Nationwide Children's Hospital and The Ohio State University Medical. Center ... Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Purpose: ...
Abstract would decrease stress during not only the initial admission but also of future admissions. doi:10.1016/j.pedn.2010.12.026 Pediatric Nursing Standards of Practice: Know Them, Use Them Vonda Keels-Lowe MS, RN, CPN, P-SANE Nationwide Children's Hospital and The Ohio State University Medical Center, Columbus, Ohio
Practice Problem and Purpose: In June 2008, the first publication of the Pediatric Nursing: Scope & Standards of Practice was published. The collaborative expertise of the American Nurses Association, the National Association of Pediatric Nurse Practitioners, and the Society of Pediatric Nurses developed the guide to pediatric practice. Unfortunately, many pediatric nurses are unaware of these standards specific to the profession of pediatric nursing. Purpose/PICO question: Are pediatric nurses knowledgeable of the pediatric standards of practice, and, if so, are they using those standards in clinical practice? EBP Model/Process: Clinical Practice Model 1. Problem identified regarding nurses knowledge or lack of knowledge of the pediatric standards and use in practice. 2. Finding the evidence to support the question. 3. Summarizing the evidence and recommending education for nurses regarding the standards and how to use them in daily practice. 4. Application to practice. The standards are specific to pediatric nurses and are applicable to daily practice. 5. Evaluation to determine the effectiveness of the nurses' knowledge and use of the standards in practice as well as change over time. The project is currently ongoing. Outcomes: This is currently an ongoing project. Anticipated results are that the pediatric nurses need education regarding the specific pediatric standards, but we will also conclude that the nurses are currently applying those standards in the care of children and their families. Conclusion and Implications: Currently an ongoing project. doi:10.1016/j.pedn.2010.12.027 Creating a Collaborative Playground: Pediatric Nurses and Physicians Improving Communication to Ensure Patient Safety Angela Kinstler MSN, RN, CNL, Diana Young BSN, RN, Amanda Woodard BSN, RN, Rhonda Schum RRT, Vicki Newsom BSN, RN, Christine Ryan BS, RN, Kimery Crace BSN, RN Cincinnati Children's Hospital Medical Center, Cincinnati, OH
Purpose: Communication influences patient safety outcomes and job satisfaction. During transition in leadership, pediatric cardiac intensive care nurses voiced concerns about ineffective communication between nurses and physicians. A team investigated evidence-based recommendations to increase collaboration and improve communication. PICO Question/Methods: Does the perception of increased collaboration between critical care nurses and critical care physicians improve job satisfaction for critical care nursing staff? The literature indicates that there is an increase in job satisfaction among nurses when there is a feeling of open and honest
e5 communication among the health care team. The literature recommends the use of a daily communication worksheet on rounds and leadership facilitating a collaborative environment. To facilitate collaboration, a communication worksheet was developed and implemented at the point of care. The patientassigned nurses discuss and document on the communication worksheet the patients' status, the care recommendations, and the family concerns. Daily, the nurse verbally presents the information to the multidisciplinary care team on morning rounds. To enhance communication across shifts, leadership incorporated daily situational awareness rounds on night shift. The charge nurse, physicians, and bedside nurse discuss and address each patient's safety concerns. Findings: The staffs' perception of communication and collaboration are measured annually by the Agency for Healthcare Research and Quality Patient Safety Culture Survey. The survey evaluates all health care members in the hospital unit setting. Following the implementation of the nurse presentation on rounds in 2008 and situational awareness rounds in 2009, the survey data evaluating the staffs' perception of “teamwork within hospital units,” “communication openness,” and “overall perceptions of safety” indicate a positive increase in all three areas in comparison to the survey data reported annually since 2008. Conclusions: Engaging nurses and physicians in evidence-based recommendations to improve communication for patient safety increases perception of open communication, safety, and collaboration in the health care environment. doi:10.1016/j.pedn.2010.12.028 Incorporating Bedside Handoff: Using Evidence-Based Practice to Improve Communication and Decrease Errors Stephanie Ishmael RN, CPN, Jaime Manley BSN, RN, CPN Nationwide Children's Hospital, Columbus, OH
Purpose: A change was needed on a 20-bed pediatric cardiology unit that was starting to see decreased patient satisfaction scores and discord among staff with regard to communication. The goal was to create a patient handoff method that increases communication and understanding of care between nurses and patient/families, decreases the incidence of medication/laboratory/order/patient errors (while simultaneously encouraging reporting of errors), and allows for more thorough and accurate communication from nurse to nurse. Review of Literature: Review of the literature shows an increase in awareness regarding the importance of bedside handoff as a way to (a) improve patient/family understanding of care, (b) incorporate the spirit of family-centered care into report, (c) increase accountability for completed nursing care, (d) decrease the incidence of medication/laboratory/physician order errors, and (e) improve communication between staff members during patient handoff. Evidence-Based Practice Model: As a staff/management with limited experience in creating a project/policy change based on evidence-based practice, we found Rosswurm and Larrabee's (1999) conceptual framework model the easiest to understand and incorporate into our project. Outcomes: The policy change has been implemented on the unit, with small adjustments being made to the process to better fit the “reporting off” time constraints. A discussion group was held with staff to determine feedback and receive suggestions, as well as share
