for patient and family regarding our campus and serves, other therapies available for patient post-discharge, and internet magazine. The family has the health care staff's email for additional communication needs. The patients and family members are encouraged to use the resource rooms on campus. There was a score of three for diversity and disparities. Collecting and measuring, race-ethnicity, and language is collected on admission. The patients and families have access to several interpreters on campus and by phone. The charting and documentation domain score was a one because the patients and families do not have access charts. The care support domain score was a three. The facility visitation hours are very strict, and families are not involved in medical rounds. Communication is active between the heath care staff and families. The families are notified if there are any changes in the patient’s condition and medications. Patients and family members have the option to refuse any medical treatments, and because of this the score for the domain for care was a five. Patients and family members collaborate with the clinician in planning health care goals. The patients and family are treated with respect and dignity. Pain is fully documented and managed in partnership with patients and family members.