Change for the better: An innovative Model of Care delivering positive patient and workforce outcomes

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• 作者：Tina Cann ; RN ; BNSc (Hons)^a ; ^{Tina_Cann@health.qld.gov.au} ; Anne Gardner ; RN ; CritCareCert ; BA ; MPH ; PhD^b ; ¹ ; ^{Anne.Gardner@jcu.edu.au}
• 关键词：Nursing practice ; Model of Care ; Patient satisfaction ; Nursing workforce ; Workforce issues
• 刊名：Collegian ; Journal of the Royal College of Nursing Australia
• 出版年：2012
• 期刊代码：pca106_13227696
• 类别：med
• 出版时间：June, 2012
• 卷：19
• 期：2
• 页码：107-113
• 文件大小：313 K

摘要

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Summary

Objective

To evaluate patient and workforce outcomes following the implementation of the Practice Partnership Model of Care.

Design

Pre-test-post-test design.

Setting

A 29-bed surgical ward at a tertiary-level regional hospital.

Subjects

Summary de-identified data from all patients and ward nursing staff in the study period.

Interventions

The Practice Partnership Model of Care has four main components: working in partnership; clinical handover at the bedside; comfort rounds; and environmental modifications. These reflect patient-centered and quality focused initiatives and use a total quality improvement framework that aims to transform care at the bedside.

Main outcome measures

Patient outcomes: changes in patient safety (measured by numbers of medication errors and patient falls); satisfaction with care (use of the call bell system, number of complaints and compliments). Workforce outcomes: changes in staff satisfaction (measured through staff sick leave).

Results

A statistically significant reduction in use of nurse call bells (p = <0.001) post-implementation. Medication errors and patient falls reduced, with an overall reduction of 4%in staff sick leave.

Conclusions

The Practice Partnership Model of Care positively affected patient and workforce outcomes, suggesting further exploration of this model in other hospital contexts is warranted.