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I am not surprised to both of our projects, noise production and discharge process, noted at the top priorities. I cannot say the statistics are startling just based off the amount of time I have spent with leadership during the practicum period. The "roadblocks" proposed are definite contributors to these statistics. As I have stated many times, my biggest obstacle in project implementation has be the resistance to culture change (Patient Experience Infographic, 2013). The findings support the need for change simply based off of how long these top priorities have been analyzed on HCAHPS surveys. The data from the infographic is from 2011, released in 2013, and are subject are projects being implemented in 2017.

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Patient Experience - Leaders' Perceptions

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Patient Experience - Leaders' Perceptions

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As a future MSN prepared leader in healthcare, what do you find most startling about the statistics provided on this infographic (click on picture below to see)? How do these findings support the need for sustaining change?

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Patient Experience Infographic - The Beryl Institute - Improving the Patient Experience

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The Beryl Institute is the global community of practice dedicated to improving the patient experience through collaboration and shared knowledge. We define the patient experience as the sum of all interactions, shaped by an organization's culture, that influence patient perceptions across the continuum of care./> <meta name=

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Ashlee,

Not only will patients that are satisfied with their discharge be more likely to follow through with their at-home care, they will also be more likely to return to the same hospital for future services and follow up care. In a recent cross-sectional study of 43 hospitals combined, 88.8% of the patients chose to be treated again at the same hospital due to friendliness of staff and clear information provided about anesthesia (Schaal, T., Schoenfelder, T., Klewer, J., & Kugler, J., 2016). Your project has a huge effect on the patient satisfaction surveys that dictate change.  Another important thing to keep in mind is that discharge is the last step that patients experience that will ultimately determine how they will respond on patient satisfaction surveys and Press Ganey surveys.

Liam

Reference:

Schaal, T., Schoenfelder, T., Klewer, J., & Kugler, J. (2016). Determinants of patient satisfaction and their willingness to return after primary total hip replacement: a cross-sectional study. BMC Musculoskeletal Disorders, 17, 330. http://doi.org/10.1186/s12891-016-1196-3

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Carlson, K. (2017). Nursing workplace culture: change begins with you. Nurse.org. Retrieved from https://nurse.org/articles/workplace-culture-change-begins-with-you/
Murphy, M. (2014). Focus on patient satisfaction: why it matters. Medical Scribe Journal. Retrieved from http://scribeamerica.com/blog/focus-patient-satisfaction-matters/

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1. Support from Management and Leadership is Vital

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1. Support from Management and Leadership is Vital

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In order to make this change successful, it must be supported by leadership. The nursing staff responds to their own leadership participating in change (Carlson, 2017). While the discharge education documentation process is a matter of compliance, with the assistance of leadership, their has been an improvement in this area.

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2. Patient Satisfaction Surveys Dictate Change

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2. Patient Satisfaction Surveys Dictate Change

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Most quality implementation projects are implemented in order to increase patient satisfaction. Their satisfaction and response to the change in discharge education will impact the following HCAHPS scores. Patients that are satisfied with their discharge education are more likely to follow through with their at home care (Murphy, 2014).

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3. Changing a Culture is Not a One Time Project

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3. Changing a Culture is Not a One Time Project

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Within the nursing career, nurses become embedded in culture and routines. These can be difficult to break. This difficulty effects the quality of care of the changing population and the execution of tasks. With support from leader ship and persistent education, nursing staff will be appropriately educates and will have all the resources to make the change.

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4. Nursing Staff Need to Adjust to Culture Shifts

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4. Nursing Staff Need to Adjust to Culture Shifts

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Discharge education resources will change as the culture of the populations change. These changes will also reflect the individual health of the patient. Nursing staff needs to learn how to adjust to these changes while providing quality discharge education

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5. HCAHPS Scores are Shared with Nursing for a Reason

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5. HCAHPS Scores are Shared with Nursing for a Reason

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These scores reflect the quality of care received by nursing. This reflection effects the reimbursement of stays, patient satisfaction, and reputation of the healthcare system.