NR 584 Week 4

NR 584 Week 4

Student Name

Chamberlain University

NR-584: Quality and Safety for Advanced Nursing Practice

Prof. Name:

Date

Enhancing Client/Family Engagement in Emergency Care

Client/family engagement is a critical component of patient-centered care, significantly impacting patient satisfaction and healthcare outcomes. In my current role within the emergency department, patient satisfaction scores are the lowest across all hospital departments. Additionally, patients have ranked the emergency department as having the weakest nurse-to-patient interactions and overall experiences. To address this concern, I am actively involved in implementing bedside report practices within the department. Bedside reporting ensures that nurses assess patient safety at the beginning and end of their shifts while allowing patients to express concerns during handoff, ultimately improving patient experience scores (O’Donnell et al., 2023). Research highlights that bedside handoff enhances communication between staff and patients by minimizing distractions and reducing miscommunication risks (Kaiser & Ashby, 2024).

Application of the Plan-Do-Study-Act (PDSA) Framework

The Plan-Do-Study-Act (PDSA) framework is a widely used Continuous Quality Improvement (CQI) model that can be applied to enhance client/family engagement through bedside reporting. The initial Plan phase involves identifying key objectives, such as improving patient experience scores. The Do phase includes implementing bedside reporting consistently across both day and night shifts, ensuring seamless communication and engagement. During the Study phase, collected data is analyzed to determine the effectiveness of the initiative and identify any areas for improvement. Finally, in the Act phase, if the initiative proves successful, ongoing monitoring ensures sustained improvement; if not, necessary adjustments are made, and the PDSA cycle is restarted. This iterative approach facilitates continuous assessment and refinement, optimizing patient-centered outcomes.

Interprofessional Collaboration in the CQI Process

A successful CQI initiative requires active participation from interprofessional team members. Establishing clear goals and expectations allows all team members to understand the purpose and objectives of bedside reporting. Role-playing scenarios can be incorporated to enhance communication skills and familiarize staff with their responsibilities. Additionally, utilizing structured communication tools such as SBAR (Situation, Background, Assessment, and Recommendation) can further streamline the reporting process and enhance clarity among healthcare providers. By fostering interdisciplinary collaboration and ongoing evaluation, bedside handoff practices can significantly improve patient experiences and outcomes in emergency care settings. Continuous quality improvement remains vital in adapting to the evolving healthcare landscape, ensuring that patient-centered care remains a top priority.

Table: Client/Family Engagement and the PDSA Framework

References

Kaiser, A., & Ashby, T. (2024). Bedside handoff and patient’s perception of the quality of their care. Oncology Nursing Forum, 51(2), 61C-61C.

NR 584 Week 4

O’Donnell, L., George, E., Donnelly, J., Bilderback, A., & Buchanan, D. (2023). Coaching to bedside shift report and its correlation to hospital consumer assessment of healthcare providers and systems and value-based purchasing dimension scores: A multihospital implementation study. The Journal of Nursing Administration, 53(1), 12–18. https://doi.org/10.1097/NNA.0000000000001236