Productivity
Running Head: DECREASED PRODUCTIVITY
Family Centered Care: A Productivity Issue
By
Monique Van Dooren
Submitted in Partial Fulfillment for NUSC: 5763: Personnel in Management, for Dr. Barbara Pate, Clinical Associate Professor at the University of Arkansas for Medical Sciences, College of Nursing, Master of Nursing Science Degree Program
Spring, 2010
Identify Problem and symptoms Family-centered care or more specifically, open visitation in a critical care unit, is something more and more hospitals are moving towards, specifically at the University of Arkansas for Medical Sciences (UAMS). Healthcare providers are being asked to strive towards a more consumer oriented role in their practice (Livesay, et al 2005). In addition to this new focus on family-centered care, changes in the reimbursement system has forced hospitals to encourage managers to make decisions about how to increase productivity while keeping costs down. Healthcare delivery today is more transitional than it has ever been.
Physical environment is an important component in the acute care setting that can affect nursing productivity as any inadequacy in the physical environment can contribute to staff fatigue, stress, and burnout. An area of health care that is often overlooked, but can have significant effect on patientoutcomes, is the process of care. “The way we practice, the culture we work in, the climate that our professional demeanor creates can all dramatically impact on outcome measures” (Moreno, Rhodes, & Donchin, 2009, p. 1668). Time spent comforting and explaining specific care to the family adds drastically to the time taken away from care of the patient. Add into that mix, a teaching institution where many aspects of care are difficult to coordinate, a poorly organized work environment or layout of the unit, and not enough ancillary support to assist with the lesser complex tasks,
Family Centered Care: A Productivity Issue
By
Monique Van Dooren
Submitted in Partial Fulfillment for NUSC: 5763: Personnel in Management, for Dr. Barbara Pate, Clinical Associate Professor at the University of Arkansas for Medical Sciences, College of Nursing, Master of Nursing Science Degree Program
Spring, 2010
Identify Problem and symptoms Family-centered care or more specifically, open visitation in a critical care unit, is something more and more hospitals are moving towards, specifically at the University of Arkansas for Medical Sciences (UAMS). Healthcare providers are being asked to strive towards a more consumer oriented role in their practice (Livesay, et al 2005). In addition to this new focus on family-centered care, changes in the reimbursement system has forced hospitals to encourage managers to make decisions about how to increase productivity while keeping costs down. Healthcare delivery today is more transitional than it has ever been.
Physical environment is an important component in the acute care setting that can affect nursing productivity as any inadequacy in the physical environment can contribute to staff fatigue, stress, and burnout. An area of health care that is often overlooked, but can have significant effect on patientoutcomes, is the process of care. “The way we practice, the culture we work in, the climate that our professional demeanor creates can all dramatically impact on outcome measures” (Moreno, Rhodes, & Donchin, 2009, p. 1668). Time spent comforting and explaining specific care to the family adds drastically to the time taken away from care of the patient. Add into that mix, a teaching institution where many aspects of care are difficult to coordinate, a poorly organized work environment or layout of the unit, and not enough ancillary support to assist with the lesser complex tasks,
References: Coyer, F., Courtney, M., & O’Sullivan, J. (2007). Establishing an action research group to explore family-focused nursing in the intensive care unit DeFrino, D. (2009). A theory of the relational work of nurses. Research & Theory for Nursing Practice, 23(4), 294-311 Henneman, E., Cardin, S. (2002). Family-centered critical care: a practical approach to making it happen Livesay, S., Mokracek, M., Sebastian, S., Hickey, J. (2005). Nurses’ perceptions of open visiting hours in neuroscience intensive care unit Moreno, R., Rhodes, A., & Donchin, Y. (2009). Patient safety in intensive care medicine: the Declaration of Vienna http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2749175/?tool=pubmed Shirey M, Fisher M.(2008) acute and critical care. Crit Care Nurse. Oct;28(5):66-79. Accessed March 5, 2010 from http://ccn.aacnjournals.org.libproxy.uams.edu/cgi/content/full/28/5/66