Transcript Patient Centered Model - Northwestern Memorial Hospital

Patient Centered Care Model
The model which was drawn from NMH’s Henderson Framework for Nursing
Practice proposes to provide a healing environment centered around trust,
compassion and the incorporation of our patient’s personal values. The
frame work is grounded in five guiding principles as well as the hospital’s
core values. They address the role of the nurse, the team, and the
importance of communication with the patient and family regarding the plan
of care.
The model focuses upon the clinical and safety needs of individual patients
with monitoring, individualized interventions and staffing adjustments. It
highlights key areas requiring “in the moment” critical thinking in addition to
creating a culture of seamless team collaboration. Examples of areas that
our staff focus upon include fall prevention, skin break down, plan of care,
pain, mobility, RN & MD communication, team communication and
collaboration and ultimately achieving improved patient and staff
satisfaction.
Shifting the Culture
Adoption of this new model requires:
• Critical thinking and individualized approaches to patient care
• Flexibility to adapt to meet the needs of our patients
• Enhanced communication with the patient, their family, physicians
and clinical care team members
• Our foundation is built upon the following:
Everyone’s
Responsibility
For Every
Patient
Everyday
NMH Framework for Nursing Practice
The Patient Centered Model of Care is grounded in our
Framework for Nursing Practice
NMH Framework for Nursing Practice
NMH’s Nursing Framework is grounded in five guiding principles as well as the hospital’s core values:
•
The Nurse
The role of the nurse is unique and essential to the care of the patient. The nurse demonstrates that unique and
essential function through the Seven Attributes of the Northwestern Memorial Hospital Nurse:
– Demonstrating compassion for patients and families
– Being knowledgeable in relation to complex patient care issues
– Being dynamic and proactive when planning, implementing and evaluating the plan of care
– Incorporating the role of patient advocate into the plan of care
– Working in collaboration with the interdisciplinary team
– Being accountable for nursing practice and adhering to professional standards
– Maintaining and advancing the practice of nursing and our professional image
• Nursing
Nursing is both a science and an art. Nursing practice is evidence-based and blends research, knowledge and
technology with individualized, compassionate approaches to care.
•
Patient
The patient is at the center of care delivery. Each patient is a unique human being with complex, dynamic needs.
Patients are encouraged to be active and engaged members of the healthcare team.
•
Family/Significant Other
Patients are part of a social support system. Involvement of the patient's family and significant others is acknowledged
and valued as an integral part of the plan of care.
•
Team
The nurse in collaboration with the patient/family and the interdisciplinary team develops an individualized, evidencebased plan of care to promote health, ensure patient safety, facilitate recovery, and when appropriate, ensure a
peaceful death for the patient.
Expectations
• The nurse in collaboration with the patient, family, and the
multidisciplinary team develops an individualized plan of care to
promote health, ensure patient safety and facilitate recovery
• There is a team approach to achieve daily patient focused
individualized care goals
• Each team member is accountable for their role and responsibility
• Patient satisfaction will increase through anticipation of care needs
and consistency in the delivery of patient care
• The care approach used reflects our Patient Centered Model of
Care and NMH’s Patient’s First Mission
• Staff satisfaction will increase through improved communication
and care coordination
Patient Centered Care: Key Elements
Teams of RNs and PCTs collaborate to:
Engage your
patient in their care
during bedside
report
Set daily individualized
patient focused goals and
work plans
Communicate the
plan of care and
goal achievement
to the next shift
Patient
Collaborate with your
patient, their family and
the team in
interdisciplinary rounds
Safety is a priority
huddle with your team
Pain, Toileting and
Positioning are key
during
hourly rounds
Everyone’s
Responsibility
For Every Patient
Everyday
Drawn from the NMH Henderson Framework for Nursing Practice