Capstone2017_AlwaysEvents_JeanineP by https://padlet.com/JPag/szesu4eimc89 A review of the use of Always Events and patient satisfaction in hospital patients. en-us 2017-03-29 21:55:21 UTC 2018-04-03 17:58:10 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Apple.png Always Events and Patient Satisfaction JPag https://padlet.com/JPag/szesu4eimc89/wish/165511621 By Jeanine Pagaduan]]> 2017-04-08 15:15:30 UTC https://padlet.com/JPag/szesu4eimc89/wish/165511621 Issue JPag https://padlet.com/JPag/szesu4eimc89/wish/165518225 Patients can be overwhelmed when in the hospital. As a result, the problem arises where patients do not know what is their plan of care. The patient becomes directly affected by not knowing what or why things are occurring. This may arise as confusion, anger, and or anxiety in the patient. This dissatisfaction can occur throughout the hospital stay and may continue at home after discharge. The patient needs to feel involved in his or her care plan and understand what is to occur next and why that action has been chosen. Always Events are events that should always occur to positively increase the patient's experience and help prevent confusion. ]]> 2017-04-08 17:48:29 UTC https://padlet.com/JPag/szesu4eimc89/wish/165518225 Literature Review JPag https://padlet.com/JPag/szesu4eimc89/wish/165518233
  • Always Events are the positive counter to Never Events. Always Events promote best practice by using patient-centered care and ensuring that elements of the patient's care are always accomplished. This includes addressing patients by their name, treating patients with respect, adequate access to food and drink, and getting the patient to the bathroom as soon as possible when needed (Davies, 2015). 
  • The use of Always Events integrates the patient into planning by identifying what the patient deems is important. The use of Always Events helps enforce the staff's dedication to advocating for patient and family-centered care. As a result of using Always Events more patient-centered outcomes are accomplished (Foster, 2016).
  • Always Events help the patient experience by changing the way we provide care.  Always Events promote patient and family-centered care by increased effective communication. Leaders must act as role models to encourage others to consistently use Always Events and by encouraging open discussion to promote progress and address setbacks (Hayward, Endo, & Rutherford, 2014).
  • The use of Always Events regarding the promotion of dignity in patients should be implemented by staff and into the nursing student curriculum. These actions include promoting respect, using courtesy, initiating feedback from patients and family, and reporting negative and poor aspects of care. This also includes remembering to monitor and take care of the patient's nutritional and hydration needs (Matiti, 2012).
    • ]]>     2017-04-08 17:48:41 UTC https://padlet.com/JPag/szesu4eimc89/wish/165518233     Challenges JPag https://padlet.com/JPag/szesu4eimc89/wish/165518258
  • Always Events may be time consuming when trying to concentrate on the various needs and requests for multiple difficult patients.
  • Nurses may have to go against superiors, coworkers, and or doctors when advocating for the patient. This may cause workplace distress.
  • Nurses will have to self-assess their beliefs when they do not align with the wishes of the patient to provide non-bias care. 
    • ]]>     2017-04-08 17:49:15 UTC https://padlet.com/JPag/szesu4eimc89/wish/165518258     Current Role of the Nurse JPag https://padlet.com/JPag/szesu4eimc89/wish/165518279 The nurse helps facilitate healing for the patient through education, advocacy, protection, and prevention. One way the nurse currently uses Always Events to promote patient satisfaction is by providing change of shift report at the bedside. This includes the patient and introduces the patient to the incoming nurse. This improves the issue by allowing the patient to hear what has been happening and what is the plan of care. Another way the nurse uses Always Events to promote patient satisfaction is by explaining the indication for each medication as she administers it to the patient. This keeps the patient informed and safe. The many duties of the nurse promotes the safety and optimal health of the patient. ]]> 2017-04-08 17:49:41 UTC https://padlet.com/JPag/szesu4eimc89/wish/165518279 Recommendations JPag https://padlet.com/JPag/szesu4eimc89/wish/165518306
  • Always utilize the teach-back method to ensure patient understanding.
  • Always encourage open dialogue from the patient and family to understand what it is important to them and what is frustrating them.
  • Always explain your role, name, and what you are doing to the patient. 
  • Always verify right site, patient, procedure, and signature for surgery with patient when signing consent forms. 
  • Always ask if there are spiritual, cultural, and or religious beliefs that may affect the patient’s care. 
  • Always provide up to date information regarding the patient's care to the patient and family. 
  • Always keep the patient safe. 
    • ]]>     2017-04-08 17:50:23 UTC https://padlet.com/JPag/szesu4eimc89/wish/165518306     Reflection JPag https://padlet.com/JPag/szesu4eimc89/wish/165518318
  • Non-maleficence (NUR 321)
    • It is the role of the nurse to do no harm. The nurse must perform only what is necessary and safe for the patient. The nurse should acknowledge his or her limitations and seek help. The nurse will advocate for the patient's wellbeing and collaborate with other health professionals. This includes providing the patient with up to date information so that the patient may make informed decisions. Non-maleficence helps prepare the nurse to become a leader by building integrity. 
  • Cultural Sensitivity (NUR 200)
    • Increased awareness of the patient's culture can help in implementing care. This involves on picking up verbal and nonverbal cues from the patient. Cultural sensitivity helps prepare the nurse to become a leader by expanding her knowledge, understanding, and ability to seek and utilize resources to provide culturally competent care. 
  • Teach Back Method (NUR 317)
    • The teach back method ensures patient understanding. This helps prepare the nurse become a leader by utilizing different methods of teaching to accommodate the patient. Effective communication is necessary in increasing patient satisfaction and providing care. 
  • Safety (NUR 315)
    • Patient safety is the priority of the nurse. Ensuring the safety of the patient physically and when administering medication helps the nurse become a leader. The nurse will ensure that it is the correct patient, drug, dose, route, and time. The nurse will document administration of the medication after it is complete. Safety helps one become a leader by being able to think ahead to prevent accidents. 

