Session Core Fundamentals Prioritize
5
9/14/2020 1 Core Fundamentals Session 2 Patient Centered Care Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 1 Objectives Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 2 Relate Relate to the common challenges encountered by patients as healthcare consumers Develop Develop Cultural Competency skills that keep the patient at the center of their care Analyze Analyze the differences between ‘Doing To – Doing For – Doing With’ Practice Practice delegation skills in difficult situations using your HRO tools Identify Identify appropriate delegation Review Review how to prioritize patient needs and summarize tools available to assist with prioritization Develop Develop Time Management skills Prioritization Clinical Academy, 5.3.19, v.1 3 Prioritizing: How To Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 4 Develop a list Estimate time Prioritize into 3 categories Reflect Prioritization Traps • Whatever hits first • Failure to delegate • Squeaky wheel • Default • Waiting for inspiration Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 5 Use Clinical Reasoning When Prioritizing Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 6 Is the problem acute or chronic? Is the problem acute on chronic? Is there a trend? What tools do you have to help identify patient deterioration? 1 2 3 4 5 6
Transcript of Session Core Fundamentals Prioritize
9/14/2020
1
Core Fundamentals
Session 2
Patient Centered Care
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 1
Objectives
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 2
Relate Relate to the common challenges encountered by patients as healthcare consumers
Develop Develop Cultural Competency skills that keep the patient at the center of their care
Analyze Analyze the differences between ‘Doing To – Doing For – Doing With’
Practice Practice delegation skills in difficult situations using your HRO tools
Identify Identify appropriate delegation
Review Review how to prioritize patient needs and summarize tools available to assist with prioritization
Develop Develop Time Management skills
Prioritization
Clinical Academy, 5.3.19, v.1 3
Prioritizing: How To
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 4
Develop a list
Estimate time
Prioritize into 3 categories
Reflect
Prioritization Traps
•Whatever hits first
• Failure to delegate• Squeaky wheel•Default •Waiting for inspiration
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 5
Use Clinical Reasoning
When Prioritizing
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 6
Is the problem acute or chronic?
Is the problem acute on chronic?
Is there a trend?
What tools do you have to help identify patient deterioration?
1
2
3
4
5
6
9/14/2020
2
Defining and Limiting Factors
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 8
Self‐DeterminationAutonomy
Policies and Procedures (institutional)
Outline nurse responsibility and accountability in patient care at Providence St. Joseph Health
Nurse Practice Act
(state regulations)
Defines scope of nursing practice for each particular state; practice varies from state to state
Nursing Professional Scope of Practice
(ANA Standards of Practice)
“Authoritative statements of the duties that all registered nurses, regardless of role, population, or specialty, are expected to perform competently.”
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 9
5 Rights of Delegation
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 10
Right Task
Right Circumstances
Right Person
Right Direction
Right Supervision
What Stops You From Delegating?
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 11
Take a Quick Break
Clinical Academy, 5.3.19, v.1 12
7
8
9
10
11
12
9/14/2020
3
Patient Centered Care
Patient Centered Care Timeline Clinical Academy, 5.3.19, v.1
1990s 2000s Today1970s1960s
• The beginning of patient centered care in behavioral health
• Begins to take on a holistic approach
• Patients become healthcare consumers
• A way to manage health populations
• Implementation of HCAHPS survey
4 Elements of Patient
Centered Care
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 15
Dignity & Respect
Information Sharing
Participation
Collaboration
Evolution of Patient Centered Care
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 16
Doing To
Doing For
Doing With
Doing To
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 17
Doing For
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 18
13
14
15
16
17
18
9/14/2020
4
Doing With
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 19
Cultural Diversity
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 20
Culture in the Context of Healthcare
21
• A critical element to Patient Centered Care
• Very elusive and nebulous
• Extends beyond the country of origin and language
• Focus on the values, beliefs, and practices that shape the meaning of health and illness
• Avoids stereotyping
Clinical Academy, 5.3.19, v.1
Core Fundamentals Session 2(Epner & Baile, 2012)
What Gets in Our Way?
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 22
Mutuality‐ Doing With
Clinical Academy, 5.3.19, v.1 Core Fundamentals Session 2 23
What’s Next
Reflect on the topics we discussed today
Delegation
Communication
Think about your well‐being assessment you completed in class 1
How are you caring for yourself
Have you made any changes
19
20
21
22
23
24
9/14/2020
5
References
Clinical A
cadem
y, 5.3.1
9, v.1
25
Core Fu
ndam
entals Sessio
n 2
• American Nurses Association. (n.d.). Retrieved May 6, 2019, from https://www.nursingworld.org/practice‐policy/advocacy/
• American Nurses Association (2012). ANA’s principles for delegation by Registered Nurses to unlicensed assistive personnel (UAP). Silver Spring, MD: ANA.
• Anthony, M. K., & Vidal, K. (May 31, 2010). Mindful communication: A novel approach to improving delegation and increasing patient safety. Online Journal of Issues in Nursing, 15(2). doi:10.
• Boychuk Duchscher, J. (2008). A Process of Becoming: The Stages of New Nursing Graduate Professional Role Transition. The Journal of Continuing Education in Nursing,39(10), 451‐452. doi:10.3928/00220124‐20081001‐04
• Cipriano, P. (2011). Overview and summary: Delegation dilemmas: Standards and skills for practice. Online Journal of Issues in Nursing, 10913734, 15(2).
• Epner, D. E., & Baile, W. F. (2012). Patient‐centered care: The key to cultural competence. Annals of Oncology,23(Suppl 3), 33‐42. doi:10.1093/annonc/mds086
• Johnson, B., Abraham, M., Edgman‐Levitan, S., Sodomka, P., Schlucter, J., & Ford, D. (2008, April). Partnering with patients and families to design a patient‐and family‐centered health care system. MD, Bethesda.
• National Academy of Sciences. (2001, March). Crossing The Quality Chasm: A New Health System For the 21st Century[Scholarly project]. In Institute of Medicine. Retrieved May 7, 2019, from https://iom.nationalacademies.org/~/media/Files/Report Files/2001/Crossing‐the‐Quality‐Chasm/Quality Chasm 2001 report brief.pdf
• Shinners, Jean & Africa, Larissa & Hawkes, Beth. (2016). Debriefing as a Supportive Component for Registered Nurses in Transition. Journal for Nurses in Professional Development. 32. 212‐218. 10.1097/NND.0000000000000273.
• United Kingdom, The Health Foundation. (2016). Person‐centered care made simple. London: Health Foundation. Retrieved May 7, 2019, from https://www.health.org.uk/publications/person‐centred‐care‐made‐simple.
25
