Introduction
The progressive care unit (PCU) is a practice setting in which the researcher’s health care team is often failing to meet quality care objectives according to patient reporting on the hospital consumer assessment of healthcare providers and systems (HCAHPS). Opportunities for growth in quality care based on the HCAHPS of the PCU include topic areas related to patient inclusion as well as communication skills of the members of the healthcare team. Patient perception of quality is that the healthcare team in the PCU is unable to explain the care process in a way that the patient and family members feel comfortable with or that allows them to understand the care that is being provided to them. The researcher has first-hand experience with this challenge in the PCU and has heard first-hand from patients there that the care seems disjointed, that continuity is lacking, and how problematic it is for patients to hear different answers or explanations from different members of the team. Care providers do not seem to be on the same page according to patient responses, and patients and family members, as a result, report feeling helpless and feeling that they are not included in their own care processes.
In order to empower patients, make them feel more engaged with the care process, and increase quality of care in the PCU with regard to the specific areas of involving the patient and patient’s family in the care process, this study identifies specific procedures and processes in the PCU that can be altered in order to positively impact care providers’ approach to promoting the inclusion of the patient. Specifically, it looks to address the issue with EBP, which is vital for helping nurses and care providers to implement quality care practices based on research and evidence (Melnyk, Fineout?Overholt, Giggleman & Choy, 2017).
EBP applies to the problem of a lack of patient inclusion in the following ways, which indicate the nature of the problem: 1) the PCU nursing team conducts bed shift reports among nursing staff; 2) case management, respiratory therapy, physical therapy, occupational therapy, and the hospitalist group also conduct separate rounds on patients and family members; 3) the teams all have a designated meeting time for interdisciplinary meetings in which patient care issues are discussed; 4) however, the teams do not conduct rounding together in a way that incorporates the patient and or family; 5) this lack of interdisciplinary team work may contribute to patients’ experiences of disjointedness in terms of care that they receive while in the PCU. EBP is needed to clarify whether involving the interdisciplinary teams in an approach to make the patient feel more included in the care process can increase the sense of quality of care experienced by the patient while in the PCU. This issue is important because currently the PCU team is not scoring well with patients in terms of providing consistent, quality care.
In this proposal, the main problem and PICOT question to be examined will be identified. A literature review will follow that provides a summary of the relevant literature on the subject of interdisciplinary team work in promoting patient satisfaction. The sample, practice setting and clinical context of the study will be provided; a plan for implementation will follow, and the main points of the paper will be summarized in the conclusion.
Identification of Problem
The PICOT for this proposal is: For progressive unit patients (P), how does interdisciplinary rounding with patient/family inclusion (I) compared to individual rounding by team members (C) affect patient satisfaction and family anxiety (O) during their hospital stay (T)?
PICOT questions are useful for addressing clinical practice issues as they represent an effective way to conduct an evidence-based clinical inquiry. The PICOT acronym helps the researcher to organize the focus of the clinical inquiry (Melynk & Fineout-Overholt, 2015). The P stands for population of interest, the I for intervention or issue of interest, the C is for the comparison of interest, the O is the outcome expected and T is for the time for the intervention to achieve the outcome. For the PICOT format not, all components are necessarily based on the presented clinical scenario. Researchers recommend that one should include the population interest, the intervention of interest every time.
Hypothesis
It is expected to be found that rounding...
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