    • ]]>     2017-04-08 17:50:44 UTC https://padlet.com/JPag/szesu4eimc89/wish/165518318     Introduction JPag https://padlet.com/JPag/szesu4eimc89/wish/165518348 2017-04-08 17:51:43 UTC https://padlet.com/JPag/szesu4eimc89/wish/165518348 Conclusion JPag https://padlet.com/JPag/szesu4eimc89/wish/165518359 2017-04-08 17:51:51 UTC https://padlet.com/JPag/szesu4eimc89/wish/165518359 Importance of Nurse Involvement JPag https://padlet.com/JPag/szesu4eimc89/wish/168235191 The nurse's role in Always Events is important because the nurse is one of the most active members of the patient's healthcare team. The nurse advocates for the patient by listening to his or her needs and creating patient-centered goals with the patient. The nurse observes both the patient's verbal and non-verbal behavior. The nurse works with the patient by providing care, administering with medications, and collaborating with other healthcare professionals in regard to the patient's care. The nurse educates the patient and keeps him or her involved and informed. The nurse's involvement will help improve patient satisfaction with Always Events by creating consistency in care and reducing patient anxiety through open communication. ]]> 2017-04-25 20:49:22 UTC https://padlet.com/JPag/szesu4eimc89/wish/168235191 References JPag https://padlet.com/JPag/szesu4eimc89/wish/168235799 Davies, N. (2015). Always think ‘always events'. Nursing Standard, 29(39), 65.

    Foster, S. (2016). Good customer service for patients. British Journal of Nursing, 25(15), 887. doi:10.12968/bjon.2016.25.15.887

    Hayward, M., Endo, J. A., & Rutherford, P. (2014). A focus on 'always events'. Strategy ensures patient-centered care and a better patient experience. Healthcare Executive, 29(1), 78-81.

    Institute for Healthcare Improvement (IHI). (2017). Always events. Retrieved from: http://www.ihi.org/Topics/AlwaysEvents/Pages/default.aspx
     
    Matiti, M. (2012). A sense of people's worth. Nursing Standard, 26(52), 64.]]>     2017-04-25 20:53:02 UTC https://padlet.com/JPag/szesu4eimc89/wish/168235799